Agency
Advance
Advance was paid $32.75M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 66% of everything it billed.
33Billing provider infoADVANCE
BROOKINGS, SD 57006
BROOKINGS, SD 57006
33aNPI1053464867assigned 01/18/2007
33bProvider typeCase Management Agency
28Total paid$32.75M
24GClaims36,123
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in South Dakota
Rank by total paid#1 of 13
Median peer was paid$472K
This provider vs. median69×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,946 | $4.20M | |
| 2019 | 6,082 | $4.27M | |
| 2020 | 3,949 | $2.88M | |
| 2021 | 5,793 | $5.11M | |
| 2022 | 6,057 | $4.99M | |
| 2023 | 4,133 | $5.40M | |
| 2024incomplete | 3,163 | $5.90M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 66% | 6,877 | 6,651 | $21.66M |
| T2020 | Day habilitation, waiver; per diem | 17% | 7,312 | 5,136 | $5.50M |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 7.2% | 6,510 | 6,237 | $2.37M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 6.5% | 6,398 | 6,178 | $2.12M |
| T2014 | Habilitation, prevocational, waiver; per diem | 1.3% | 1,271 | 1,248 | $423K |
| T2017 | Habilitation, residential, waiver; 15 minutes | <1% | 468 | 422 | $313K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 5,906 | 5,717 | $254K |
| T1016 | Case management, each 15 minutes | <1% | 737 | 356 | $59K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 372 | 265 | $31K |
| T2018 | Habilitation, supported employment, waiver; per diem | <1% | 103 | 98 | $11K |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | <1% | 105 | 102 | $7K |
| A0425 | Ground mileage, per statute mile | <1% | 19 | 17 | $2K |
1 more codes
| A0100 | Non-emergency taxi ride to a medical appointment | <1% | 45 | $255.64 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFRANKLIN, LARRY (CEO PRESIDENT)