MARION-DILLON COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is reported as none while lifetime Medicaid revenue totals $19.4M, indicating its operations are focused almost exclusively on state Medicaid-funded intellectual and developmental disability services. The provider has been enumerated since 2007-02-21 (~19 years ago), reflecting long-standing participation in the Medicaid program and suggesting established relationships with state waiver and case management systems. Revenue concentration is extremely high: the top 3 Medicaid codes account for 96.7% of this provider's total Medicaid revenue, indicating dependence on a narrow set of service lines for the bulk of payments. The largest single revenue driver is T2016 (per diem residential habilitation, waiver), which generated $14M or 72.3% of total Medicaid revenue; this dominance implies the organization primarily operates residential habilitation services and likely manages high-volume, per-diem placements for individuals with developmental disabilities. The second major revenue source is T2014 (prevocational habilitation, waiver) at $4.1M or 21.2% of Medicaid revenue, indicating significant activity in prevocational supports and day-program-like services in addition to residential care. The third top code, T1017 (targeted case management, each 15 minutes), contributes $614.2K (3.2% of revenue), reflecting a meaningful but much smaller role for care coordination and case management within the provider’s service mix. Competitive standing by code is mixed: for T2016 the provider ranks #22 of 52 in-state (59th percentile), positioning it as a mid-tier, typical-volume residential habilitation provider rather than a statewide leader; for T2014 it ranks #4 of 34 (91st percentile), indicating it is a high-volume prevocational habilitation provider relative to in-state peers and a notable participant in that submarket. Other billed codes such as T2020, T1016, T1027, and H2025 each represent small shares of revenue (ranging from $33.8K to $267.6K) and sit in lower-to-middle statewide percentiles, reinforcing that the provider’s operations and financial performance are concentrated in residential and prevocational waiver services rather than a broad mix of DD service lines. Given the concentrated revenue mix and long tenure, payer/provider analysts should view this organization as a stable, Medicaid-focused residential and prevocational habilitation provider whose financial exposure would be sensitive to changes in per-diem residential reimbursement or waiver program policy affecting T2016 and T2014 utilization and rates.