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.

Clarendon County Dsn Board (NPI 1982268520)

Field	Value
Entity Type	Organization
Organization	Clarendon County Dsn Board
Address	312 Pine St
City	Manning
State	SC
ZIP	29102
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	April 29, 2019

Payer Source	Total Paid
Medicaid	$21.1M
Medicare	$0

Key Findings

CLARENDON COUNTY DSN BOARD is effectively a Medicaid-centric provider: it reports none for Medicare revenue and $21.1M in lifetime Medicaid revenue, and its NPI was enumerated on 2019-04-29 (~7 years ago), indicating roughly seven years of billing history under the current registration.

Revenue is highly concentrated in a very small set of waiver per-diem services: the precomputed top 3 Medicaid codes by revenue account for 96.9% of this provider's total Medicaid revenue, with T2016 alone representing $15.8M (75.0% of this provider's total Medicaid revenue).

The provider’s code mix signals an operation focused on habilitation and supported-employment services: the three largest revenue drivers are T2016 (habilitation, residential, waiver), T2020 (day habilitation, waiver), and H2026 (ongoing support to maintain employment), suggesting the organization runs residential/day habilitation programs and provides per-diem supported-employment supports.

T2016 is the dominant single revenue line: it generated $15.8M (75.0% of total Medicaid revenue) and the provider ranks #19 of 52 in-state (65th percentile), meaning the organization bills a large dollar volume for residential habilitation but is not among the very largest statewide providers for this code.

H2026 is a relative competitive strength: it generated $2.2M (10.7% of total Medicaid revenue) and the provider ranks #5 of 31 in-state (87th percentile), a placement described in the source as "notably above typical state volume," which indicates stronger-than-typical market share in ongoing employment support services.

T2020 contributes meaningful but unremarkable revenue: it generated $2.4M (11.2% of total Medicaid revenue) with a state rank of #13 of 40 (69th percentile), consistent with a mid-to-upper-tier billing position for day habilitation services rather than outright dominance.

Smaller lines of business are marginal: T2014 produced $429.6K (2.0% of total Medicaid revenue) and ranks #28 of 34 (18th percentile), while T1017 produced $224.8K (1.1% of total Medicaid revenue) and ranks #34 of 57 (41th percentile); these placements indicate limited diversification beyond the core per-diem habilitation and employment-support services.

From a business-risk and opportunity perspective, the provider’s dependence on a few per-diem waiver codes—especially T2016, which alone accounts for $15.8M and 75.0% of Medicaid revenue—creates concentration risk if reimbursement or eligibility policies change, while the above-typical performance on H2026 suggests a potential growth or competitive advantage in supported-employment services within the state.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	63,300	$250	$15.8M
T2020	Day habilitation, waiver; per diem	31,630	$80	$2.4M
H2026	Ongoing support to maintain employment, per diem	29,210	$80	$2.2M
T2014	Habilitation, prevocational, waiver; per diem	5,810	$70	$429.6K
T1017	Targeted case management, each 15 minutes	5,620	$40	$224.8K

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

Clarendon County Dsn Board — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	19	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	28	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	13	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	34	60	7,610	$50	$1.2M
H2026	Ongoing support to maintain employment, per diem	5	30	10,980	$70	$939.8K

Nearby Providers

Other providers in the same ZIP code as Clarendon County Dsn Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$11.3M
Mcleod Health Clarendon	SC	Rural Acute Care Hospital	$0	$10M
Select Toxicology Lab Stl LLC	SC	Clinical Medical Laboratory	$150.9K	$8.7M
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$4.6M
Branco Adult Daycare Center, LLC	SC	Respite Care	$0	$3.4M
Select Laboratories Sc LLC	SC	Clinical Medical Laboratory	$1M	$1.3M
County Of Clarendon	SC	Ambulance	$511.8K	$597.1K
East Palmetto Ambulance Service LLC	SC	Land Ambulance	$878.9K	$0
Mitchell Grunsky	SC	Family Medicine Physician	$299.1K	$0
Christopher Mahr	SC	Family Medicine Physician	$228.9K	$0

Clarendon County Dsn Board — Billing Profile & Reimbursement Data

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Clarendon County Dsn Board — 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