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.

Black Hills Works Inc (NPI 1992850952)

Field	Value
Entity Type	Organization
Organization	Black Hills Works Inc
Address	3650 Range Rd
City	Rapid City
State	SD
ZIP	57702
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$149.7M
Medicare	$0

Key Findings

BLACK HILLS WORKS INC is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $149.7M, indicating near‑exclusive reliance on Medicaid for billed services. The organization’s NPI was enumerated 2007-01-23 (~19 years ago), which supports that this is an established provider with long tenure in the state Medicaid market.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 91.2% of this provider's total Medicaid revenue. Those three codes are T2016 ($103.4M, 69.1%), T2020 ($23.3M, 15.6%), and S0281 ($9.8M, 6.5%), which together dominate the revenue mix and define the provider’s core business lines.

The code mix shows a service model focused on habilitation and coordinated care: large receipts for T2016 (Habilitation, residential, waiver; per diem) and T2020 (Day habilitation, waiver; per diem) indicate the provider operates substantial residential and day habilitation programs, while S0281 (Medical home program, comprehensive care coordination and planning) shows material revenue from care coordination and plan maintenance. This combination points to a vertically integrated developmental disability services operation that bills per‑diem habilitation alongside care coordination services.

BLACK HILLS WORKS is a dominant statewide player on its highest‑revenue codes. It ranks #1 of 21 providers in‑state for T2016 and #1 of 20 providers for T2020 (both at the 100th percentile and labeled extreme outlier/far above typical state volume), indicating volumes far above peers for primary habilitation services.

The provider also shows strong relative standing on care coordination and ancillary waiver services: S0281 ranks #2 of 21 providers in‑state (95th percentile; notably above typical state volume), and T2025 ranks #1 of 19 providers (100th percentile; notably above typical state volume). These ranks suggest the organization is not only heavy in per‑diem habilitation but also a leading supplier of waiver‑based coordination and NOS waiver services.

Operational scale is evident in claims volume: T2016 has 163.6K claims at a $632 avg paid/claim and T2020 has 120.2K claims at a $194 avg paid/claim, reflecting sustained, high‑volume per‑diem billing that implies a large client census served across residential and day programs. The sheer claim counts support the interpretation of an extensive service footprint rather than a small or boutique operation.

High revenue concentration in a small set of waiver and habilitation codes creates programmatic and reimbursement risk: because 91.2% of Medicaid revenue comes from the top three codes, changes in per‑diem rates, waiver policy, or eligibility could disproportionately affect the provider’s financials. Analysts should flag dependence on T2016 and T2020 when modeling reimbursement sensitivity or contract negotiations.

Given its ~19 years of enrollment and top statewide rankings on multiple core waiver codes, BLACK HILLS WORKS likely plays a central role in South Dakota’s developmental disability provider network; the combination of long tenure and extreme outlier volumes suggests it is a strategic competitor/partner for managed care plans and state waiver administrators interested in residential and day habilitation capacity.

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
T2016	Habilitation, residential, waiver; per diem	163,590	$630	$103.4M
T2020	Day habilitation, waiver; per diem	120,200	$190	$23.3M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	23,970	$410	$9.8M
T2025	Waiver services; not otherwise specified (nos)	58,760	$120	$7.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	37,920	$60	$2.1M
T2018	Habilitation, supported employment, waiver; per diem	8,530	$220	$1.9M
T2028	Specialized supply, not otherwise specified, waiver	18,260	$50	$931.3K
T2014	Habilitation, prevocational, waiver; per diem	1,210	$380	$463K
T2017	Habilitation, residential, waiver; 15 minutes	5,060	$80	$399.4K
A0130	Non-emergency transportation: wheelchair van	1,930	$30	$54K

Showing 1–10 of 17

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

Black Hills Works Inc — 5 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	1	20	6,880	$1,660	$31.6M
T2020	Day habilitation, waiver; per diem	1	20	7,340	$500	$8.9M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2	20	6,090	$420	$3M
T2025	Waiver services; not otherwise specified (nos)	1	20	5,410	$180	$1.9M
T2017	Habilitation, residential, waiver; 15 minutes	2	10	470	$270	$437.9K
T2018	Habilitation, supported employment, waiver; per diem	3	20	1,510	$80	$433.9K
T2014	Habilitation, prevocational, waiver; per diem	9	20	1,210	$130	$410.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	20	480	$90	$288.6K
A0130	Non-emergency transportation: wheelchair van	18	30	3,370	$40	$209.1K
T2028	Specialized supply, not otherwise specified, waiver	2	30	910	$50	$169.8K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Black Hills Works Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justine Ashokar	SD	Psychologist	$34K	$0
Michael Huxford	SD	Psychologist	$30.7K	$0
Laura Hughes	SD	Clinical Psychologist	$18.4K	$0
Alexa Steve	SD	Occupational Therapist	$11.3K	$0

Nearby Providers

Other providers in the same ZIP code as Black Hills Works Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Great Plains Tribal Chairmen's Health Board	SD	Pharmacy	$0	$36.4M
Black Hills Pediatric Dentistry	SD	Pediatric Dentistry	$0	$24.7M
Dakota Dental 4 Kids	SD	Dental Clinic/Center	$0	$7.1M
Oglala Sioux Tribe	SD	Obstetrics & Gynecology Physician	$0	$5.2M
Rushmore Ambulatory Surgery Center	SD	Ambulatory Surgical Clinic/Center	$0	$4.6M
Stay Graceful Inc	SD	In Home Supportive Care Agency	$0	$3.4M
Children's Care Hospital And School	SD	Rehabilitation Clinic/Center	$0	$2.1M
Rushmore Dental Products, Inc.	SD	Durable Medical Equipment & Medical Supplies	$0	$1.7M
Black Hills Orthopedic & Spine Center, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.7M
Black Hills Caregiving, LLC	SD	Home Health Agency	$0	$1.1M

Black Hills Works Inc — Billing Profile & Reimbursement Data

Sign up for Black Hills Works Inc — Billing Profile & Reimbursement Data policy alerts

Black Hills Works Inc — Billing Profile & Reimbursement Data

Sign up for Black Hills Works 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

Related Providers

Nearby Providers

Frequently Asked Questions

References