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.

Greenville County Disabilities And Special Needs Board (NPI 1699088070)

Field	Value
Entity Type	Organization
Organization	Greenville County Disabilities And Special Needs Board
Address	1700 Ridge Road
City	Greenville
State	SC
ZIP	29607
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	July 14, 2010

Payer Source	Total Paid
Medicaid	$51.7M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $51.7M in lifetime Medicaid revenue. The absence of Medicare activity means payer exposure and growth opportunities are concentrated in Medicaid program rules and reimbursement trends.

The provider has long-standing enrollment: NPI enumerated 2010-07-14 (~16 years ago), indicating established presence and continuity in the market that likely supports high cumulative claim volumes. Tenure combined with high claim counts suggests stable operational capacity for long-term residential and day habilitation services.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes (T2016, T2020, T2014) together account for 90.3% of this provider's total Medicaid revenue. That concentration indicates material reliance on a few per-diem habilitation service lines and implies sensitivity to rate changes, waiver policy shifts, or utilization-management actions affecting those codes.

T2016 (Habilitation, residential, waiver; per diem) is the dominant revenue driver by a wide margin: 178.3K claims, $218 avg paid/claim, $38.9M revenue (75.1% of this provider's total Medicaid revenue), and it ranks #4 of 52 providers in-state (94th percentile; notably above typical state volume). This combination of high claim volume and a high per-diem rate signals a core business in residential habilitation and positions the provider as a major statewide player in that service line.

T2020 (Day habilitation, waiver; per diem) is the second pillar of the business mix with 62.7K claims, $76 avg paid/claim, $4.8M revenue (9.2% of total Medicaid revenue); it ranks #3 of 40 in-state (95th percentile; notably above typical state volume). Strong state-ranked volume in both day and residential habilitation suggests an integrated model offering both residential stays and day programming to the same or overlapping populations.

T2014 (Habilitation, prevocational, waiver; per diem) contributes 40.9K claims, $75 avg paid/claim, $3.1M revenue (5.9% of total Medicaid revenue) and ranks #10 of 34 providers in-state (73th percentile; typical, unremarkable volume). Alongside H2016 (30K claims, $77 avg, $2.3M; rank #6 of 15, 64th percentile) and H2026 (16.7K claims, $76 avg, $1.3M; rank #9 of 31, 73th percentile), this mix indicates the provider offers a range of prevocational, community support, and employment-maintenance services at typical in-state volumes.

Per-claim payment profiles highlight service-intensity differences across the portfolio: T2016 carries a much higher average paid per claim ($218) compared with day and prevocational codes (T2020 $76 avg, T2014 $75 avg). Those per-diem differentials, combined with the heavy claim volume for T2016 (178.3K claims), explain why a single residential habilitation code accounts for the majority of Medicaid revenue despite multiple service lines being offered.

A set of smaller, ancillary codes collectively represent only modest shares of Medicaid revenue: T1027 (5.5K claims, $88 avg, $481.6K, 0.9% of total), H2025 (3.9K claims, $101 avg, $396.6K, 0.8%), T1016 (6.1K claims, $51 avg, $310.5K, 0.6%), and T2017 (4.7K claims, $58 avg, $271.3K, 0.5%; ranks #2 of 8, 86th percentile). These smaller lines indicate ancillary clinical, training, and case management activity that supports the core residential/day habilitation services but do not materially diversify the provider's revenue base.

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	178,340	$220	$38.9M
T2020	Day habilitation, waiver; per diem	62,710	$80	$4.8M
T2014	Habilitation, prevocational, waiver; per diem	40,900	$80	$3.1M
H2016	Comprehensive community support services, per diem	29,980	$80	$2.3M
H2026	Ongoing support to maintain employment, per diem	16,690	$80	$1.3M
T1027	Family training and counseling for child development, per 15 minutes	5,470	$90	$481.6K
H2025	Ongoing support to maintain employment, per 15 minutes	3,930	$100	$396.6K
T1016	Case management, each 15 minutes	6,090	$50	$310.5K
T2017	Habilitation, residential, waiver; 15 minutes	4,680	$60	$271.3K

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

Greenville County Disabilities And Special Needs Board — 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	4	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	10	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	3	40	18,120	$70	$1.8M
H2016	Comprehensive community support services, per diem	6	20	8,760	$60	$1.1M
H2026	Ongoing support to maintain employment, per diem	9	30	10,980	$70	$939.8K
T1027	Family training and counseling for child development, per 15 minutes	35	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	42	100	4,210	$50	$614.8K
T2017	Habilitation, residential, waiver; 15 minutes	2	10	1,440	$110	$294.3K
H2025	Ongoing support to maintain employment, per 15 minutes	6	20	2,240	$90	$241.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$171.7M
Heart Of The Carolinas Medical Supply, LLC	SC	Nursing Care Agency	$0	$36.4M
Caris Healthcare LLC	SC	Community Based Hospice Care Agency	$0	$36.3M
Greenville County Commission On Alcohol And Drug Abuse	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.7M
St. Francis Hospital Inc	SC	General Acute Care Hospital	$0	$9M
Tribe513, P.A.	SC	Pediatric Adolescent Medicine Physician	$0	$8.6M
Luxor Scientific, LLC	SC	Clinical Medical Laboratory	$2.2M	$5.6M
Pleasantburg Drive Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$6.5M
Inspirium Ihc Upstate, LLC	SC	Home Health Agency	$0	$6.4M
Bon Secours Ambulatory Services - St. Francis, LLC	SC	Urgent Care Clinic/Center	$0	$6.4M

Greenville County Disabilities And Special Needs Board — Billing Profile & Reimbursement Data

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Greenville County Disabilities And Special Needs Board — 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