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.

Spring Meadow Resources, Inc. (NPI 1154544815)

Field	Value
Entity Type	Organization
Organization	Spring Meadow Resources, Inc.
Address	2850 Broadwater Ave
City	Helena
State	MT
ZIP	59602
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 11, 2007

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and all documented revenue is Medicaid-based, with total Medicaid receipts of $20.2M. The absence of Medicare activity indicates the organization is focused on state-waiver and Medicaid-funded developmental services rather than Medicare-covered clinical care.

Business and service-line mix aligns with its taxonomy (Developmentally Disabled Services Day Training Agency) and its top codes: T2017 (Habilitation, residential, waiver), T2021 (Day habilitation, waiver), and T2013 (Habilitation, educational, waiver). The code mix and descriptions indicate the operation is primarily delivering residential and day habilitation services with a smaller educational-habilitation component and some facility-based day care activity.

Revenue is highly concentrated: the top three Medicaid codes account for 92.4% of the provider's total Medicaid revenue. Those top contributors are T2017 at $15M (74.5%), T2021 at $2.8M (13.7%), and T2013 at $838.3K (4.2%), demonstrating reliance on a narrow set of waiver habilitation services for the vast majority of revenue.

Competitive standing for the largest revenue driver, T2017, is modest: the provider ranks #7 of 21 in-state (70th percentile) and the volume is characterized as "typical, unremarkable." This places the organization as a mid-tier state participant in residential habilitation rather than a dominant statewide provider.

For day habilitation and educational habilitation the provider shows mixed statewide positioning: T2021 ranks #21 of 45 (55th percentile) and is labeled "typical, unremarkable," indicating moderate activity in day habilitation, while T2013 ranks #15 of 17 (13th percentile) and is also labeled "typical, unremarkable," signaling a relatively low share in educational habilitation compared with peers. These ranks suggest the provider has stronger foothold in certain waiver services but limited penetration in others.

Secondary service lines generate small shares of revenue but reveal operational breadth: S5100 (Day care services, adult) brings in $717.6K (3.6%) and T2032 (Residential care, nos, waiver) $492K (2.4%), with S5100 ranked #5 of 5 in-state (0th percentile) and labeled "typical, unremarkable." Meanwhile, non-emergency transport codes T2002 ($185.8K, 0.9%) and T2003 ($142.3K, 0.7%) rank highly in-state (#5 of 32 at 87th percentile and #5 of 39 at 89th percentile respectively), indicating notable transport activity despite their small revenue shares.

The concentration around T2017 (74.5%) and the 92.4% share from the top three codes create revenue vulnerability to reimbursement or utilization changes in those specific waiver habilitation services. Given this dependence, shifts in state policy, waiver rates, or utilization patterns for residential and day habilitation could materially affect the provider's financial profile.

The provider has an established footprint: the NPI was enumerated on 2007-04-11 (~19 years ago), suggesting long tenure in the Medicaid market. Combined with the Medicaid-only billing pattern, this tenure points to a stable, specialized operation focused on long-running waiver habilitation services rather than expansion into Medicare-covered lines.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	2,990	$5,040	$15M
T2021	Day habilitation, waiver; per 15 minutes	1,960	$1,410	$2.8M
T2013	Habilitation, educational, waiver; per hour	230	$3,690	$838.3K
S5100	Day care services, adult; per 15 minutes	690	$1,050	$717.6K
T2032	Residential care, not otherwise specified (nos), waiver; per month	550	$890	$492K
T2002	Non-emergency transportation; per diem	2,270	$80	$185.8K
T2003	Non-emergency transportation; encounter/trip	4,190	$30	$142.3K
T2028	Specialized supply, not otherwise specified, waiver	50	$40	$2K

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

Spring Meadow Resources, Inc. — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	7	20	2,530	$4,970	$13.2M
T2013	Habilitation, educational, waiver; per hour	15	20	770	$2,020	$5.2M
T2021	Day habilitation, waiver; per 15 minutes	21	50	1,630	$1,010	$2.6M
S5100	Day care services, adult; per 15 minutes	5	10	1,530	$440	$2M
T2032	Residential care, not otherwise specified (nos), waiver; per month	14	20	1,120	$830	$1M
T2002	Non-emergency transportation; per diem	5	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	5	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	34	40	570	$40	$58.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intermountain Deaconess Home For Children	MT	Psychologist	$0	$1.7M
Masonic Home Of Montana, Inc.	MT	Assisted Living Facility	$0	$1.5M
St Peter's Medical Group North	MT	Family Medicine Physician	$0	$1.5M
Roots Rehab	MT	Occupational Therapist	$0	$1.3M
Montana Kids Dental LLC	MT	Pediatric Dentistry	$0	$1.3M
First Words Speech And Language Clinic	MT	Speech-Language Pathologist	$0	$845.3K
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$836.8K
Intermountain Sbs	MT	Community/Behavioral Health Agency	$0	$606.1K
Montana Telepsych Solutions Inc.	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$440.6K
Eric Thomas	MT	Internal Medicine Physician	$379.7K	$0

Spring Meadow Resources, Inc. — Billing Profile & Reimbursement Data

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Spring Meadow Resources, 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