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.

Burton Center (NPI 1790348670)

Field	Value
Entity Type	Organization
Organization	Burton Center
Address	2605 Highway 72 221 E
City	Greenwood
State	SC
ZIP	29649
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 17, 2019

Payer Source	Total Paid
Medicaid	$29.8M
Medicare	$0

Key Findings

BURTON CENTER operates principally as a habilitation-focused residential and community program provider, with its top Medicaid codes tied to residential, prevocational, and day habilitation services. The largest single code is T2016 (Habilitation, residential, waiver; per diem) which generated $20.3M in revenue and 89.6K claims, indicating a substantial residential-service footprint supported by per-diem billing.

Medicaid revenue is highly concentrated: the top three Medicaid codes (T2016, T2014, T2020) together account for 99.4% of this provider's total Medicaid revenue, and total Medicaid revenue on file is $29.8M. Those three codes individually represent $20.3M (68.2%), $5.4M (18.1%), and $3.9M (13.1%) of the provider’s Medicaid take, respectively, showing near-total reliance on a narrow set of service lines.

This provider is effectively single-payer in scale: there is no Medicare billing on file, so Medicaid ($29.8M) is the sole documented public payer driving its reported billed activity. Analysts should treat the entity as dependent on Medicaid policy, eligibility, and rates rather than Medicare fee schedules or enrollee mixes.

On statewide competitive standing, BURTON CENTER is a clear leader in prevocational waiver services: T2014 (Habilitation, prevocational, waiver; per diem) produced $5.4M from 71K claims and ranks #2 of 34 providers in-state (97th percentile; notably above typical state volume), signaling unusually high capacity or market share in prevocational programming. This ranking suggests the provider is a major in that specific service line relative to in-state peers.

For residential habilitation (T2016) and day habilitation (T2020), the provider shows solid but not dominant statewide positions. T2016 generated $20.3M and ranks #11 of 52 (80th percentile; typical, unremarkable volume), while T2020 generated $3.9M and ranks #5 of 40 (90th percentile; typical, unremarkable volume), indicating meaningful scale in both areas without clear dominance over the entire market.

Smaller ancillary codes contribute a negligible portion of revenue and do not materially diversify the payer-service mix. Examples include H2025 ($171.8K, 0.6% of Medicaid revenue; ranks #8 of 22, 67th percentile), H2026 ($6K, 0.0%; ranks #31 of 31, 0th percentile), T1027 ($5.9K, 0.0%; ranks #76 of 81, 6th percentile), and T1016 ($5.8K, 0.0%; ranks #94 of 102, 8th percentile), demonstrating that employment supports and case management are minor revenue streams for this provider.

BURTON CENTER’s NPI was enumerated 2019-04-17 (~7 years ago), and the current billing profile—$29.8M in Medicaid revenue concentrated in per-diem habilitation codes—suggests an established operational model focused on day-to-day residential and program-based services rather than diversified billing across many procedure codes. The combination of relatively recent enumeration and high revenue concentration is consistent with a specialized, scale-driven Medicaid waiver provider.

From a risk/opportunity perspective, the provider’s heavy reliance on per-diem habilitation codes means reimbursement changes, occupancy shifts, or waiver policy adjustments affecting T2016, T2014, or T2020 could materially affect revenue, since those three codes together account for 99.4% of Medicaid revenue. Payers and network planners should prioritize contract and utilization oversight for these specific codes when evaluating financial or programmatic negotiations.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	89,600	$230	$20.3M
T2014	Habilitation, prevocational, waiver; per diem	71,000	$80	$5.4M
T2020	Day habilitation, waiver; per diem	50,110	$80	$3.9M
H2025	Ongoing support to maintain employment, per 15 minutes	2,910	$60	$171.8K
H2026	Ongoing support to maintain employment, per diem	110	$60	$6K
T1027	Family training and counseling for child development, per 15 minutes	70	$90	$5.8K
T1016	Case management, each 15 minutes	130	$50	$5.8K

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

Burton Center — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	11	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	2	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	5	40	18,120	$70	$1.8M
H2026	Ongoing support to maintain employment, per diem	31	30	10,980	$70	$939.8K
T1027	Family training and counseling for child development, per 15 minutes	76	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	94	100	4,210	$50	$614.8K
H2025	Ongoing support to maintain employment, per 15 minutes	8	20	2,240	$90	$241.7K

Nearby Providers

Other providers in the same ZIP code as Burton Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Related Products, Inc	SC	Durable Medical Equipment & Medical Supplies	$0	$10.5M
Pediatric Dentistry Of Greenwood, P.A.	SC	Pediatric Dentistry	$0	$5.4M
Self Medical Group	SC	Urgent Care Clinic/Center	$0	$2.6M
Publix Super Markets Inc	SC	Community/Retail Pharmacy	$177.2K	$0
Steven Pietrusza	SC	Physician Assistant	$18.6K	$8.4K

Burton Center — Billing Profile & Reimbursement Data

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Burton Center — 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