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.

Ravalli Services Corporation (NPI 1285835496)

Field	Value
Entity Type	Organization
Organization	Ravalli Services Corporation
Address	219 Pennsylvania Ave
City	Hamilton
State	MT
ZIP	59840
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 29, 2007

Payer Source	Total Paid
Medicaid	$19.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only filer: there is no Medicare billing on file while lifetime Medicaid revenue is $19.6M, indicating the organization operates almost entirely within the Medicaid payer mix rather than a dual Medicare/Medicaid model. Analysts should treat Medicaid reimbursement trends and state waiver policy as the primary revenue drivers for this entity.

Revenue is highly concentrated in habilitation services: the top three Medicaid codes (T2017, T2021, T2013) together account for 98.2% of the provider's total Medicaid revenue, so changes to reimbursement, utilization, or authorization of these specific waiver habilitation codes would materially affect the business. This concentration suggests limited service diversification outside of waiver habilitation lines.

T2017 is the single largest revenue source at $13.4M (68.2% of Medicaid revenue) with 1.7K claims and an average paid/claim of $7882; however, the provider ranks #13 of 21 in-state (40th percentile) on this code, which characterizes its role as a solid but not dominant residential habilitation provider within the state. Despite T2017 dominating the revenue mix, the rank/percentile indicate the provider is not among the top residential habilitation billers statewide.

T2021 (day habilitation, waiver) accounts for $4.5M (22.8% of Medicaid revenue) on 3.7K claims with $1202 average paid/claim, and the provider ranks #11 of 45 in-state (77th percentile). This percentile places the organization above the median for day habilitation billing in Montana, implying a meaningful position in the state market for day programs even if the code remains labeled "typical, unremarkable volume."

T2013 (habilitation, educational, waiver) contributes $1.4M (7.3% of Medicaid revenue) from 320 claims with a $4451 average paid/claim and ranks #12 of 17 in-state (31th percentile), indicating relatively modest participation in educational habilitation compared with peers. The presence of T2013 alongside T2017 and T2021 reinforces a service profile focused on residential, day, and educational habilitation under waiver programs.

Beyond habilitation, the provider bills smaller amounts for non-emergency transportation and supplies (examples: T2002 $177.7K, T2003 $83.6K, H2025 $51.3K, T2028 $15.4K), each representing under 1% of Medicaid revenue. These ancillary codes suggest the organization also supports transportation and materials for participants, but these lines are not major revenue drivers and likely function as complementary services to its core habilitation operations.

One notable statistical outlier is T1999 (miscellaneous therapeutic items and supplies), where the provider is ranked #1 of 5 in-state (100th percentile) and is described as "notably above typical state volume." Although T1999 represents a small share of total Medicaid revenue ($24K, 0.1%), the top-in-state standing on this code could reflect a relative strength or specialization in supplying retail therapeutic items within its service mix.

The provider has long tenure in the NPI registry (enumerated 2007-05-29, ~19 years ago), indicating an established presence in the state Medicaid system. Combined with the concentrated reliance on waiver habilitation codes, this longevity suggests operational stability in core habilitation programs but also a vulnerability to policy or rate changes affecting a narrow set of high-impact codes.

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	1,690	$7,880	$13.4M
T2021	Day habilitation, waiver; per 15 minutes	3,710	$1,200	$4.5M
T2013	Habilitation, educational, waiver; per hour	320	$4,450	$1.4M
T2002	Non-emergency transportation; per diem	1,690	$110	$177.7K
T2003	Non-emergency transportation; encounter/trip	2,610	$30	$83.6K
H2025	Ongoing support to maintain employment, per 15 minutes	110	$470	$51.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	620	$40	$24K
T2028	Specialized supply, not otherwise specified, waiver	400	$40	$15.4K

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

Ravalli Services Corporation — 1 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	13	20	2,530	$4,970	$13.2M
T2013	Habilitation, educational, waiver; per hour	12	20	770	$2,020	$5.2M
T2021	Day habilitation, waiver; per 15 minutes	11	50	1,630	$1,010	$2.6M
H2025	Ongoing support to maintain employment, per 15 minutes	13	20	940	$590	$609.8K
T2002	Non-emergency transportation; per diem	14	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	16	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	22	40	570	$40	$58.4K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1	10	60	$120	$21.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marcus Daly Memorial Hospital Corporation	MT	Critical Access Hospital	$0	$4.4M
Capron Family Dental PC	MT	General Practice Dentistry	$0	$1.5M
Beyer Big Sky Optical, Inc	MT	Optometrist	$0	$1.4M
Bitterroot Family Medicine, P.C.	MT	Primary Care Clinic/Center	$0	$1.4M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$859.7K
Hamilton Physical Therapy PC	MT	Physical Therapy Clinic/Center	$0	$723.6K
Therapeutic Mentoring PC	MT	Clinical Social Worker	$0	$637.7K
Teresa Maija	MT	Professional Counselor	$0	$492.2K
Health Care Providers Inc.	MT	Oxygen Equipment & Supplies (DME)	$0	$454.9K
Hamilton School District #3	MT	Local Education Agency (LEA)	$0	$391.9K

Ravalli Services Corporation — Billing Profile & Reimbursement Data

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Ravalli Services Corporation — 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