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.

Little Bitterroot Services, Inc. (NPI 1316090707)

Field	Value
Entity Type	Organization
Organization	Little Bitterroot Services, Inc.
Address	103 W Lynch
City	Plains
State	MT
ZIP	59859
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

Key Findings

LITTLE BITTERROOT SERVICES operates primarily as a waiver-funded habilitation provider: its top revenue drivers are T2021 (Day habilitation, waiver), T2013 (Habilitation, educational, waiver), and T2017 (Habilitation, residential, waiver), which generate $4.6M, $4M, and $3.5M respectively. The presence of these three codes at high dollar values indicates the organization’s core operation is delivering day, educational, and residential habilitation services to beneficiaries under Medicaid waiver programs rather than episodic medical care.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 97.9% of this provider’s total Medicaid revenue. With $12.3M in lifetime Medicaid revenue reported, this concentration implies that changes in reimbursement or utilization for those waiver habilitation codes would materially affect the provider’s overall financial profile.

This provider is effectively single-payer at scale: there is no Medicare billing on file, and all reported lifetime public payer revenue is Medicaid ($12.3M). The absence of Medicare activity means payer negotiations, compliance focus, and growth opportunities should be evaluated through the Medicaid/waiver market rather than Medicare channels.

State-level competitive standing is mixed across the top codes. For T2021 the provider ranks #19 of 45 in-state (59th percentile) and for T2013 it ranks #8 of 17 (56th percentile); both are described as typical, unremarkable volumes, indicating a mid-tier presence for day and educational habilitation within Montana.

Despite contributing a sizeable dollar amount ($3.5M, 28.8% of Medicaid revenue), T2017 shows a weak in-state rank (#20 of 21, 5th percentile) and is also labeled typical, unremarkable volume; this suggests the provider bills residential habilitation at scale for itself but sits near the lower end of peers in provider counts or per-provider volume, reflecting either a fragmented market or niche service delivery pattern.

The provider’s tenure is long-standing: the NPI was enumerated on 2007-01-19 (~19 years ago). This multi-year footprint in the Medicaid waiver space suggests established program operations and relationships with payers and referral sources that underpin the reported Medicaid revenue base.

Non-habilitation services are small contributors to overall revenue and appear auxiliary to core operations. T2002 (Non-emergency transportation; per diem) produced $165.2K (1.3% of Medicaid revenue) with 1.4K claims, T2003 (Non-emergency transportation; encounter/trip) produced $75.9K (0.6%) with 2.4K claims, and T2028 (Specialized supply, not otherwise specified, waiver) produced $14.3K (0.1%) with 551 claims; each of these codes is ranked near the mid-range of in-state peers and labeled typical, unremarkable volume.

Operationally, the code mix implies significant staff- and facility-related resource needs tied to habilitation programs (day programming, educational supports, and residential staffing). Given that three waiver codes drive the vast majority of revenue, analysts and contract managers should prioritize benchmarking those specific codes and assessing capacity and staffing models for waiver habilitation services when evaluating this provider.

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 Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	2,190	$2,080	$4.6M
T2013	Habilitation, educational, waiver; per hour	800	$4,980	$4M
T2017	Habilitation, residential, waiver; 15 minutes	580	$6,110	$3.5M
T2002	Non-emergency transportation; per diem	1,400	$120	$165.2K
T2003	Non-emergency transportation; encounter/trip	2,450	$30	$75.9K
T2028	Specialized supply, not otherwise specified, waiver	550	$30	$14.3K

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

Little Bitterroot Services, Inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	20	20	2,530	$4,970	$13.2M
T2013	Habilitation, educational, waiver; per hour	8	20	770	$2,020	$5.2M
T2021	Day habilitation, waiver; per 15 minutes	19	50	1,630	$1,010	$2.6M
T2002	Non-emergency transportation; per diem	18	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	18	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	20	40	570	$40	$58.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Sanders - School District 1	MT	Local Education Agency (LEA)	$0	$558.9K
Plains Hospital Corporation	MT	Critical Access Hospital	$0	$363.3K
Plains Community Ambulance Inc	MT	Land Ambulance	$79.6K	$8K
Emily Herndon	MT	Physical Therapist	$84.5K	$0
David Costner	MT	Nurse Practitioner	$54.3K	$0
Ross Eckstein	MT	Physical Therapist	$50.2K	$0

Little Bitterroot Services, Inc. — Billing Profile & Reimbursement Data

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Little Bitterroot Services, 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

Nearby Providers

Frequently Asked Questions

References