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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Hit Inc. (NPI 1053912493)

Field	Value
Entity Type	Organization
Organization	Hit Inc.
Address	2640 Sunset Dr
City	Mandan
State	ND
ZIP	58554
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 3, 2020

Payer Source	Total Paid
Medicaid	$55.1M
Medicare	$0

Key Findings

HIT INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue totals $55.1M, indicating the organization’s operating scale is concentrated entirely in Medicaid-funded services rather than a mixed Medicare/Medicaid practice. This payer mix means analyses and contracting efforts should focus on Medicaid program rules, waiver services, and state-level reimbursement trends.

Revenue is highly concentrated in three waiver-related codes: the top three Medicaid codes (T2021, T2016, W0715) account for 88.1% of the provider’s Medicaid revenue, with T2021 contributing $21.7M (39.3%), T2016 $16.2M (29.3%), and W0715 $10.7M (19.5%). This level of concentration suggests most financial performance is driven by a narrow set of service lines tied to these specific codes.

The code mix indicates HIT INC. operates primarily as a waiver-focused habilitation provider: T2021 is Day habilitation, waiver (per 15 minutes) and T2016 is Habilitation, residential, waiver (per diem), together representing the majority of revenue and signaling core operations in day programs and residential habilitation services. Smaller but relevant service lines shown in the claims mix include supported employment (T2019) and attendant care (S5125), which together account for a modest share of revenue and point to a broader habilitation services portfolio beyond just day and residential care.

HIT INC. is a dominant in-state provider for certain codes: it ranks #1 of 26 in-state for T2021 (100th percentile; notably above typical state volume), indicating market leadership in day habilitation services within North Dakota. By contrast, its position on other high-revenue codes is mixed — T2016 ranks #9 of 29 (71th percentile) and W0715 ranks #3 of 25 (92th percentile) — so while it is a leading day-habilitation provider, its residential habilitation and high-priced W0715 services are strong but not uniformly dominant across all peer sets.

Some individual code-level observations point to strategic niches: W0200 (no description available) generates $1M (1.8% of revenue) but ranks #1 of 25 in-state (100th percentile; notably above typical state volume), which suggests HIT INC. is the primary in-state biller for that specific service despite its relatively small share of total revenue. Conversely, W0300 shows limited presence (83 claims, $150.8K revenue) and ranks 13 of 13 (0th percentile), indicating negligible participation among peers for that code.

Several codes show typical or modest peer participation that support broader habilitation operations without dominating revenue: T2019 (supported employment) brings in $1.2M (2.1%) and ranks #8 of 20 (63th percentile), while S5125 (attendant care) contributes $1.1M (2.0%) and ranks #10 of 18 (47th percentile). These placements imply the provider offers a mix of services common among in-state peers but relies far less on these lines for overall revenue compared with T2021 and T2016.

The provider’s enrollment tenure is relatively recent: the NPI was enumerated on 2020-11-03 (~6 years ago), so HIT INC. has established Medicaid billing operations in the last several years. That timeline can frame assessments of growth or market entry strategies when comparing annualized revenue trajectories or changes in code mix over time.

From a contracting and risk perspective, the heavy dependence on waiver-based habilitation codes (the top three codes making up 88.1% of Medicaid revenue) creates concentration risk: changes to state waiver rates, service definitions, or utilization management for T2021, T2016, or W0715 would disproportionately affect the provider’s revenue. Payers and network planners should therefore treat reimbursements and utilization patterns on those specific codes as high-leverage levers for negotiating rates and managing cost exposure.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	106,710	$200	$21.7M
T2016	Habilitation, residential, waiver; per diem	50,020	$320	$16.2M
W0715	N/A	18,920	$570	$10.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	18,930	$60	$1.2M
S5125	Attendant care services; per 15 minutes	9,700	$120	$1.1M
W0260	N/A	150	$7,280	$1.1M
W0200	N/A	710	$1,420	$1M
W0705	N/A	5,020	$100	$511.6K
W0700	N/A	5,500	$90	$473.2K
T2047	Habilitation, prevocational, waiver; per 15 minutes	12,070	$30	$398.4K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Hit Inc. — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	30	21,220	$400	$14.1M
T2021	Day habilitation, waiver; per 15 minutes	1	30	32,410	$170	$6.6M
W0300	N/A	13	10	2,370	$630	$4M
W0715	N/A	3	30	6,250	$450	$3.8M
S5125	Attendant care services; per 15 minutes	10	20	10,750	$180	$2.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	8	20	11,310	$80	$1.2M
W0700	N/A	5	20	3,430	$280	$1.2M
W0260	N/A	10	20	150	$4,920	$1M
T2017	Habilitation, residential, waiver; 15 minutes	9	10	4,870	$100	$1M
T2047	Habilitation, prevocational, waiver; per 15 minutes	3	10	8,770	$90	$988.3K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Goodwill Nd, Inc.	ND	Community/Behavioral Health Agency	$0	$70.5M
Hit Inc.	ND	Community/Behavioral Health Agency	$0	$27.7M
Prairie Rose Family Dentists	ND	Dentist	$0	$1.6M
Kids In Motion Inc	ND	Physical Therapy Clinic/Center	$0	$1.5M
Easter Seals Goodwill Nd, Inc.	ND	In Home Supportive Care Agency	$0	$1M
Western Plains Public Health	ND	Public Health or Welfare Agency	$68.7K	$174.6K
Carter Chiropractic P C	ND	Chiropractor	$0	$187.2K
Mcbw Chiropractic PC	ND	Chiropractor	$0	$160.7K
Laura Archuleta	ND	Family Medicine Physician	$133.3K	$0
Transitions Healthcare PLLC	ND	Clinic/Center	$0	$95.2K

Hit Inc. — Billing Profile & Reimbursement Data

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Hit 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