Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Community Options, INC.

Community Options, INC. was paid $40.29M by Medicaid between Apr 2022 and Dec 2024, across 3 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 97% of everything it billed.

33Billing provider infoCOMMUNITY OPTIONS, INC.
COLUMBIA, SC 29212
33aNPI1326709379assigned 01/03/2022
28Total paid$40.29M
24GClaims153,968
24DCodes billed3
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in South Carolina

Rank by total paid#3 of 10
Median peer was paid$9.42M
This provider vs. median4.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
202240,847$9.96M
202356,747$14.39M
2024incomplete56,374$15.94M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem 97% 143,474 4,854 $39.23M
H2025 Ongoing support to maintain employment, per 15 minutes 2.3% 9,698 4,190 $923K
T2017 Habilitation, residential, waiver; 15 minutes <1% 796 36 $139K

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 officialCEDENO, BELGICA (CONTROLLER)
Same official

Other billing entities under CEDENO, BELGICA

Full network →
ProviderLocationPaid
Community Options, INC.Nashville, TN$27.39M
Community Options, INC.Des Moines, IA$1.92M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.