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.

County Of Lewis & Clark Lewis & Clark County School District #1 (NPI 1376608109)

Field	Value
Entity Type	Organization
Organization	County Of Lewis & Clark Lewis & Clark County School District #1
Address	1325 Poplar St
City	Helena
State	MT
ZIP	59601
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	December 22, 2006

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports Total Medicaid revenue: $10.8M, making it effectively a Medicaid-focused, single-payer biller in the federal claims datasets supplied. Analysts should treat Medicaid activity as the primary operational footprint when evaluating this entity.

Medicaid revenue is highly concentrated: the precomputed top 3 codes account for 95.4% of Total Medicaid revenue, driven overwhelmingly by H0036 which generates $9.1M (84.1% of Medicaid revenue). The remaining top codes 92507 ($653.9K, 6.1%) and T1019 ($555.3K, 5.1%) together comprise most of the remainder of the billed dollars.

The code mix points to school-based behavioral health and therapy services as the core service lines: H0036 is Community psychiatric supportive treatment (face-to-face, per 15 minutes), while 92507 and 92508 are speech–language therapy codes and T1019 is personal care services (per 15 minutes). Combined, these codes are consistent with Local Education Agency operations delivering frequent, short-interval behavioral health, speech-language pathology, and personal care supports to students.

This provider is a leading in-state supplier of community psychiatric supportive treatment: H0036 has 101.9K claims, $89 avg paid/claim, and ranks #4 of 90 providers in-state (97th percentile), described as notably above typical state volume. That rank and claim volume indicate a major operational focus and competitive strength in outpatient/community psychiatric services within Montana.

Speech-language services represent a substantial secondary line: 92507 has 18.7K claims and $653.9K revenue (6.1% of Medicaid revenue) and ranks #10 of 147 providers (94th percentile; notably above typical state volume), while 92508 has 35.6K claims and $391.8K revenue (3.6% of Medicaid revenue) and ranks #1 of 50 providers (100th percentile; extreme outlier). The combination of high claim counts and top state ranks for group and individual speech codes suggests a dominant school-based SLP program relative to peers.

T1019 (personal care services) appears as a consistent programmatic offering: it has 8.3K claims, $67 avg paid/claim, $555.3K revenue (5.1% of Medicaid revenue) and ranks #14 of 38 providers (65th percentile), reflecting routine, expected utilization rather than an unusually large statewide share. This placement signals that personal care is an operational component but not the primary revenue driver.

Payment and utilization dynamics show low-to-moderate per-claim rates with high frequency: H0036 averages $89 paid/claim, 92507 averages $35 paid/claim, and T1019 averages $67 paid/claim, indicating revenue is produced by volume of short-interval services rather than high per-encounter reimbursements. For payers, this implies contract and utilization management should focus on encounter volume and session-level controls.

The provider’s NPI was enumerated on 2006-12-22 (~20 years ago), indicating long-tenured participation in Medicaid billing; that tenure helps explain accumulated claim totals such as the 101.9K H0036 claims and supports expectations of an established, programmatic service delivery model tied to its Local Education Agency role.

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
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	101,940	$90	$9.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	18,680	$40	$653.9K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8,290	$70	$555.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	35,610	$10	$391.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,860	$30	$100.4K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	950	$10	$7.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	20	$110	$1.6K

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

County Of Lewis & Clark Lewis & Clark County School District #1 — 2 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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	14	40	6,240	$130	$14.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	4	90	5,740	$80	$1.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10	150	2,760	$40	$224.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	54	200	1,110	$60	$207.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	1	50	3,530	$10	$61.6K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	5	20	550	$10	$9.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	19	30	30	$100	$8.2K

Nearby Providers

Other providers in the same ZIP code as County Of Lewis & Clark Lewis & Clark County School District #1, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Mont	MT	Adult Care Home Facility	$0	$34.7M
Intermountain Deaconess Home	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.9M
Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.9M
Montana Children's Home & Hospital	MT	General Acute Care Hospital	$0	$8.7M
Region Iv Family Outreach, Inc	MT	Case Manager/Care Coordinator	$0	$7.3M
Lewis And Clark Emergency Physicians P C	MT	Emergency Medicine Physician	$0	$6.6M
Montana Independent Living Project	MT	In Home Supportive Care Agency	$0	$6M
St. Peter's Health	MT	Family Medicine Physician	$0	$5.2M
Edgewood Helena Senior Living LLC	MT	Assisted Living Facility	$0	$4.7M
Montana Surgery Center	MT	Ambulatory Surgical Clinic/Center	$0	$4.6M

County Of Lewis & Clark Lewis & Clark County School District #1 — Billing Profile & Reimbursement Data

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County Of Lewis & Clark Lewis & Clark County School District #1 — 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