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.

Babcock Center, Inc. (NPI 1831463538)

Field	Value
Entity Type	Organization
Organization	Babcock Center, Inc.
Address	2725 Banny Jones Ave
City	West Columbia
State	SC
ZIP	29170
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	February 28, 2012

Payer Source	Total Paid
Medicaid	$75.9M
Medicare	$0

Key Findings

BABCOCK CENTER, INC. is effectively a single-payer Medicaid operation: there is no Medicare billing on file while lifetime Medicaid revenue is $75.9M, indicating the organization’s entire recorded federal payer activity in this dataset is Medicaid-driven. This makes Medicaid the sole material source of reported federal program revenue for this NPI.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 93.0% of the provider’s total Medicaid revenue. In particular, T2016 generates $59.9M (78.9% of Medicaid revenue), T2020 generates $8.2M (10.8%), and H2026 generates $2.5M (3.3%), so these three codes overwhelmingly define the business mix.

The code mix and descriptions point to a residential and habilitation-focused operation: T2016 (Habilitation, residential, waiver; per diem) is by far the largest revenue driver at $59.9M and 239.6K claims, and T2020 (Day habilitation, waiver; per diem) adds significant day-program volume with 118.4K claims and $8.2M. The predominance of per-diem habilitation codes suggests the provider operates continuous/residential habilitation programs alongside high-volume day habilitation services rather than episodic outpatient medical care.

Competitive standing in-state is strong for this provider on its top codes: T2020 ranks #1 of 40 providers in-state (100th percentile) and is labeled an “extreme outlier” in state volume, while T2016 ranks #2 of 52 (98th percentile) and H2026 ranks #2 of 31 (97th percentile). These ranks indicate BABCOCK CENTER is a dominant or major participant statewide for its core waiver habilitation and employment-support services rather than a modest participant.

Operational scale signals: claim volumes are substantial for a single provider in this specialty — 239.6K claims for T2016 and 118.4K claims for T2020 — and average paid/claim metrics ($250 for T2016, $69 for T2020, $76 for H2026) align with per-diem reimbursement rather than short, high-intensity procedures. Together these figures imply sustained, high-volume day and residential programming staff and facility capacity.

Secondary service lines show further concentration in community supports: H2016 (Comprehensive community support services, per diem) contributes $2.2M (3.0% of Medicaid revenue) and ranks #1 of 15 providers in-state (100th percentile), and smaller units like H2025 and T2014 appear as additional but much smaller revenue sources. These secondary codes corroborate a broader portfolio of community and employment support services beyond core residential habilitation.

Statistical descriptors in the dataset highlight outlier behavior: T2020 is explicitly labeled an “extreme outlier” for state volume, while T2016 and H2026 are described as “notably above typical state volume.” These labels reinforce that BABCOCK CENTER’s utilization patterns for waiver habilitation and employment-support codes are exceptional within South Carolina.

The provider has established tenure in the Medicare/Medicaid NPI system, with enumeration on 2012-02-28 (~14 years ago), which combined with the concentrated Medicaid footprint suggests a mature, specialized provider that has scaled its waiver habilitation and community support services over a multi-year period.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	239,560	$250	$59.9M
T2020	Day habilitation, waiver; per diem	118,380	$70	$8.2M
H2026	Ongoing support to maintain employment, per diem	33,350	$80	$2.5M
T2014	Habilitation, prevocational, waiver; per diem	42,960	$60	$2.4M
H2016	Comprehensive community support services, per diem	47,750	$50	$2.2M
H2025	Ongoing support to maintain employment, per 15 minutes	6,750	$90	$600.3K

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

Babcock Center, Inc. — 5 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	8	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	1	40	18,120	$70	$1.8M
H2016	Comprehensive community support services, per diem	1	20	8,760	$60	$1.1M
H2026	Ongoing support to maintain employment, per diem	2	30	10,980	$70	$939.8K
H2025	Ongoing support to maintain employment, per 15 minutes	2	20	2,240	$90	$241.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia Speaks LLC	SC	Speech-Language Pathologist	$0	$6.7M
Gregory Konduros	SC	Family Medicine Physician	$184K	$1K
Elizabeth Darragh	SC	Family Medicine Physician	$31.6K	$0

Babcock Center, Inc. — Billing Profile & Reimbursement Data

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Babcock Center, Inc. — 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