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.

Florence County Disabilities And Special Needs Board (NPI 1740845940)

Field	Value
Entity Type	Organization
Organization	Florence County Disabilities And Special Needs Board
Address	1211 E National Cemetery Rd
City	Florence
State	SC
ZIP	29506
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	May 3, 2019

Payer Source	Total Paid
Medicaid	$28.3M
Medicare	$0

Key Findings

This provider is effectively single-payer on file: there is no Medicare billing on file and lifetime Medicaid revenue is $28.3M, which indicates their operations and reimbursement exposure are concentrated in Medicaid programs rather than Medicare. The NPI was enumerated 2019-05-03 (~7 years ago), so the provider has a relatively short public billing history spanning roughly seven years.

Revenue is highly concentrated in a small set of habilitation per-diem services: the precomputed top three Medicaid codes account for 89.2% of the provider's Medicaid revenue. The dominant code is T2016 (residential habilitation, waiver; per diem) with $18.9M in revenue (66.8% of Medicaid revenue), followed by T2014 (prevocational habilitation, waiver; per diem) at $3.4M (12.0%) and T2020 (day habilitation, waiver; per diem) at $2.9M (10.4%).

The code mix (T2016, T2014, T2020) indicates the organization primarily operates residential, prevocational and day habilitation programs under waiver arrangements, meaning its business model is centered on long-term per-diem habilitation services rather than episodic medical care. These are programmatic, community-based supports rather than clinic- or procedure-driven revenue lines, so operational capacity (beds, day-program slots, workforce for habilitation) will closely drive revenue.

Competitive standing for the top habilitation codes is modest-to-typical within South Carolina: T2016 ranks #10 of 52 (82th percentile; typical, unremarkable volume for this code), T2014 ranks #7 of 34 (82th percentile; typical, unremarkable volume for this code), and T2020 ranks #10 of 40 (77th percentile; typical, unremarkable volume for this code). These ranks place the provider above median peers on these services but not as a statewide dominant provider; volumes are described in the source as "typical, unremarkable" despite above-median placement.

The provider shows relatively stronger standing in targeted case management: T1017 (Targeted case management, each 15 minutes) produced $1.8M (6.5% of Medicaid revenue) and ranks #6 of 57 (91th percentile; typical, unremarkable volume for this code). That rank suggests the organization is a relatively prominent state player for targeted case management compared with its more middling position on some habilitation lines.

Unit-level reimbursements reinforce the per-diem, service-intensity profile: T2016 has an average paid/claim of $207 consistent with residential per-diem billing, while T2014 and T2020 report $76 and $77 avg paid/claim respectively, consistent with lower-rate per-diem prevocational and day habilitation services. These average paid/claim figures imply different staff- and facility-cost structures across residential versus day/prevocational programs, which will affect margins and resource allocation.

Smaller supporting services are present but not material to revenue: H2026 (ongoing support to maintain employment, per diem) produced $857.2K (3.0%), T1016 (case management, each 15 minutes) $192.8K (0.7%), and T1027 (family training and counseling, per 15 minutes) $172.1K (0.6%). These lines indicate an integrated service mix that includes employment supports and family training, but each represents a small share compared with the core habilitation per-diem codes.

The extreme concentration of Medicaid revenue in T2016 (66.8% of the provider's Medicaid revenue) creates a revenue vulnerability to policy, rate, or utilization changes affecting residential habilitation services. From a payer or contracting perspective, this concentration suggests monitoring rate-setting, waiver changes, or utilization trends for T2016 will be particularly important when assessing financial risk or negotiating network arrangements.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	91,270	$210	$18.9M
T2014	Habilitation, prevocational, waiver; per diem	44,480	$80	$3.4M
T2020	Day habilitation, waiver; per diem	38,040	$80	$2.9M
T1017	Targeted case management, each 15 minutes	41,590	$40	$1.8M
H2026	Ongoing support to maintain employment, per diem	11,430	$80	$857.2K
T1016	Case management, each 15 minutes	3,510	$60	$192.8K
T1027	Family training and counseling for child development, per 15 minutes	2,000	$90	$172.1K
H2025	Ongoing support to maintain employment, per 15 minutes	490	$30	$14.6K

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

Florence County Disabilities And Special Needs Board — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	7	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	10	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	6	60	7,610	$50	$1.2M
H2026	Ongoing support to maintain employment, per diem	13	30	10,980	$70	$939.8K
T1027	Family training and counseling for child development, per 15 minutes	55	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	57	100	4,210	$50	$614.8K
H2025	Ongoing support to maintain employment, per 15 minutes	19	20	2,240	$90	$241.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	General Acute Care Hospital	$0	$90.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.7M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Mcleod Regional Medical Center Of The Pee Dee, Inc	SC	Emergency Medical Services (Emergency Medicine) Physician	$0	$12.7M
Allergy Asthma Sinus Ctr	SC	Allergy & Immunology Physician	$0	$8.2M
County Of Florence	SC	Land Ambulance	$2M	$4.5M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$6.4M
Florence School District One	SC	Local Education Agency (LEA)	$0	$6.3M
Tucker-wells Medical, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$5.8M
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	Community Based Hospice Care Agency	$0	$5.7M

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

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Florence 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