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.

L Esprit PC (NPI 1194107003)

Field	Value
Entity Type	Organization
Organization	L Esprit PC
Address	120 S Main St
City	Livingston
State	MT
ZIP	59047
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 27, 2015

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

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
H2020	Therapeutic behavioral services, per diem	18,580	$170	$3.2M
T1016	Case management, each 15 minutes	15,000	$50	$675.2K
H0037	Community psychiatric supportive treatment program, per diem	2,130	$250	$530.6K
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…	3,590	$80	$272.8K
H2019	Therapeutic behavioral services, per 15 minutes	3,110	$40	$108.9K
H2012	Behavioral health day treatment, per hour	720	$40	$27.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	120	$100	$11.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10	$130	$1.5K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	20	$70	$1.4K
90834	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…	40	$40	$1.3K

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

L Esprit PC — 0 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
H0037	Community psychiatric supportive treatment program, per diem	4	10	10,400	$260	$2.6M
H2012	Behavioral health day treatment, per hour	15	20	27,640	$60	$2M
H2020	Therapeutic behavioral services, per diem	3	10	1,970	$120	$1.7M
T1016	Case management, each 15 minutes	15	50	2,720	$50	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	19	40	3,280	$50	$759.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	526	530	580	$70	$224.6K
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…	165	1,200	750	$80	$143.2K
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…	140	170	310	$20	$38.7K
90834	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…	193	230	300	$30	$38.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	76	190	60	$70	$36.9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as L Esprit PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counterpoint, Inc.	MT	Adult Care Home Facility	$0	$5.7M
Livingston School District 1 & 4	MT	Local Education Agency (LEA)	$0	$5.6M
Southwest Chemical Dependency Program	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.8M
Livingston Healthcare	MT	Critical Access Hospital	$0	$1.2M
City Of Livingston	MT	Ambulance	$448.2K	$281.4K
Alexandria Saunders	MT	Addiction (Substance Use Disorder) Counselor	$0	$709.2K
Eyecare Professionals - Mountain Eyewear	MT	Eyewear Supplier	$0	$652.8K
Debra Mcgrath	MT	Professional Counselor	$0	$549.6K
Livingston Healthcare Urgent Care	MT	Urgent Care Clinic/Center	$0	$513.6K
Sara Gentry	MT	Clinical Social Worker	$0	$372.1K

L Esprit PC — Billing Profile & Reimbursement Data

Sign up for L Esprit PC — Billing Profile & Reimbursement Data policy alerts

L Esprit PC — Billing Profile & Reimbursement Data

Sign up for L Esprit 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