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

Why is the Medicaid comparison limited to North 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. North 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.

Skill Creations, Inc. (NPI 1922125244)

Field	Value
Entity Type	Organization
Organization	Skill Creations, Inc.
Address	3006 Hickory Blvd
City	Hudson
State	NC
ZIP	28638
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$96.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in the Medicare/Medicaid mix: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based at $96.8M, indicating its operations and growth are driven almost entirely by state Medicaid programs rather than federal fee-for-service Medicare. Analysts should treat payer exposure and contract risk as concentrated in Medicaid payment policy and waiver program stability.

Revenue concentration is high and tightly focused: the top three Medicaid codes (T2013, T2012, T2021) together account for 64.8% of the provider's total Medicaid revenue, with T2013=$29.5M (30.4%), T2012=$17.7M (18.3%), and T2021=$15.6M (16.1%). This level of concentration means changes to reimbursement or eligibility for any of those three codes would materially affect overall revenue.

The code mix paints a clear service-line profile: dominant codes T2013 (Habilitation, educational, waiver; per hour), T2012 (Habilitation, educational; waiver, per diem), and T2021 (Day habilitation, waiver; per 15 minutes) indicate the organization operates as a community/behavioral health provider focused on habilitation and day habilitation services within waiver programs. The prominence of per-hour, per-diem, and per-15-minute habilitation codes suggests the provider delivers hands-on, programmatic support and day programs for waiver populations rather than acute medical services.

Competitive standing is strongest for day habilitation: T2021 shows $15.6M in revenue across 131.8K claims and the provider ranks #6 of 199 in-state (97th percentile), described as notably above typical state volume. This implies the provider is a major regional player in day habilitation services relative to peers and likely operates a large volume of day programs or sites.

For other top habilitation codes the provider is high-volume but not an extreme outlier: T2013 ($29.5M, 201.8K claims) ranks #14 of 185 (93th percentile; typical, unremarkable volume) and T2012 ($17.7M, 105.9K claims) ranks #8 of 110 (94th percentile; typical, unremarkable volume). These placements indicate consistent, above-average scale across multiple habilitation modalities without being a unique statewide monopoly for those codes.

Beyond the top three, the revenue mix includes other substantive waiver and community support codes—T2020=$12.3M (12.7%, rank #6 of 48, 89th percentile) and H2016=$11.9M (12.3%, rank #12 of 65, 83th percentile)—which together show a service portfolio that extends to day habilitation per diem and comprehensive community support services. The presence of multiple codes each contributing low-double-digit percentages shows some product-line diversification within the broader waiver and community support space, even while overall Medicaid dependence remains high.

Smaller code lines (for example S5150 $2.9M, H2015 $3.3M, S5125 $233.3K, 99509 $204.3K) account for modest shares of revenue and are ranked in mid-to-lower percentiles statewide; these represent ancillary or complementary services (respite, attendant care, home health–style visits) rather than primary revenue drivers. Analysts should view these as supportive offerings that broaden service scope but do not materially change the provider’s Medicaid revenue concentration.

The provider has established tenure in the Medicaid market with an NPI enumerated on 2007-03-23 (~19 years ago), which supports an interpretation of long-term operational presence and likely sustained relationships with state waiver administrators and payers. That longevity, combined with the large Medicaid footprint, suggests contract and operational expertise in serving waiver populations rather than a recent market entrant profile.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	201,840	$150	$29.5M
T2012	Habilitation, educational; waiver, per diem	105,940	$170	$17.7M
T2021	Day habilitation, waiver; per 15 minutes	131,800	$120	$15.6M
T2020	Day habilitation, waiver; per diem	75,920	$160	$12.3M
H2016	Comprehensive community support services, per diem	64,860	$180	$11.9M
H2015	Comprehensive community support services, per 15 minutes	40,050	$80	$3.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	31,100	$90	$2.9M
T2014	Habilitation, prevocational, waiver; per diem	20,450	$140	$2.8M
S5125	Attendant care services; per 15 minutes	1,740	$130	$233.3K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,500	$140	$204.3K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Skill Creations, Inc. — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	14	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	12	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	6	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	8	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	6	200	25,740	$130	$4.6M
T2014	Habilitation, prevocational, waiver; per diem	8	20	16,540	$150	$4.2M
S5125	Attendant care services; per 15 minutes	333	400	15,030	$100	$3M
H2015	Comprehensive community support services, per 15 minutes	36	250	10,060	$130	$2.4M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,287	1,450	23,320	$50	$2.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	72	80	2,380	$160	$1.8M

Showing 1–10 of 17

Skill Creations, Inc. — Billing Profile & Reimbursement Data

Sign up for Skill Creations, Inc. — Billing Profile & Reimbursement Data policy alerts

Skill Creations, Inc. — Billing Profile & Reimbursement Data

Sign up for Skill Creations, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References