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.

Anderson County Disabilities And Special Needs Board (NPI 1821557000)

Field	Value
Entity Type	Organization
Organization	Anderson County Disabilities And Special Needs Board
Address	212 Mcgee Rd
City	Anderson
State	SC
ZIP	29625
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	March 18, 2019

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and lifetime Medicaid revenue is $24.1M, so its financial footprint in our dataset is driven entirely by Medicaid-funded services rather than dual-payer activity. Analysts should treat payer mix as single-payer Medicaid when benchmarking financial exposure and contracting strategy.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 89.6% of this provider's total Medicaid revenue, indicating operational and reimbursement risk is heavily tied to a very small set of service lines. Any policy or rate change affecting those top codes would materially affect overall revenue.

T2016 is the primary revenue driver and defines the business model: T2016 (Habilitation, residential, waiver; per diem) generated $18.2M and represents 75.7% of the provider's Medicaid revenue, with 78.5K claims and an average paid/claim of $232; the provider ranks #15 of 52 (73th percentile; typical, unremarkable volume) for this code. The preponderance of residential habilitation per-diem billing shows the organization operates substantial waiver-based residential services.

Unit-payment and volume profile highlight why T2016 dominates revenue: T2016 averages $232 paid/claim versus H2016 at $42 and T2020 at $47, while claim counts are also large for T2016 (78.5K) compared with H2016 (41.6K) and T2020 (33.9K). This combination of higher unit rate and higher volume explains why residential habilitation drives the majority of revenue even though multiple per-diem program types are billed.

The provider has a comparatively strong position in community support services: H2016 (Comprehensive community support services, per diem) produced $1.7M (7.3% of total) with 41.6K claims and ranks #3 of 15 (86th percentile; typical, unremarkable volume), indicating a relatively high statewide rank for that specific service line even if the dollar share is small compared with T2016. This suggests the organization is a notable regional provider of community support per-diem services.

Service-line breadth is meaningful within the developmental-disability/waiver space: in addition to residential habilitation (T2016) the billing mix includes H2016, T2020 (Day habilitation, waiver; per diem) at $1.6M, T2014 (Habilitation, prevocational, waiver; per diem) at $1.2M, and smaller but relevant case management, family training, and employment-support codes (for example T1017 $334.3K, T1027 $205.4K, H2026 $576.9K). Together these codes demonstrate a comprehensive portfolio covering residential, day, prevocational, employment supports, and both targeted and broader case management services.

Statewide competitive posture is generally modest-to-strong but not dominant: the provider's ranks for key codes are often mid-to-upper percentile (for example T2020 #12 of 40, 72th percentile; T2014 #15 of 34, 58th percentile) with a clear standout rank for H2016 (#3 of 15, 86th percentile). Overall the pattern is of a sizable county-level operator with particular strength in specific community support lines rather than a dominant statewide monopoly across all waiver services.

The provider's NPI was enumerated on 2019-03-18 (~7 years ago), indicating multi-year activity in the Medicaid program but relatively recent establishment compared with legacy institutions; this tenure supports interpreting observed volumes as established operational scale rather than a one-off reporting spike. Across the itemized codes, reviewers should also note that most code-level volumes are described as "typical, unremarkable volume," implying no flagged statistical outliers in the dataset for this provider's billing patterns.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	78,510	$230	$18.2M
H2016	Comprehensive community support services, per diem	41,640	$40	$1.7M
T2020	Day habilitation, waiver; per diem	33,850	$50	$1.6M
T2014	Habilitation, prevocational, waiver; per diem	20,670	$60	$1.2M
H2026	Ongoing support to maintain employment, per diem	7,210	$80	$576.9K
T1017	Targeted case management, each 15 minutes	7,960	$40	$334.3K
T1027	Family training and counseling for child development, per 15 minutes	2,120	$100	$205.4K
H2025	Ongoing support to maintain employment, per 15 minutes	1,590	$90	$136.6K
T1016	Case management, each 15 minutes	2,340	$40	$100.5K

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

Anderson County Disabilities And Special Needs Board — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	15	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	15	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	12	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	27	60	7,610	$50	$1.2M
H2016	Comprehensive community support services, per diem	3	20	8,760	$60	$1.1M
H2026	Ongoing support to maintain employment, per diem	20	30	10,980	$70	$939.8K
T1027	Family training and counseling for child development, per 15 minutes	52	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	62	100	4,210	$50	$614.8K
H2025	Ongoing support to maintain employment, per 15 minutes	15	20	2,240	$90	$241.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson School District Five	SC	School Counselor	$0	$6M
Southwest Carolina Treatment Center, LLC	SC	Methadone Clinic	$174.1K	$3.1M
Anderson Oconee Behavioral Health Services	SC	Community/Behavioral Health Agency	$0	$2.4M
State Of South Carolina	SC	Public Health or Welfare Agency	$0	$1.8M
David Budhoo	SC	Internal Medicine Physician	$362.7K	$0
Ernest Martin	SC	Forensic Psychiatry Physician	$177.8K	$3.9K
Kyle Nelson	SC	Family Medicine Physician	$152.8K	$0
Jaclyn Petermann	SC	Occupational Therapist	$72.1K	$0
Michael Tran	SC	Psychiatry Physician	$23.7K	$0

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

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Anderson 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