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.

Lifequest (NPI 1932254760)

Field	Value
Entity Type	Organization
Organization	Lifequest
Address	804 N Mentzer St
City	Mitchell
State	SD
ZIP	57301
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$53.1M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is $53.1M, indicating a single-payer operational scale concentrated on state waiver programs. The provider’s NPI was enumerated 2007-01-24 (~19 years ago), so this appears to be an established operation with nearly two decades of enrollment history.

Revenue is highly concentrated in a very small set of services: the top three Medicaid codes (T2016, T2020, S0281) together account for 93.0% of the provider’s total Medicaid revenue. Those three codes break down to T2016 $36.7M (69.0%), T2020 $9.5M (17.8%), and S0281 $3.3M (6.2%), showing that residential habilitation per diem and day habilitation plus comprehensive care coordination are the dominant revenue streams.

The code mix and taxonomy (Developmentally Disabled Services Day Training Agency) align: T2016 (Habilitation, residential, waiver; per diem) and T2020 (Day habilitation, waiver; per diem) together make up the majority of revenue, which suggests operations are centered on waiver-funded residential and day habilitation programs with an embedded care-coordination function (S0281). This combination indicates programmatic focus on long-term habilitation services rather than occasional or episodic clinical care.

Competitive standing for the largest code, T2016, is solid but not dominant statewide: T2016 is $36.7M and ranks #4 of 21 providers in-state (85th percentile), and the dataset labels this as a typical, unremarkable volume for the code. In plain terms, LIFEQUEST is a top-quartile provider for residential habilitation by revenue, but it is not the statewide leader for that service line.

For day habilitation and care coordination the provider also sits in the upper tier: T2020 ($9.5M) ranks #4 of 20 providers in-state (84th percentile; typical, unremarkable volume) and S0281 ($3.3M) ranks #3 of 21 providers (90th percentile; typical, unremarkable volume). These ranks indicate consistent, above-median participation in both day habilitation and comprehensive care planning inside the state Medicaid market.

Beyond the top three, LIFEQUEST bills a range of habilitation and employment-support codes at smaller dollar amounts: notable entries include T2014 ($756.5K, rank #2 of 17, 94th percentile), T2018 ($699.1K, rank #2 of 17, 94th percentile), T2019 ($786.8K, rank #4 of 15, 79th percentile), and T2017 ($818K, rank #5 of 11, 60th percentile). Although some of these ranks are high, the dataset characterizes these volumes as typical, unremarkable for the codes, indicating breadth across habilitation modalities rather than anomalous spikes.

Because 69.0% of Medicaid revenue derives from a single per-diem residential habilitation code (T2016) and the top three codes make up 93.0% of revenue, the provider’s financial profile is heavily dependent on waiver per-diem and day-habilitation payment models. From a payer or competitor perspective this concentration identifies the specific service lines where contract negotiations, rate changes, or policy shifts would have outsized budgetary impact on LIFEQUEST.

Taken together, the data portray LIFEQUEST as an established, Medicaid-centric developmental-disability services provider with strong, top-quartile participation across residential and day habilitation and formal care-coordination services in-state. The provider is an important regional participant for waiver-funded habilitation services but does not appear to be a statewide dominant leader across all measured codes.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	11,250	$3,260	$36.7M
T2020	Day habilitation, waiver; per diem	13,460	$700	$9.5M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	9,770	$340	$3.3M
T2017	Habilitation, residential, waiver; 15 minutes	770	$1,060	$818K
T2019	Habilitation, supported employment, waiver; per 15 minutes	1,220	$650	$786.8K
T2014	Habilitation, prevocational, waiver; per diem	7,210	$110	$756.5K
T2018	Habilitation, supported employment, waiver; per diem	13,440	$50	$699.1K
T2025	Waiver services; not otherwise specified (nos)	9,340	$60	$597.8K
T2028	Specialized supply, not otherwise specified, waiver	7,120	$10	$42.7K
A0130	Non-emergency transportation: wheelchair van	20	$30	$540

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

Lifequest — 0 of 10 codes 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	4	20	6,880	$1,660	$31.6M
T2020	Day habilitation, waiver; per diem	4	20	7,340	$500	$8.9M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3	20	6,090	$420	$3M
T2025	Waiver services; not otherwise specified (nos)	4	20	5,410	$180	$1.9M
T2017	Habilitation, residential, waiver; 15 minutes	5	10	470	$270	$437.9K
T2018	Habilitation, supported employment, waiver; per diem	2	20	1,510	$80	$433.9K
T2014	Habilitation, prevocational, waiver; per diem	2	20	1,210	$130	$410.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	4	20	480	$90	$288.6K
A0130	Non-emergency transportation: wheelchair van	25	30	3,370	$40	$209.1K
T2028	Specialized supply, not otherwise specified, waiver	4	30	910	$50	$169.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abbott House, Inc.	SD	Psychiatric Residential Treatment Facility	$0	$28.1M
Lifequest	SD	Case Manager/Care Coordinator	$0	$13.2M
Dakota Counseling Institute, Inc.	SD	Mental Health Counselor	$0	$9.7M
Dakota Solace Home Care	SD	In Home Supportive Care Agency	$0	$4.9M
Rural Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$4.4M
Rosewood Court	SD	Assisted Living Facility	$0	$2.7M
Avera Queen Of Peace	SD	Critical Access Hospital	$0	$1.3M
Sanford Clinic	SD	Obstetrics & Gynecology Physician	$0	$1.2M
Dpt Inc	SD	Home Health Agency	$0	$835.1K
Avera Queen Of Peace	SD	Rural Acute Care Hospital	$0	$803.8K

Lifequest — Billing Profile & Reimbursement Data

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Lifequest — 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