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    OpenPayerNPI Medicare & MedicaidBsw, Inc.
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    Bsw, Inc. — Billing Profile & Reimbursement Data

    NPI 1205977980 · Butte, MT · Developmentally Disabled Services Day Training Agency

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    Bsw, Inc. is a developmentally disabled services day training agency provider located in Butte, Montana. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBsw, Inc.
    Address845 S Wyoming St
    CityButte
    StateMT
    ZIP59701
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedFebruary 8, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$20.4M
    Medicare$0

    Key Findings

    BSW, INC. is effectively a Medicaid-only provider with no Medicare billing on file; its entire reported lifetime revenue is $20.4M in Medicaid, indicating the organization’s operations and reimbursement exposure are concentrated in state Medicaid programs rather than Medicare. The absence of Medicare activity implies payer mix is single-payer in practice, limiting analyses that would compare performance across federal and state programs.

    Revenue concentration is extremely high: the top 3 Medicaid codes account for 99.0% of this provider’s total Medicaid revenue, signaling that a very small set of service lines drives nearly all billing. This level of concentration suggests operational specialization and potential sensitivity in total revenue to any changes in reimbursement or demand for those specific services.

    The dominant revenue driver is T2017 (Habilitation, residential, waiver; 15 minutes), which generated $13.8M or 67.9% of the provider’s Medicaid revenue. This indicates that residential habilitation services are the core business line and that staffing, facilities, and program design are likely tailored to delivering intensive residential waiver habilitation support.

    T2021 (Day habilitation, waiver; per 15 minutes) is the second major revenue source with $6.1M and 30.0% of Medicaid revenue, reflecting a complementary day habilitation service footprint. Together with T2017 these two codes represent the vast majority of activity, suggesting a coordinated model offering both residential and day habilitation supports to the developmentally disabled population.

    In-state competitive standing varies by code: for T2017 the provider ranks #9 of 21 (60th percentile), indicating typical, unremarkable volume relative to peers statewide despite this code being the single largest revenue contributor. For T2021 the provider ranks #7 of 45 (86th percentile), which places it above most peers for day habilitation volume and suggests stronger relative market presence in day services than in residential habilitation.

    The provider is a notable outlier for non-emergency transportation per diem (T2002), ranking #2 of 32 providers in-state at the 97th percentile and described as notably above typical state volume. Although T2002 represents only $227.8K (1.1% of Medicaid revenue), the high rank signals either concentrated transportation capacity or an operational emphasis on providing or coordinating transportation services for clients.

    Other billed codes such as T2003 and T2032 are small contributors (0.5% each) and rank in the middle to lower ranges of state peers, indicating these are ancillary lines rather than core services. T2028 shows 39 claims with $0 paid/claim and $0 revenue and ranks low among peers, implying minimal or nonreimbursed supply activity recorded under that code.

    The provider has a long-enumerated NPI (registered 2007-02-08, ~19 years ago), which supports an interpretation of established operations and experience in serving the developmentally disabled population through waiver programs. This tenure, combined with concentrated service lines, suggests an organizational focus and sustained participation in Medicaid waiver delivery in Montana.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2017Habilitation, residential, waiver; 15 minutes2,750$5,040$13.8M
    T2021Day habilitation, waiver; per 15 minutes5,270$1,160$6.1M
    T2002Non-emergency transportation; per diem2,810$80$227.8K
    T2003Non-emergency transportation; encounter/trip3,010$40$108.5K
    T2032Residential care, not otherwise specified (nos), waiver; per month140$710$101.8K
    T2028Specialized supply, not otherwise specified, waiver40$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2017Habilitation, residential, waiver; 15 minutes9202,530$4,970$13.2M
    T2021Day habilitation, waiver; per 15 minutes7501,630$1,010$2.6M
    T2032Residential care, not otherwise specified (nos), waiver; per month18201,120$830$1M
    T2002Non-emergency transportation; per diem2301,440$110$141.5K
    T2003Non-emergency transportation; encounter/trip12402,180$30$78K
    T2028Specialized supply, not otherwise specified, waiver3640570$40$58.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Benefis Community Care, Inc.MTCase Management Agency$0$14.6M
    State Of MontanaMTSubstance Abuse Rehabilitation Facility$0$12.7M
    Scl Health Medical Group-butte LLCMTFamily Medicine Physician$0$9.9M
    Butte Public SchoolsMTLocal Education Agency (LEA)$0$6.9M
    Community, Counseling & Correctional Services, Inc.MTSubstance Use Disorder Rehabilitation Clinic/Center$0$3.8M
    Butte School District #1MTMental Health Counselor$0$3.8M
    Ryan TodorovichMTGeneral Practice Dentistry$0$3.1M
    Lindsey TodorovichMTGeneral Practice Dentistry$0$2.9M
    Silver Bow County Developmental Disabilities Council, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$2.2M
    Big Sky Senior LivingMTAssisted Living Facility$0$2.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Montana Providers
    6 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Bsw, Inc. — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana