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.

Billings Public School District 2 (NPI 1114056397)

Key Findings

Field	Value
Entity Type	Organization
Organization	Billings Public School District 2
Address	415 N 30th St
City	Billings
State	MT
ZIP	59101
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

BILLINGS PUBLIC SCHOOL DISTRICT 2 is effectively a single-payer Medicaid provider with no Medicare billing on file and $19.2M in lifetime Medicaid revenue; the absence of any Medicare revenue indicates its operations and billing are concentrated entirely within Medicaid-covered services.

Revenue is extremely concentrated in a small set of services: the top 3 Medicaid codes account for 95.8% of the provider's total Medicaid revenue, indicating the organization’s financial footprint depends heavily on a few high-volume service lines.

H0036 — Community psychiatric supportive treatment — is the dominant revenue driver, accounting for $16.9M and 87.9% of the provider’s Medicaid revenue; the provider ranks #1 of 90 in-state and is described as an extreme outlier, signaling a specialized, high-volume behavioral health role within the state.

The second-largest code, 92507 (speech/language assessment/therapy), produced $1.1M (5.7% of Medicaid revenue) with 30.2K claims and ranks #3 of 147 in-state; this high ranking and claim volume alongside H0036 suggests the district provides substantial school-based behavioral health and allied therapy services (speech/language) to Medicaid-enrolled students.

T1000 (private duty/independent nursing) contributes $431.7K (2.2%) and ranks #1 of 1 in-state; while smaller in dollar terms, the very large claim count (39.2K) and unique provider ranking imply the district is the sole or primary in-state biller for this specific nursing service, reinforcing a specialized service mix beyond classroom supports.

Several additional therapy and behavioral health codes (92508, 90832, 90853, 97530) appear in the top-25 list at typical to above-typical state percentiles, indicating the district’s service mix combines individual and group psychotherapy, rehabilitative therapies, and group interventions consistent with school-based mental health and therapy programs.

The provider’s NPI was enumerated on 2007-03-05 (~19 years ago), indicating sustained participation in Medicaid billing over nearly two decades; this tenure supports the interpretation that its high volumes reflect established, ongoing programmatic operations rather than a recent ramp-up.

Competitive standing: for its largest code H0036 the district is an outlier at the 100th percentile (far above typical state volume), while for 92507 it is at the 99th percentile; these ranks establish the district as a dominant statewide provider for school-based psychiatric support and a major provider for speech services, rather than a marginal or typical participant.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	185,590	$90	$16.9M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	30,190	$40	$1.1M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	39,240	$10	$431.7K
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…	16,660	$20	$349.8K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	16,000	$10	$176K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,250	$30	$131.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	6,580	$10	$85.6K
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.	3,150	$20	$59.8K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	40	$210	$8.5K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	30	$20	$570

Showing 1–10 of 13

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

Billings Public School District 2 — 3 of 11 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	12	40	6,240	$130	$14.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	90	5,740	$80	$1.6M
T1016	Case management, each 15 minutes	51	50	2,720	$50	$1.4M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	10	39,240	$10	$437.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	3	150	2,760	$40	$224.3K
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.	61	200	1,110	$60	$207.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	3	50	3,530	$10	$61.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	20	110	1,250	$10	$50.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	19	170	310	$20	$38.7K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	4	10	40	$100	$10.2K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Billings Clinic	MT	General Practice Physician	$0	$53.8M
Rimrock Foundation	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$44.9M
Scl Health Medical Group - Billings LLC	MT	Clinic/Center	$0	$32.2M
Residential Support Services	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$30.6M
South Central Montana Regional Mental Health Center	MT	Clinic/Center	$0	$16.6M
Billings Clinic	MT	Emergency Care Clinic/Center	$0	$15.7M
Community Solutions Incorporated	MT	Clinical Medical Laboratory	$0	$14.1M
Scl Health Montana	MT	General Acute Care Hospital	$0	$13.5M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$10.8M
American Medical Response Ambulance Service Inc	MT	Ambulance	$2.1M	$6.7M

Billings Public School District 2 — Billing Profile & Reimbursement Data

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Billings Public School District 2 — 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