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.

Montana Independent Living Project (NPI 1043610009)

Field	Value
Entity Type	Organization
Organization	Montana Independent Living Project
Address	825 Great Northern Blvd
City	Helena
State	MT
ZIP	59601
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 27, 2014

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider with no Medicare billing on file; total Medicare revenue is listed as none while total Medicaid revenue is $6M, indicating operations are concentrated entirely in the Medicaid program rather than dual-payer care. The absence of Medicare claims suggests the organization’s services and contracting strategy are focused on state-funded long-term services and supports rather than fee-for-service Medicare clinical care.

Revenue concentration is extremely high: the top 3 Medicaid codes account for 97.4% of the provider’s total Medicaid revenue, indicating that a very small set of service lines drives nearly all of its Medicaid receipts. This concentration implies financial exposure if reimbursement rules or demand change for those few codes.

T1019 is by far the dominant revenue driver: 53.1K claims generating $5.6M (93.4% of total Medicaid revenue). That code (personal care services, per 15 minutes) defines the core business model as delivering client-facing personal care and attendant services in home/community settings rather than facility-based clinical care. The provider’s operational footprint is therefore centered on repeated, time-based personal care visits.

On competitive standing for T1019, the provider ranks #7 of 38 in-state and sits at the 84th percentile, which positions it as an established mid-to-upper-tier participant for that code statewide. The percentile and rank indicate typical, unremarkable volume relative to peers but enough scale to be a meaningful regional player for personal care services.

Other codes are much smaller contributors but consistent with a home- and community-based services (HCBS) operation: S5130 (homemaker service) generated $139.1K (2.3% of Medicaid revenue) and ranks #4 of 9 (63rd percentile), while S5126 (attendant care per diem) generated $97.7K (1.6% of Medicaid revenue) and ranks #12 of 16 (27th percentile). These secondary codes complement T1019 and reflect a mixed service mix of hands-on assistance and per-diem attendant arrangements.

Transportation-related services appear as tertiary components of the billing mix: S0215 (non-emergency transportation mileage) produced $79.5K (1.3% of revenue) and ranks #5 of 22 (81st percentile), while T2001 (patient attendant/escort) produced $63K (1.1% of revenue). These volumes suggest the provider supplements personal care with non-emergency transport and escort services, likely supporting clients’ access to community resources and appointments.

The provider’s NPI was enumerated on 2014-08-27 (~12 years ago), indicating over a decade of formal enrollment and a stable tenure in the state Medicaid market. That longevity supports the observed scale in T1019 claims and suggests established operational processes for delivering HCBS.

Across measured codes the dataset labels volumes as typical or unremarkable rather than extreme; for example, T1019 is characterized as typical, unremarkable volume despite its large revenue share, and S5130/S5126 ranks are described as typical as well. In plain terms, the provider appears to be a focused, steady operator in personal care services rather than an anomalous outlier in billing behavior.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	53,090	$110	$5.6M
S5130	Homemaker service, nos; per 15 minutes	4,350	$30	$139.1K
S5126	Attendant care services; per diem	1,630	$60	$97.7K
S0215	Non-emergency transportation; mileage, per mile	6,620	$10	$79.5K
T2001	Non-emergency transportation; patient attendant/escort	900	$70	$63K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	880	$10	$12.3K

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

Montana Independent Living Project — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	12	20	5,400	$100	$111M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	7	40	6,240	$130	$14.6M
T2001	Non-emergency transportation; patient attendant/escort	10	10	1,730	$50	$264.4K
S5130	Homemaker service, nos; per 15 minutes	4	10	1,560	$30	$143.8K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	10	10	2,890	$10	$70.6K
S0215	Non-emergency transportation; mileage, per mile	5	20	1,250	$10	$41.3K

Nearby Providers

Other providers in the same ZIP code as Montana Independent Living Project, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Mont	MT	Adult Care Home Facility	$0	$34.7M
Intermountain Deaconess Home	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.9M
County Of Lewis & Clark Lewis & Clark County School District #1	MT	Local Education Agency (LEA)	$0	$10.8M
Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.9M
Montana Children's Home & Hospital	MT	General Acute Care Hospital	$0	$8.7M
Region Iv Family Outreach, Inc	MT	Case Manager/Care Coordinator	$0	$7.3M
Lewis And Clark Emergency Physicians P C	MT	Emergency Medicine Physician	$0	$6.6M
St. Peter's Health	MT	Family Medicine Physician	$0	$5.2M
Edgewood Helena Senior Living LLC	MT	Assisted Living Facility	$0	$4.7M
Montana Surgery Center	MT	Ambulatory Surgical Clinic/Center	$0	$4.6M

Montana Independent Living Project — Billing Profile & Reimbursement Data

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Montana Independent Living Project — 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