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.

Chester-lancaster Disabilties & Special Needs Board (NPI 1982815312)

Field	Value
Entity Type	Organization
Organization	Chester-lancaster Disabilties & Special Needs Board
Address	1126 Camp Creek Rd
City	Lancaster
State	SC
ZIP	29720
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	May 25, 2007

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

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	39,280	$240	$9.6M
T2014	Habilitation, prevocational, waiver; per diem	23,250	$70	$1.7M
T2020	Day habilitation, waiver; per diem	12,920	$80	$982.1K
T1017	Targeted case management, each 15 minutes	15,810	$50	$711.6K
H2025	Ongoing support to maintain employment, per 15 minutes	360	$50	$17.1K

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

Chester-lancaster Disabilties & Special Needs 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	30	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	14	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	27	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	17	60	7,610	$50	$1.2M
H2025	Ongoing support to maintain employment, per 15 minutes	21	20	2,240	$90	$241.7K

Nearby Providers

Other providers in the same ZIP code as Chester-lancaster Disabilties & Special Needs Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$12.1M
The Children's Clinic	SC	Clinic/Center	$0	$8.4M
Golden Care Inc	SC	Home Health Agency	$0	$7.1M
Mante Pediatrics LLC	SC	Pediatrics Physician	$0	$7M
Carolina Family Care, Inc	SC	Internal Medicine Physician	$0	$6.9M
Morphis Pediatric Group Of Lancaster, P.A.	SC	Rural Health Clinic/Center	$0	$4.8M
Medical University Hospital Authority	SC	Rural Health Clinic/Center	$0	$4.5M
Lancaster County School District	SC	Local Education Agency (LEA)	$0	$2.9M
Oscar Kuruvilla	SC	Ophthalmology Physician	$2.7M	$0
County Of Lancaster	SC	Land Ambulance	$963.3K	$1.5M

Chester-lancaster Disabilties & Special Needs Board — Billing Profile & Reimbursement Data

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Chester-lancaster Disabilties & Special Needs Board — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References