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

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

Reach, Inc. (NPI 1043363393)

Field	Value
Entity Type	Organization
Organization	Reach, Inc.
Address	322 Gallatin Park Dr
City	Bozeman
State	MT
ZIP	59715
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

Key Findings

REACH, INC. has no Medicare billing on file and reported $15.3M in lifetime Medicaid revenue, making it effectively a Medicaid-dependent provider in the available claims data. The absence of Medicare receipts indicates the organization’s revenue footprint in these datasets is concentrated entirely in state Medicaid programs rather than federal fee‑for‑service Medicare. This payer mix suggests analyses of financial or operational exposure should focus on Medicaid policy and waiver changes.

Revenue is extremely concentrated in a few waiver and habilitation codes: the top three Medicaid codes (T2017, T2021, T2032) account for 91.7% of the provider’s total Medicaid revenue. Individually, T2017 generated $8.2M (53.7% of total Medicaid revenue), T2021 generated $3.5M (22.9%), and T2032 generated $2.3M (15.1%), which together constitute the dominant revenue streams for the organization.

The code mix (T2017 – habilitation, residential, waiver; per 15 minutes; T2021 – day habilitation, waiver; per 15 minutes; T2032 – residential care, not otherwise specified, waiver; per month) indicates REACH operates both residential habilitation programs and day habilitation services billed under Medicaid waivers. The presence of per‑15‑minute billing for day and residential habilitation alongside a per‑month residential care code implies ongoing, programmatic delivery of long‑duration support services rather than one‑off clinical visits.

Competitive standing varies by code: REACH is a modest statewide participant on its largest single code, T2017, where it ranks #15 of 21 providers (30th percentile), reflecting unremarkable volume on that specific residential habilitation claim line. By contrast, REACH shows relatively stronger state positioning on T2032 (residential care), ranking #4 of 20 providers (84th percentile), which signals above‑median share in monthly residential care billing within Montana.

On day‑services and employment supports, REACH ranks above median for T2021 (day habilitation) at #14 of 45 providers (70th percentile) and is particularly prominent on H2025 (ongoing support to maintain employment) where it ranks #2 of 15 providers (93th percentile). Notably, the dataset labels many of these volumes as "typical, unremarkable volume for this code," but the percentile ranks for T2032 and H2025 nevertheless indicate comparatively strong standing in those specific service lines.

Ancillary service lines contribute relatively small shares of Medicaid revenue: non‑emergency transportation codes T2002 ($232.4K, 1.5%) and T2003 ($63.3K, 0.4%) appear in the top code list but together make up only a minor portion of overall billing. Smaller items and supplies (T2028, T1999 and others) are present at de minimis revenue levels (e.g., T2028 $3.6K, T1999 $1.7K), which reinforces that core operations are centered on habilitation and residential waiver services rather than transportation or retail supply margins.

The provider has a long tenure in the NPI registry (enumerated 2007-01-19 (~19 years ago)), indicating an established presence in the state Medicaid ecosystem and likely operational continuity across multiple waiver program cycles. That longevity, combined with the concentration in waiver‑based habilitation and residential codes, suggests institutional experience with waiver billing, prior authorization, and long‑term program delivery.

From a business risk/opportunity perspective, REACH’s reliance on three waiver/habilitation codes for 91.7% of Medicaid revenue creates concentration exposure: any material changes to waiver reimbursement, service definitions, or enrollment in those program lines could disproportionately affect revenue. Conversely, the provider’s relatively high state rankings on T2032 and H2025 point to pockets of competitive strength that payers or partners might target for expanded service agreements or value‑based arrangements focused on residential care and employment supports.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	1,600	$5,120	$8.2M
T2021	Day habilitation, waiver; per 15 minutes	3,340	$1,050	$3.5M
T2032	Residential care, not otherwise specified (nos), waiver; per month	2,520	$920	$2.3M
H2025	Ongoing support to maintain employment, per 15 minutes	2,100	$440	$928.2K
T2002	Non-emergency transportation; per diem	1,860	$130	$232.4K
T2003	Non-emergency transportation; encounter/trip	2,180	$30	$63.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	390	$110	$43.7K
T2028	Specialized supply, not otherwise specified, waiver	140	$30	$3.6K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	30	$70	$1.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Reach, Inc. — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	15	20	2,530	$4,970	$13.2M
T2021	Day habilitation, waiver; per 15 minutes	14	50	1,630	$1,010	$2.6M
T2032	Residential care, not otherwise specified (nos), waiver; per month	4	20	1,120	$830	$1M
H2025	Ongoing support to maintain employment, per 15 minutes	2	20	940	$590	$609.8K
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	10	390	$470	$185.3K
T2002	Non-emergency transportation; per diem	9	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	20	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	30	40	570	$40	$58.4K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	4	10	60	$120	$21.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bozeman Health Deaconess Hospital	MT	Family Medicine Physician	$0	$7.7M
Bozeman School District #7	MT	Local Education Agency (LEA)	$0	$5.5M
Emeritus Corporation	MT	Assisted Living Facility	$0	$4.6M
Bozeman Health Deaconess Hospital	MT	General Acute Care Hospital	$0	$4.5M
Nasim Aleagha	MT	Pediatric Dentistry	$0	$3.3M
Bozeman Health Deaconess Hospital	MT	Emergency Medicine Physician	$0	$2.8M
Option Care Enterprises Inc	MT	Home Infusion Therapy Pharmacy	$0	$2.7M
Providence Mental Health PLLC	MT	Clinical Social Worker	$0	$1.9M
The Cozy Nest	MT	Occupational Therapist	$0	$1.9M
Hatch Pediatrics LLC	MT	Pediatrics Physician	$0	$1.7M

Reach, Inc. — Billing Profile & Reimbursement Data

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Reach, 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