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    OpenPayerNPI Medicare & MedicaidOur Home Inc
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    Our Home Inc — Billing Profile & Reimbursement Data

    NPI 1013058718 · Huron, SD · Emotionally Disturbed Childrens' Residential Treatment Facility

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    Our Home Inc is a emotionally disturbed childrens' residential treatment facility provider located in Huron, South Dakota. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOur Home Inc
    Address334 3rd St Sw
    CityHuron
    StateSD
    ZIP57350
    TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
    NPI EnumeratedFebruary 8, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$35.3M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: it reports $35.3M in lifetime Medicaid revenue and none (no Medicare billing on file), so Medicaid accounts for the entirety of observed government reimbursement activity for this entity. Analysts should treat Medicaid policy and state payment rates as the dominant financial drivers for this organization.

    Revenue is highly concentrated in a very narrow set of services: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, indicating nearly all billed value is tied to a small number of service codes. That concentration creates sensitivity to coding, coverage, and rate changes affecting those specific services.

    Service-line signals align tightly with the provider taxonomy: the top code is T2048, which denotes behavioral health long‑term residential care with room and board, per diem. This code mix and the taxonomy “Emotionally Disturbed Childrens' Residential Treatment Facility” together indicate the operation is focused on long‑stay residential behavioral health placements for youth rather than episodic outpatient or acute care.

    The Medicaid activity for T2048 is material in absolute and per‑claim terms: T2048 shows 4.8K claims, a $7388 avg paid/claim, and $35.3M revenue (100.0% of this provider's total Medicaid revenue). Those figures suggest per‑diem or bundled payments for extended residential stays rather than brief encounters, and they explain why a single code dominates the revenue profile.

    On in‑state competitive standing, this provider ranks #3 of 8 providers for T2048 and sits at the 71th percentile — described in the source as "typical, unremarkable volume for this code." That ranking positions the entity as a modest but not dominant participant in the state market for long‑term residential behavioral health services.

    The coded activity is not labeled an outlier: the available descriptor for the T2048 position is "typical, unremarkable volume for this code," so the provider’s utilization pattern appears consistent with other established residential programs rather than unusually high or low. For payers, this suggests utilization management and rate negotiations can be benchmarked to a peer group with comparable volumes.

    The provider has a long enrollment history: NPI enumerated 2007-02-08 (~19 years ago), indicating an established operating history in the state Medicaid market. Longevity combined with concentrated Medicaid revenue implies existing contractual or operational stability in the residential behavioral health niche, which is relevant when assessing network capacity and continuity of care.

    For payer strategy and risk monitoring, the combination of a single dominant service line (T2048), $35.3M concentrated Medicaid receipts, and no Medicare activity means this provider represents focused exposure to state Medicaid policy for long‑term residential behavioral health. Changes to per‑diem reimbursement, eligibility rules, or program design for residential treatment will disproportionately affect this provider’s revenue and capacity.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem4,780$7,390$35.3M

    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.

    Full comparison — all codes billed, vs. South Dakota median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem3103,270$1,840$23.2M

    Nearby Providers

    Other providers in the same ZIP code as Our Home Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Huron Area Center For IndependenceSDDevelopmental Disabilities Clinic/Center$0$75.7M
    Community Counseling ServiceSDMental Health Counselor$0$13.7M
    Our Home, Inc.SDSubstance Abuse Rehabilitation Facility$0$9.6M
    Independent Health Solutions LLCSDHome Health Agency$0$4M
    Huron Regional Medical Center IncSDCritical Access Hospital$0$3.4M
    Horizon Health Care IncSDFederally Qualified Health Center (FQHC)$0$3.2M
    Huron Vt LLCSDAssisted Living Facility$0$1.9M
    Dakota Family Dentistry, Prof. LLCSDDental Clinic/Center$0$1.3M
    Huron Eye Clinic PCSDOptometrist$0$1.2M
    Huron Clinic Foundation LtdSDFamily Medicine Physician$0$1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Dakota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Our Home Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota