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.

Residential Support Services (NPI 1215143227)

Field	Value
Entity Type	Organization
Organization	Residential Support Services
Address	2024 3rd Ave N
City	Billings
State	MT
ZIP	59101
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 15, 2007

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

Key Findings

RESIDENTIAL SUPPORT SERVICES is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in BILLINGS, MT with an NPI enumerated on 2007-05-15 (~19 years ago), indicating a long-established presence in the state Medicaid market. The provider's taxonomy and longevity are consistent with a stable, residential-focused IDD services operation rather than a clinician-driven outpatient practice.

This entity has no Medicare billing on file and reports Total Medicaid revenue of $30.6M, making it effectively a single-payer (Medicaid) operation at present. The absence of Medicare activity means Medicaid policy and rate changes are likely to be the primary drivers of its financial performance.

Revenue is highly concentrated in a very small set of waiver habilitation codes: the precomputed top 3 codes by revenue account for 97.5% of this provider's total Medicaid revenue, with T2017 alone representing $24.6M (80.3% of total Medicaid revenue), T2013 contributing $4.3M (13.9%), and T2021 contributing $991.8K (3.2%). Such concentration implies that changes to these specific waiver rates, service authorization, or utilization controls could materially affect overall revenue.

The mix of high-value codes shows that the business is centered on intensive residential habilitation and associated day/educational habilitation services: T2017 (Habilitation, residential, waiver; 15 minutes) dominance alongside T2013 (Habilitation, educational, waiver; per hour) and T2021 (Day habilitation, waiver; per 15 minutes) points to core operations delivering residential and day habilitation supports for individuals with intellectual and developmental disabilities. This code profile is consistent with the provider’s stated taxonomy and suggests on-site staffing and program infrastructure geared toward long-duration, regularly scheduled waiver services.

Competitive standing is strongest for the principal revenue driver: T2017 ranks #2 of 21 providers in-state and is at the 95th percentile, indicating a leading statewide position for residential habilitation revenue even though the underlying label describes its volume as "typical, unremarkable." By contrast, T2013 ranks #9 of 17 (50th percentile) and T2021 ranks #31 of 45 (32th percentile), reflecting a more modest or average presence in educational and day habilitation relative to in-state peers.

Smaller Medicaid lines supplement the core habilitation services but represent a tiny share of revenue: T1003 (Lpn/lvn services) has $366.4K (1.2% of total) and ranks #5 of 9 (50th percentile), T2002 (Non-emergency transportation; per diem) has $257.1K (0.8%) and ranks #16 of 32 (52th percentile), T2003 (Non-emergency transportation; encounter/trip) has $109.6K (0.4%) and ranks #13 of 39 (68th percentile), and T2028 (Specialized supply) has $37.9K (0.1%) and ranks #15 of 38 (62th percentile). These ancillary codes indicate the provider also bills for nursing, transportation, and supplies but that these services are secondary to its waiver habilitation revenue.

For payer/provider analysts, the operational and financial risk profile is clear: with $30.6M concentrated in waiver habilitation codes (97.5% from the top three), and no Medicare diversification, the provider’s revenue and competitive position will be highly sensitive to Montana Medicaid waiver policy, reimbursement changes, and utilization controls tied specifically to T2017, T2013, and T2021. Monitoring state waiver rulemaking, per-unit reimbursement updates, and any shifts in service authorization patterns for residential and day habilitation should be prioritized when evaluating future revenue trajectories.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	4,590	$5,350	$24.6M
T2013	Habilitation, educational, waiver; per hour	770	$5,560	$4.3M
T2021	Day habilitation, waiver; per 15 minutes	980	$1,010	$991.8K
T1003	Lpn/lvn services, up to 15 minutes	1,570	$230	$366.4K
T2002	Non-emergency transportation; per diem	1,460	$180	$257.1K
T2003	Non-emergency transportation; encounter/trip	2,960	$40	$109.6K
T2028	Specialized supply, not otherwise specified, waiver	810	$50	$37.9K

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

Residential Support Services — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	2	20	2,530	$4,970	$13.2M
T2013	Habilitation, educational, waiver; per hour	9	20	770	$2,020	$5.2M
T2021	Day habilitation, waiver; per 15 minutes	31	50	1,630	$1,010	$2.6M
T1003	Lpn/lvn services, up to 15 minutes	5	10	1,570	$170	$823K
T2002	Non-emergency transportation; per diem	16	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	13	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	15	40	570	$40	$58.4K

Nearby Providers

Other providers in the same ZIP code as Residential Support Services, ranked by combined Medicare and Medicaid revenue.

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
Billings Public School District 2	MT	Local Education Agency (LEA)	$0	$19.2M
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

Residential Support Services — Billing Profile & Reimbursement Data

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Residential Support Services — 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