Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Huron Area Center For Independence (NPI 1538203211)

Field	Value
Entity Type	Organization
Organization	Huron Area Center For Independence
Address	258 3rd St Sw
City	Huron
State	SD
ZIP	57350
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	February 16, 2007

Payer Source	Total Paid
Medicaid	$75.7M
Medicare	$0

Key Findings

HURON AREA CENTER FOR INDEPENDENCE is effectively single-payer at scale: there is no Medicare billing on file while Medicaid revenue totals $75.7M, and the NPI was enumerated on 2007-02-16 (~19 years ago), indicating an established Medicaid-focused operation. The absence of Medicare activity combined with substantial Medicaid receipts points to an organizational footprint built around state waiver and developmental-disability services rather than traditional Medicare clinical care.

Revenue is highly concentrated in a few waiver and habilitation codes: the provider’s top three Medicaid codes account for 92.6% of total Medicaid revenue, led by T2016 (68.8%), T2020 (17.7%), and S0281 (6.1%). This concentration means most financial exposure and growth potential are tied to a small set of service lines and their reimbursement rates.

The largest single revenue driver is T2016 (Habilitation, residential, waiver; per diem): 11.9K claims, $4369 avg paid/claim, $52.1M revenue (68.8% of total Medicaid revenue). The high average payment per claim and dominant share of Medicaid revenue indicate residential habilitation/per-diem services are the core business offering and primary margin driver for the organization.

T2020 (Day habilitation, waiver; per diem) is the second major line: 14.4K claims, $929 avg paid/claim, $13.4M revenue (17.7% of total Medicaid revenue). The large claim volume with a much lower per-claim payment compared with T2016 suggests substantial day-program capacity and utilization that complements the residential habilitation services.

S0281 (Medical home program, comprehensive care coordination and planning) contributes meaningful ancillary revenue: 9.6K claims, $479 avg paid/claim, $4.6M revenue (6.1% of total Medicaid revenue). Its presence as the third top code signals that care coordination and planning are embedded in the service mix rather than being marginal, supporting an integrated habilitation and care-management model.

Other listed waiver and case-management codes (for example, T2025: 10.2K claims, $333 avg paid/claim, $3.4M; T1016: 7.1K claims, $70 avg paid/claim, $497.8K) further illustrate a diversified set of waiver services beyond the top two per-diem lines, indicating operational breadth across residential, day, supplies, and case management within the waiver system. These secondary codes collectively represent smaller shares of revenue but sizable claim volumes, showing operational scale in multiple service components.

On competitive standing within the state, HURON AREA CENTER FOR INDEPENDENCE is a high-volume participant but not a statewide monopoly: T2016 ranks #3 of 21 providers (90th percentile; typical, unremarkable volume), T2020 ranks #3 of 20 (89th percentile; typical, unremarkable volume), and S0281 ranks #4 of 21 (85th percentile; typical, unremarkable volume). These ranks place the provider consistently in the upper quartile for its major codes, characterizing it as a major regional player with customary utilization patterns rather than an outlier.

Because 92.6% of Medicaid revenue is concentrated in the top three codes, the provider is exposed to policy, rate, or programmatic shifts affecting residential habilitation, day habilitation, and care coordination. From a payer/analyst perspective, monitoring state waiver reimbursement changes, per-diem rate adjustments for T2016/T2020, and utilization trends in S0281 will be critical to understanding near-term revenue risk and operational sensitivity.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	11,930	$4,370	$52.1M
T2020	Day habilitation, waiver; per diem	14,450	$930	$13.4M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	9,570	$480	$4.6M
T2025	Waiver services; not otherwise specified (nos)	10,230	$330	$3.4M
T2018	Habilitation, supported employment, waiver; per diem	6,460	$90	$600.4K
T1016	Case management, each 15 minutes	7,110	$70	$497.8K
T2028	Specialized supply, not otherwise specified, waiver	7,030	$60	$393.4K
T2014	Habilitation, prevocational, waiver; per diem	4,410	$80	$330.8K
T2017	Habilitation, residential, waiver; 15 minutes	290	$810	$238.4K
T2019	Habilitation, supported employment, waiver; per 15 minutes	470	$270	$124.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Dakota Distribution

Huron Area Center For Independence — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	3	20	6,880	$1,660	$31.6M
T2020	Day habilitation, waiver; per diem	3	20	7,340	$500	$8.9M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	4	20	6,090	$420	$3M
T2025	Waiver services; not otherwise specified (nos)	3	20	5,410	$180	$1.9M
T1016	Case management, each 15 minutes	15	40	6,470	$50	$708.1K
T2017	Habilitation, residential, waiver; 15 minutes	8	10	470	$270	$437.9K
T2018	Habilitation, supported employment, waiver; per diem	4	20	1,510	$80	$433.9K
T2014	Habilitation, prevocational, waiver; per diem	4	20	1,210	$130	$410.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	9	20	480	$90	$288.6K
T2028	Specialized supply, not otherwise specified, waiver	5	30	910	$50	$169.8K

Nearby Providers

Other providers in the same ZIP code as Huron Area Center For Independence, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Home Inc	SD	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$35.3M
Community Counseling Service	SD	Mental Health Counselor	$0	$13.7M
Our Home, Inc.	SD	Substance Abuse Rehabilitation Facility	$0	$9.6M
Independent Health Solutions LLC	SD	Home Health Agency	$0	$4M
Huron Regional Medical Center Inc	SD	Critical Access Hospital	$0	$3.4M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$3.2M
Huron Vt LLC	SD	Assisted Living Facility	$0	$1.9M
Dakota Family Dentistry, Prof. LLC	SD	Dental Clinic/Center	$0	$1.3M
Huron Eye Clinic PC	SD	Optometrist	$0	$1.2M
Huron Clinic Foundation Ltd	SD	Family Medicine Physician	$0	$1M

Huron Area Center For Independence — Billing Profile & Reimbursement Data

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Huron Area Center For Independence — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References