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.

Tri-development Center Of Aiken County, Inc. (NPI 1962540831)

Field	Value
Entity Type	Organization
Organization	Tri-development Center Of Aiken County, Inc.
Address	1016 Vaucluse Rd
City	Aiken
State	SC
ZIP	29801
Taxonomy	Cognitive & Behavioral Psychologist
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$39.6M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation with no Medicare billing on file and $39.6M in lifetime Medicaid revenue. The absence of Medicare activity combined with substantial Medicaid receipts indicates organizational focus on waiver and state‑funded behavioral/cognitive habilitation services rather than Medicare populations or fee‑for‑service medical care.

Revenue concentration is highly concentrated in a small set of waiver habilitation services: the top three Medicaid codes (T2016, T2014, T2020) together account for 91.3% of the provider's Medicaid revenue. Individually those codes generate $29.5M (74.4%), $3.6M (9.1%), and $3.1M (7.8%) respectively, underscoring a narrow service mix where per‑diem habilitation services drive nearly all revenue.

The code mix (T2016 Habilitation, residential, waiver; T2014 Habilitation, prevocational, waiver; T2020 Day habilitation, waiver) signals an operation centered on residential and day habilitation programs and prevocational supports billed on a per‑diem basis. High claim volumes for these codes—128.6K claims for T2016 with a $229 avg paid/claim, 48.8K claims for T2014 with a $74 avg paid/claim, and 41.4K claims for T2020 with a $75 avg paid/claim—reflect sustained, recurring utilization consistent with congregate or programmatic habilitation services.

Competitive standing for core habilitation codes is broadly in the upper range among in‑state peers but not dominant: T2016 ranks #8 of 52 providers (86th percentile) and is described as typical/unremarkable volume for that code; T2014 ranks #5 of 34 (88th percentile) and T2020 ranks #8 of 40 (82th percentile), both likewise noted as typical. These rankings indicate the provider is a meaningful, mid‑to‑high volume participant in state habilitation markets rather than a statewide leader for the largest revenue lines.

Employment supports represent a relatively stronger line for this provider: H2026 (ongoing support to maintain employment, per diem) produced $2.3M (5.9% of Medicaid revenue), 30.6K claims and a $76 avg paid/claim, and it ranks #4 of 31 providers (90th percentile) — described as notably above typical state volume. This suggests the organization has an above‑typical role in employment support services compared with most in‑state peers and a diversified habilitation portfolio beyond residential/day services.

Ancillary Medicaid services account for small shares of revenue but reflect breadth of service offerings: H2025 ($419K, 1.1%), T1005 ($388.4K, 1.0%), and T2017 ($301.6K, 0.8%) together represent modest, complementary lines (respite and 15‑minute habilitation billing) with percentiles ranging from the 57th to 71th and described as typical or unremarkable. These smaller lines indicate additional billing modalities (per‑15‑minute units and respite) but are not major revenue drivers.

The provider's long tenure—NPI enumerated 2007‑02‑02 (~19 years ago)—supports the interpretation of an established Medicaid provider with sustained programmatic operations. Combined with the concentrated revenue mix, this tenure suggests stability in delivering waiver habilitation and employment support services over an extended period.

The heavy concentration of Medicaid revenue in a small number of per‑diem habilitation codes (top three = 91.3%) creates operational sensitivity to Medicaid waiver reimbursement policy and state rate changes; with no Medicare activity to diversify payor risk, changes in state waiver rules or rates could materially affect overall revenue. Analysts should treat Medicaid policy and in‑state competitive shifts as the principal financial risk and opportunity vectors for this provider.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	128,610	$230	$29.5M
T2014	Habilitation, prevocational, waiver; per diem	48,790	$70	$3.6M
T2020	Day habilitation, waiver; per diem	41,380	$80	$3.1M
H2026	Ongoing support to maintain employment, per diem	30,640	$80	$2.3M
H2025	Ongoing support to maintain employment, per 15 minutes	3,610	$120	$419K
T1005	Respite care services, up to 15 minutes	4,920	$80	$388.4K
T2017	Habilitation, residential, waiver; 15 minutes	1,460	$210	$301.6K

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

Tri-development Center Of Aiken County, Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	5	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	8	40	18,120	$70	$1.8M
H2026	Ongoing support to maintain employment, per diem	4	30	10,980	$70	$939.8K
T1005	Respite care services, up to 15 minutes	10	20	4,860	$90	$892.9K
T2017	Habilitation, residential, waiver; 15 minutes	4	10	1,440	$110	$294.3K
H2025	Ongoing support to maintain employment, per 15 minutes	7	20	2,240	$90	$241.7K

Nearby Providers

Other providers in the same ZIP code as Tri-development Center Of Aiken County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aiken Regional Medical Centers LLC	SC	General Acute Care Hospital	$0	$31.5M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Sound Physicians Emergency Medicine Of South Carolina LLC	SC	Emergency Medicine Physician	$0	$14.2M
Regency Hospice Of Georgia, LLC	SC	Community Based Hospice Care Agency	$0	$12M
Rural Health Services, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$10.3M
Children's Place, Inc	SC	Community/Behavioral Health Agency	$0	$6.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$6.6M
Aiken County	SC	Ambulance	$1.1M	$2.4M
Aiken Dental Associates	SC	General Practice Dentistry	$0	$3.3M
Aiken Regional Medical Centers LLC	SC	Pediatrics Physician	$0	$3.2M

Tri-development Center Of Aiken County, 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