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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Serenity C & C Inc. (NPI 1992961908)

Field	Value
Entity Type	Organization
Organization	Serenity C & C Inc.
Address	100 Glica Ct
City	Hampton
State	VA
ZIP	23666
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	July 30, 2008

Payer Source	Total Paid
Medicaid	$74.2M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $74.2M in lifetime Medicaid revenue, making its operations effectively single-payer (Medicaid)-dependent in the available dataset. Analysts should treat Medicaid reimbursement trends and waiver policy changes as the primary drivers of the provider’s financial and operational performance.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 98.0% of total Medicaid revenue, with a single code, T2033, representing $68.4M or 92.2% of the provider’s Medicaid revenue. That concentration indicates that per-diem residential payments are the dominant revenue source for this entity.

Code-level descriptions and volumes point to a primarily residential-service business model: T2033 (Residential care, nos, waiver; per diem) is the overwhelming revenue driver, while T2021 (Day habilitation, waiver; per 15 minutes) contributes a secondary revenue stream ($3M, 4.1%). 97127 (no description available) generates $1.3M (1.7%), suggesting additional billable services beyond the core residential per-diem model but with far smaller financial impact.

Competitive standing on the largest code is solid but not dominant: for T2033 this provider reports 42.4K claims, $1612 avg paid/claim, $68.4M revenue and ranks #8 of 43 providers in-state (83th percentile; typical, unremarkable volume for this code), indicating a strong statewide presence in residential waiver care without being the top volume leader.

For day habilitation, the provider shows notable in-state concentration: T2021 has 9.2K claims, $331 avg paid/claim, $3M revenue and ranks #11 of 108 providers (91th percentile; typical, unremarkable volume for this code), which signals a comparatively high percentile position among peers for that service line despite its smaller share of total revenue.

The provider is a local leader for 97127 despite the code’s unclear description in the file: 2.8K claims, $446 avg paid/claim, $1.3M revenue and rank #1 of 5 providers in-state (100th percentile; typical, unremarkable volume for this code). This suggests the organization has a uniquely strong delivery or billing footprint for that specific service relative to the small in-state peer group.

Secondary therapy and supervision codes further characterize the service mix and on-site clinical capacity: 97155 (3.9K claims, $225 avg paid/claim, $880.7K revenue) and 97150 (2.3K claims, $233 avg paid/claim, $545.7K revenue) are present and rank #19 of 88 (79th percentile) and #109 of 201 (46th percentile) in-state, respectively. These volumes are consistent with capabilities to deliver adaptive behavior treatment and group therapeutic interventions that support a residential habilitation model.

The provider has an established enrollment history (NPI enumerated 2008-07-30, ~18 years ago), which aligns with sustained Medicaid-dependent revenue patterns; given the extreme concentration in a single waiver per-diem code (T2033) and the absence of Medicare activity, the organization faces concentrated payer and service-line exposure that should be a focus for payer/provider analysts assessing financial and operational risk.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	42,430	$1,610	$68.4M
T2021	Day habilitation, waiver; per 15 minutes	9,200	$330	$3M
97127	N/A	2,810	$450	$1.3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	3,910	$230	$880.6K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	2,340	$230	$545.7K
H2033	Multisystemic therapy for juveniles, per 15 minutes	200	$160	$31.4K
T2013	Habilitation, educational, waiver; per hour	90	$320	$28.2K
97532	N/A	70	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Serenity C & C Inc. — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	8	40	6,080	$1,660	$27.6M
H2033	Multisystemic therapy for juveniles, per 15 minutes	74	80	5,390	$210	$3.8M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	109	200	2,840	$320	$2.4M
T2021	Day habilitation, waiver; per 15 minutes	11	110	1,500	$340	$1.3M
T2013	Habilitation, educational, waiver; per hour	7	10	640	$1,010	$1.3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	19	90	1,030	$260	$977.2K
97127	N/A	1	10	1,580	$690	$940.1K
97532	N/A	1	10	70	$0	$0

Nearby Providers

Other providers in the same ZIP code as Serenity C & C Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hampton Newport News Community Services Board	VA	Community/Behavioral Health Agency	$0	$123.8M
Sentara Hospitals	VA	General Acute Care Hospital	$0	$78.5M
Agape Counseling & Therapeutic Services, Inc	VA	Community/Behavioral Health Agency	$0	$18.5M
Alliance Behavioral Counseling	VA	Community/Behavioral Health Agency	$0	$16.9M
Hampton Mental Health Associates, Inc	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
United And Empowered Care, Inc	VA	Developmentally Disabled Services Day Training Agency	$0	$11.8M
Better Life Services, Inc.	VA	Community/Behavioral Health Agency	$0	$9.2M
Creating Scholars Through Therapy, LLC	VA	Community/Behavioral Health Agency	$0	$7.6M
Key Elements Care, LLC	VA	In Home Supportive Care Agency	$0	$6.8M
Ullc,inc.	VA	Developmentally Disabled Services Day Training Agency	$0	$6.1M

Serenity C & C Inc. — Billing Profile & Reimbursement Data

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Serenity C & C 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