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.

Sage Hill Therapy Services PC (NPI 1073846549)

Field	Value
Entity Type	Organization
Organization	Sage Hill Therapy Services PC
Address	901 Sw Higgins Ave
City	Missoula
State	MT
ZIP	59803
Taxonomy	Pediatric Occupational Therapist
NPI Enumerated	September 15, 2009

Payer Source	Total Paid
Medicaid	$602.3K
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	5,960	$100	$602.3K

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

Sage Hill Therapy Services PC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	31	200	1,110	$60	$207.2K

Nearby Providers

Other providers in the same ZIP code as Sage Hill Therapy Services PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North West Home Care Inc.	MT	Nursing Care Agency	$0	$16M
Mountain Home Montana Inc	MT	Clinical Social Worker	$0	$1.7M
Functional Performance Therapy, Inc.	MT	Pediatric Occupational Therapist	$0	$773.4K
Little Sunflower Counseling, LLC	MT	Mental Health Counselor	$0	$570.3K
Dennehy & Jerde Orthodontics PLLC	MT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$408.3K
Marie Pettit	MT	Professional Counselor	$0	$341.9K
Christian Kenworthy	MT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$326.1K
Dana Boylan	MT	Clinical Social Worker	$0	$318.8K
Cody Bryant	MT	Professional Counselor	$0	$308.2K
Nathan Hoyme	MT	Clinical Social Worker	$0	$263.6K

Sage Hill Therapy Services PC — Billing Profile & Reimbursement Data

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Sage Hill Therapy Services PC — Billing Profile & Reimbursement Data

Sign up for Sage Hill Therapy Services PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References