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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North 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. North 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.

Support Systems, Inc. (NPI 1902404957)

Field	Value
Entity Type	Organization
Organization	Support Systems, Inc.
Address	600 S 2nd St Ste 105
City	Bismarck
State	ND
ZIP	58504
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 13, 2020

Payer Source	Total Paid
Medicaid	$37.7M
Medicare	$0

Key Findings

SUPPORT SYSTEMS, INC. shows a Medicaid-centric billing profile with Total Medicaid revenue of $37.7M and no Medicare billing on file; its NPI was enumerated on 2020-10-13 (~6 years ago), indicating roughly six years of activity under the current registration. The absence of Medicare revenue makes this effectively a single-payer Medicaid operation, concentrating regulatory and reimbursement exposure to state Medicaid policy and waiver program dynamics.

Revenue concentration is pronounced: the precomputed top three Medicaid codes account for 91.5% of this provider's total Medicaid revenue, with T2016 generating $17.7M (47.0% of total Medicaid revenue) and W0725 generating $14.6M (38.7% of total Medicaid revenue). This concentration means a very large share of the business depends on just two codes, making those codes primary drivers of the provider’s financial performance.

The code mix is consistent with residential habilitation and waiver-focused services: T2016 (Habilitation, residential, waiver; per diem) is the single largest revenue source, and T2017 (Habilitation, residential, waiver; 15 minutes) plus S5125 (Attendant care services; per 15 minutes) indicate both per-diem residential habilitation and time-based attendant care offerings. The presence of several W-prefixed codes that together account for a large share of revenue suggests reliance on state-specific waiver or programmatic billing lines rather than standard national Medicare procedures.

Claims-level metrics illustrate different operational models across top codes: T2016 posts high volume with 21.2K claims at $834 avg paid/claim, whereas W0725 posts 5K claims at $2893 avg paid/claim, indicating one high-volume, mid-dollar-per-claim stream and one lower-volume, high-dollar-per-claim stream. These unit economics imply the provider operates both widespread residential per-diem services and higher-priced, possibly more specialized waiver services.

Statewide competitive standing varies by code: T2016 ranks #15 of 29 (50th percentile; typical, unremarkable volume for this code), indicating a middle-of-market position for residential habilitation per-diem services, while W0725 ranks #3 of 25 (92th percentile; typical, unremarkable volume for this code), showing the provider is a leading in-state biller for that particular W-code. W0300 ranks #6 of 13 (58th percentile; typical, unremarkable volume for this code), reinforcing that the provider is generally a modest-to-strong participant depending on the specific Medicaid line item.

There are identifiable statistical outliers within the Medicaid mix: W0260 ranks #2 of 15 (93th percentile; notably above typical state volume for this code) and contributes $1.3M (3.4% of total Medicaid revenue), marking one service line where the provider operates at a materially higher-than-typical state volume. Other codes such as S5125 (9.4K claims, $133 avg paid/claim, $1.3M; ranks #11 of 18, 41th percentile; typical, unremarkable volume for this code) track at or below typical state volumes, suggesting the provider’s above-typical strength is concentrated in a small set of specific codes.

The provider’s dependency on a narrow set of high-revenue codes creates operational and revenue risk: because T2016 and W0725 together account for the bulk of Medicaid dollars (47.0% and 38.7% respectively), changes in state waiver rules, reimbursement rates, or contract awards affecting those codes could materially impact overall revenue. Analysts should monitor state waiver policy, procurement cycles for residential habilitation slots, and any code-specific reimbursement adjustments as primary risk vectors.

From a payer/provider competitive analysis perspective, SUPPORT SYSTEMS, INC. should be viewed as a Medicaid-focused community/behavioral health agency with pockets of in-state leadership on select waiver-style codes but otherwise typical volumes across many service lines. The lack of Medicare billing removes comparative national Medicare positioning from consideration and concentrates competitive benchmarking to in-state Medicaid peers and program-specific service lines.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	21,220	$830	$17.7M
W0725	N/A	5,040	$2,890	$14.6M
W0300	N/A	5,360	$410	$2.2M
W0260	N/A	420	$3,040	$1.3M
S5125	Attendant care services; per 15 minutes	9,430	$130	$1.3M
T2017	Habilitation, residential, waiver; 15 minutes	3,810	$80	$312.3K
W0730	N/A	240	$760	$178.4K
W0720	N/A	1,220	$130	$162.1K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Dakota Distribution

Support Systems, Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	15	30	21,220	$400	$14.1M
W0725	N/A	3	30	1,380	$2,520	$9.9M
W0300	N/A	6	10	2,370	$630	$4M
S5125	Attendant care services; per 15 minutes	11	20	10,750	$180	$2.7M
W0260	N/A	2	20	150	$4,920	$1M
T2017	Habilitation, residential, waiver; 15 minutes	7	10	4,870	$100	$1M
W0720	N/A	8	10	2,730	$190	$847.3K
W0730	N/A	3	10	130	$530	$107.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pride Inc.	ND	Developmentally Disabled Services Day Training Agency	$0	$71.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Bridging The Dental Gap Inc	ND	Dental Clinic/Center	$0	$6.8M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$6.6M
Pride Inc.	ND	Community/Behavioral Health Agency	$0	$5.7M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$4.9M
Dakota Surgery & Laser Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
The Kid's Therapy Center LLC	ND	Community/Behavioral Health Agency	$0	$1.5M
City Of Bismarck	ND	State or Local Public Health Clinic/Center	$111.3K	$1.3M
Dakota Eye Institute PC	ND	Ophthalmology Physician	$0	$1.2M

Support Systems, Inc. — Billing Profile & Reimbursement Data

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Support Systems, 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