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.

Childrens Home Society Of South Dakota (NPI 1811017155)

Field	Value
Entity Type	Organization
Organization	Childrens Home Society Of South Dakota
Address	801 N Sycamore Ave
City	Sioux Falls
State	SD
ZIP	57110
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicaid	$62.7M
Medicare	$0

Key Findings

CHILDRENS HOME SOCIETY OF SOUTH DAKOTA reports $62.7M in lifetime Medicaid revenue and has no Medicare billing on file, making its financial footprint effectively single-payer and heavily Medicaid-dependent. The absence of Medicare activity means analyses should focus on Medicaid program changes, contract arrangements, and state-level reimbursement dynamics rather than cross-payer comparisons.

Revenue is extremely concentrated by code: precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, indicating nearly all Medicaid dollars flow through a very narrow set of billable services. That concentration amplifies exposure to rate changes or policy shifts affecting those specific codes.

Medicaid revenue is driven entirely by T2048, which is reported as 8.4K claims, $7469 avg paid/claim, $62.7M revenue (100.0% of this provider's total Medicaid revenue). T2048 is defined as behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem, so the provider is monetizing long-stay residential behavioral-health placements.

The provider's taxonomy as an Emotionally Disturbed Childrens' Residential Treatment Facility aligns directly with the billing mix: per-diem long-term residential behavioral health with room and board suggests the operation is structured around multi-week or multi-month placements rather than short outpatient encounters. The $7469 avg paid/claim on T2048 reinforces that the billing unit represents substantial per-claim reimbursement consistent with residential stays.

Competitive standing within the state is relatively strong on its core service: T2048 ranks #2 of 8 providers in-state (86th percentile), indicating a leading position but not a monopolistic one for this service line. Notably, the code's volume is described as "typical, unremarkable volume for this code," so while the provider is near the top of the peer set, its activity sits within the expected range for in-state residential behavioral-health programs.

The NPI has been enumerated since 2007-03-30 (~19 years ago), signaling long tenure and operational stability in the market; this longevity may reflect established referral relationships and sustained program capacity for long-term pediatric residential care. Analysts should consider historical continuity when evaluating trends and peer comparisons.

Operational and financial risk is concentrated: because a single per-diem residential code accounts for the entirety of Medicaid revenue, the provider is vulnerable to changes in per-diem rates, Medicaid prior authorization or utilization-management policies, and supply-side constraints (bed capacity or staffing) that affect occupancy. Diversification of service lines or payers would materially change the risk profile.

Given the volume (8.4K claims) and the high average payment per claim ($7469 avg paid/claim), this provider's billing pattern for residential behavioral-health services is likely to be a focal point for payer negotiation and utilization review, and should be examined for length-of-stay, occupancy, and program mix metrics rather than typical outpatient utilization indicators.

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
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	8,390	$7,470	$62.7M

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

Childrens Home Society Of South Dakota — 0 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
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	2	10	3,270	$1,840	$23.2M

Nearby Providers

Other providers in the same ZIP code as Childrens Home Society Of South Dakota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meadows On Sycamore Inc	SD	Assisted Living Facility	$0	$8.2M
Lisa Hemmingson	SD	Mental Health Counselor	$0	$655.6K
Dr. John W Sivesind, O.d., P.C.	SD	Corneal and Contact Management Optometrist	$0	$520.2K
Bonnie Deen	SD	Mental Health Counselor	$0	$415.7K
Hy-vee Inc	SD	Community/Retail Pharmacy	$245.9K	$0
Avera Mckennan	SD	Endocrinology, Diabetes & Metabolism Physician	$0	$155.1K
Precision Vision, Inc	SD	Eyewear Supplier	$0	$150K
Best Life, LLC	SD	Professional Counselor	$0	$133.5K
Jallah Kpanquoi	SD	In Home Supportive Care Agency	$0	$131.6K
Jed Assam	SD	Ophthalmology Physician	$131.3K	$0

Childrens Home Society Of South Dakota — Billing Profile & Reimbursement Data

Sign up for Childrens Home Society Of South Dakota — Billing Profile & Reimbursement Data policy alerts

Childrens Home Society Of South Dakota — Billing Profile & Reimbursement Data

Sign up for Childrens Home Society Of South Dakota — 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