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.

Resources For Human Development (NPI 1710337597)

Field	Value
Entity Type	Organization
Organization	Resources For Human Development
Address	2801 E Sully Ave
City	Pierre
State	SD
ZIP	57501
Taxonomy	Case Management Agency
NPI Enumerated	June 13, 2016

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Key Findings

RESOURCES FOR HUMAN DEVELOPMENT in PIERRE, SD reports $8.5M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid-focused) operation for the period covered. The absence of Medicare revenue means the provider’s billing exposure and payer negotiations are driven exclusively by Medicaid policy and reimbursement dynamics.

Revenue concentration is extreme: a single procedure code, T1016, accounts for $8.5M in revenue and represents 100.0% of this provider’s total Medicaid revenue, while the precomputed top-3 Medicaid codes collectively account for 100.0% of Medicaid revenue. This indicates virtually all Medicaid receipts are derived from one service line rather than a diversified mix of codes.

The top Medicaid code is T1016 (Case management, each 15 minutes), which this provider billed 177.1K claims at a $48 avg paid/claim for $8.5M in revenue. That combination of very high claim volume and a modest per-claim payment profile is consistent with an operation that parcels services into frequent, short-duration case management units rather than infrequent high-dollar procedures.

Competitive standing in-state is dominant for the T1016 code: the provider ranks #1 of 38 in South Dakota, sits at the 100th percentile, and is labeled an "extreme outlier" — language that denotes billing volume far above typical state peers. In practical terms, this provider is a major, high-volume case management billing entity relative to other in-state agencies.

Operational and business implications follow from the concentration: dependence on a single, high-volume case management code makes overall revenue highly sensitive to Medicaid rate changes, utilization edits, or eligibility shifts affecting that service. Any policy, auditing, or reimbursement modification targeted at T1016 would have outsized impact on the provider’s finances.

The provider’s NPI was enumerated on 2016-06-13 (~10 years ago), indicating about a decade of enrollment and operational presence; the sustained, high-volume T1016 billing pattern suggests an established service model built around Medicaid case management.

The dataset labels this provider’s T1016 activity as an "extreme outlier" and "far above typical state volume," which should be treated as a flag for market dominance in that code rather than a statement about compliance. Analysts should interpret this as unusually concentrated market share and volume for case management services in South Dakota.

From a claims-economics perspective, the reported $48 avg paid/claim combined with 177.1K billed claims aligns with the reported $8.5M Medicaid revenue and underscores that the provider’s reimbursement model is driven by high-frequency, low-unit-value billing of T1016 units rather than diversified, higher-rate procedures.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	177,130	$50	$8.5M

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

Resources For Human Development — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	1	40	6,470	$50	$708.1K

Nearby Providers

Other providers in the same ZIP code as Resources For Human Development, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homecare Services Of South Dakota, Inc.	SD	Home Health Agency	$0	$20.1M
Capital Area Counseling Service, Inc	SD	Clinical Social Worker	$0	$7.6M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Oahe, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.4M
Rising Hope Counseling, LLC	SD	Mental Health Counselor	$0	$4M
Central Dakota Eyecare, LLP	SD	Optometrist	$0	$1.8M
Avera St Marys	SD	General Acute Care Hospital	$0	$1.7M
Delta Dental Of South Dakota Foundation	SD	Dental Clinic/Center	$0	$1.2M
Delta Dental Of South Dakota Foundation	SD	Dental Clinic/Center	$0	$1M
Delta Dental Of South Dakota Foundation	SD	Dental Clinic/Center	$0	$594K

Resources For Human Development — Billing Profile & Reimbursement Data

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Resources For Human Development — Billing Profile & Reimbursement Data

Sign up for Resources For Human Development — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References