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 Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina 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 Carolina (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.

Beaufort County Disabilities & Special Needs (NPI 1629408455)

Field	Value
Entity Type	Organization
Organization	Beaufort County Disabilities & Special Needs
Address	100 Clearwater Way
City	Beaufort
State	SC
ZIP	29906
Taxonomy	Case Management Agency
NPI Enumerated	November 14, 2013

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	43,230	$250	$10.9M
H2026	Ongoing support to maintain employment, per diem	31,880	$50	$1.5M
T2014	Habilitation, prevocational, waiver; per diem	27,670	$40	$1.1M
T1027	Family training and counseling for child development, per 15 minutes	7,850	$100	$745.4K
T2020	Day habilitation, waiver; per diem	15,450	$50	$741.5K
H2016	Comprehensive community support services, per diem	14,250	$40	$541.4K
T1017	Targeted case management, each 15 minutes	9,410	$50	$498.8K
T1016	Case management, each 15 minutes	5,880	$60	$329.2K
T1018	School-based individualized education program (iep) services, bundled	380	$110	$40.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Beaufort County Disabilities & Special Needs — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	26	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	13	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	24	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	25	60	7,610	$50	$1.2M
H2016	Comprehensive community support services, per diem	7	20	8,760	$60	$1.1M
H2026	Ongoing support to maintain employment, per diem	3	30	10,980	$70	$939.8K
T1027	Family training and counseling for child development, per 15 minutes	25	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	44	100	4,210	$50	$614.8K
T1018	School-based individualized education program (iep) services, bundled	20	30	650	$90	$111.8K

Nearby Providers

Other providers in the same ZIP code as Beaufort County Disabilities & Special Needs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norman Bettle	SC	Neurology Physician	$779.2K	$0
Stuart Smalheiser	SC	Cardiovascular Disease Physician	$382.2K	$110
Mark Siegel	SC	Ophthalmology Physician	$280.7K	$0
Nicholas Dardes	SC	Internal Medicine Physician	$238.1K	$0
John Crisologo	SC	Gastroenterology Physician	$166.5K	$0
Richard Stewart	SC	Gastroenterology Physician	$138.9K	$0
David Harshman	SC	Cardiovascular Disease Physician	$122K	$770
Leland Stoddard	SC	Orthopaedic Surgery Physician	$88.8K	$0
Lee Butterfield	SC	Cardiovascular Disease Physician	$42.5K	$0
Mary St.john	SC	Psychiatry Physician	$28.5K	$0

Beaufort County Disabilities & Special Needs — Billing Profile & Reimbursement Data

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Beaufort County Disabilities & Special Needs — Billing Profile & Reimbursement Data

Sign up for Beaufort County Disabilities & Special Needs — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References