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.

Easterseals-goodwill Northern Rocky Mountain, Inc. (NPI 1326137381)

Field	Value
Entity Type	Organization
Organization	Easterseals-goodwill Northern Rocky Mountain, Inc.
Address	4400 Central Ave
City	Great Falls
State	MT
ZIP	59405
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based at $7.4M. The absence of Medicare activity indicates payer concentration on state Medicaid programs rather than Medicare fee-for-service lines.

The provider has an established presence in the market, with its NPI enumerated on 2006-10-11 (~20 years ago), indicating roughly two decades of enrollment and operational tenure under this taxonomy. This longevity supports a mature relationship with state Medicaid systems and likely stable program licensing.

Revenue is highly concentrated in a small set of Medicaid codes: the top 3 Medicaid codes by revenue account for 97.7% of this provider's total Medicaid revenue, with T2021 representing 75.8% of Medicaid revenue, T2032 representing 14.5%, and H2025 representing 7.3%. This concentration signals heavy reliance on day habilitation and residential/employment support services for the bulk of cashflow, creating exposure if funding or utilization patterns change for any of these three codes.

The code mix confirms a developmental-disability services operating model: T2021 (Day habilitation, waiver; per 15 minutes) as the dominant code points to time-based, programmatic day services and habilitation activities, while T2032 (Residential care, NOS, waiver; per month) and H2025 (Ongoing support to maintain employment, per 15 minutes) indicate a combined emphasis on residential supports and employment-maintenance supports. Together these codes imply the organization runs day program services, residential placements, and employment-support interventions typical of Developmentally Disabled Services Day Training Agency taxonomies.

Competitive standing is mixed across service lines within the state: the provider ranks #6 of 45 for T2021 (89th percentile; notably above typical state volume for this code), indicating a strong position in day habilitation statewide. By contrast, T2032 ranks #7 of 20 (68th percentile; typical, unremarkable volume) and H2025 ranks #5 of 15 (71th percentile; typical, unremarkable volume), reflecting more modest, routine positioning in residential care and employment-support niches.

Non-core transportation codes contribute only minor shares of revenue but show varied competitive placement: T2002 generated $95.3K (1.3% of Medicaid revenue) and ranks #20 of 32 (39th percentile), T2003 generated $47.4K (0.6%) and ranks #21 of 39 (47th percentile), while T2004 generated $31.4K (0.4%) and ranks #2 of 7 (83th percentile). These amounts suggest transportation is a peripheral revenue stream for the provider overall, though the relatively high rank for T2004 indicates a local specialization in that specific transport modality despite its small absolute dollar impact.

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	6,710	$840	$5.6M
T2032	Residential care, not otherwise specified (nos), waiver; per month	1,420	$760	$1.1M
H2025	Ongoing support to maintain employment, per 15 minutes	1,380	$390	$543.1K
T2002	Non-emergency transportation; per diem	910	$110	$95.3K
T2003	Non-emergency transportation; encounter/trip	1,980	$20	$47.4K
T2004	Non-emergency transport; commercial carrier, multi-pass	1,210	$30	$31.4K

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

Easterseals-goodwill Northern Rocky Mountain, 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
T2021	Day habilitation, waiver; per 15 minutes	6	50	1,630	$1,010	$2.6M
T2032	Residential care, not otherwise specified (nos), waiver; per month	7	20	1,120	$830	$1M
H2025	Ongoing support to maintain employment, per 15 minutes	5	20	940	$590	$609.8K
T2002	Non-emergency transportation; per diem	20	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	21	40	2,180	$30	$78K
T2004	Non-emergency transport; commercial carrier, multi-pass	2	10	660	$80	$49.1K

Nearby Providers

Other providers in the same ZIP code as Easterseals-goodwill Northern Rocky Mountain, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benefis Hospitals Inc	MT	Multi-Specialty Clinic/Center	$0	$38.2M
Great Falls Public Schools	MT	Local Education Agency (LEA)	$0	$15M
Great Falls Pediatric Dentistry, LLC	MT	Pediatric Dentistry	$0	$14.9M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$13.2M
Great Falls Clinic LLC	MT	Multi-Specialty Clinic/Center	$0	$11.2M
Levi C Maltby Dmd P.C.	MT	Dentist	$0	$6M
Great Falls Emergency Services Inc	MT	Land Ambulance	$842.6K	$4.4M
Benefis Hospitals, Inc.	MT	Air Ambulance	$0	$5.2M
Easterseals Goodwill N. Rocky Mtn	MT	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Benefis Hospitals, Inc.	MT	General Acute Care Hospital	$0	$3.5M

Easterseals-goodwill Northern Rocky Mountain, Inc. — Billing Profile & Reimbursement Data

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Easterseals-goodwill Northern Rocky Mountain, 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