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.

Hkj Inc (NPI 1164568994)

Field	Value
Entity Type	Organization
Organization	Hkj Inc
Address	3000 Palmer St Ste B
City	Missoula
State	MT
ZIP	59808
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

Key Findings

This provider is effectively single-payer in practice: there is no Medicare billing on file while Medicaid revenue totals $15.2M, so all reported federal fee-for-service activity for HKJ INC is driven by Medicaid programs. The absence of Medicare claims means comparisons to national Medicare patterns are not applicable for this entity and analysis should focus on Medicaid line-of-service and state-level competition.

Revenue is highly concentrated: the precomputed top three Medicaid codes (S5102, H2019, H2017) together account for 90.6% of this provider’s total Medicaid revenue. In particular, S5102 alone represents 72.2% of Medicaid revenue ($11M) and dominates the revenue base, making the provider’s financial profile heavily dependent on a single service line.

The code mix points to an operations model centered on adult day and community mental health services rather than traditional office-based psychotherapy. High-volume codes include S5102 (Day care services, adult; per diem: 87.8K claims, $125 avg paid/claim, $11M revenue) and H2019 (Therapeutic behavioral services, per 15 minutes: 77.3K claims, $27 avg paid/claim, $2.1M revenue), while other community supports such as H2017 (Psychosocial rehabilitation: 22.8K claims, $706.1K) and H2015/H0038 appear as complementary service lines. This mix suggests the provider operates large-scale day programs and intensive behavioral support services rather than a psychotherapy-heavy ambulatory clinic.

HKJ INC is a dominant statewide provider for its primary day-program code: S5102 ranks #1 of 8 providers in Montana and is listed as 100th percentile and "notably above typical state volume" for that code. H2019 also shows outsized activity, ranking #2 of 36 providers in-state and described as "notably above typical state volume," indicating strong competitive standing in therapeutic behavioral services as well.

Some community support codes are present at meaningful but more routine levels: H2017 ranks #1 of 3 providers in-state (100th percentile) but is described as "typical, unremarkable volume," and H2015 (rank #1 of 4, 100th percentile) and H0038 (rank #2 of 35, 97th percentile) are characterized as typical in-state activity. These entries indicate breadth across community mental health services beyond the dominant day-care billing, but without the same outsized volume as S5102 and H2019.

Traditional psychotherapy CPTs account for a very small share of revenue and volume relative to the day-program lines: 90837 represents $111.7K (0.7% of total Medicaid revenue) and 90832 and 90853 together contribute only a fraction of a percent. The provider’s percentile ranks for these psychotherapy codes are middling (90837 at the 62th percentile, 90832 at the 58th, 90853 at the 42th), which supports the conclusion that HKJ INC focuses operationally on structured day and behavioral services rather than individual psychotherapy as a primary revenue driver.

The reported claim volumes and average payments reinforce a per‑diem/day-program business model: S5102 shows 87.8K claims at $125 avg paid/claim, and H2019 shows 77.3K claims at $27 avg paid/claim, together generating the majority of the $15.2M Medicaid revenue. This combination of high claim counts and per‑unit payments is consistent with continuous or recurring attendance-based services (day care and time-based therapeutic interventions) rather than episodic, higher-fee outpatient visits.

HKJ INC has an established presence in the market, with its NPI enumerated on 2007-01-29 (~19 years ago), which aligns with the scale and entrenched position observed in state rankings for adult day services and therapeutic behavioral services. Given the concentration of revenue in a few Medicaid codes—particularly S5102 at $11M—analysts should treat the provider as a stable but highly concentrated operator whose financial performance will be sensitive to changes in Medicaid policy or reimbursement affecting adult day/per‑diem programs.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	87,800	$130	$11M
H2019	Therapeutic behavioral services, per 15 minutes	77,350	$30	$2.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	22,780	$30	$706.1K
H2015	Comprehensive community support services, per 15 minutes	11,300	$60	$643.8K
H0038	Self‑help/peer services, per 15 minutes	11,710	$50	$620.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,230	$90	$111.7K
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…	480	$40	$21.1K
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…	880	$20	$13.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	100	$100	$10.6K
Q3014	Telehealth originating site facility fee	230	$10	$1.9K

Showing 1–10 of 11

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

Hkj Inc — 5 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	1	10	16,590	$280	$7.2M
H2019	Therapeutic behavioral services, per 15 minutes	2	40	3,280	$50	$759.9K
H2015	Comprehensive community support services, per 15 minutes	1	10	8,260	$60	$408.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	1	10	3,210	$30	$286.8K
H0038	Self‑help/peer services, per 15 minutes	2	40	1,050	$50	$171.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	452	1,200	750	$80	$143.2K
H2014	Skills training and development, per 15 minutes	6	10	1,050	$70	$115K
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…	62	110	1,250	$10	$50.5K
Q3014	Telehealth originating site facility fee	32	60	350	$20	$45.9K
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…	70	170	310	$20	$38.7K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hkj Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hkj Inc	MT	Case Management Agency	$0	$11.6M
May Victor	MT	Psychiatric/Mental Health Nurse Practitioner	$33.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct Care Network Virginia	MT	Home Health Agency	$0	$2.1B
Consumer Direct Personal Care, LLC	MT	In Home Supportive Care Agency	$0	$49.1M
We Care Behavioral Health LLC	MT	Clinic/Center	$0	$14.8M
Partners In Home Care, Inc	MT	Nursing Care Agency	$0	$13M
Sunburst Health LLC	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Welltower Tenant Group LLC	MT	Assisted Living Facility	$0	$3.8M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$3.8M
County Of Missoula School Dist 4	MT	Local Education Agency (LEA)	$0	$3.4M
Nightingale Nursing Service, Inc	MT	Nursing Care Agency	$0	$3.1M

Hkj 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

Related Providers

Nearby Providers

Frequently Asked Questions

References