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.

Eastern Montana Industries (NPI 1376661926)

Field	Value
Entity Type	Organization
Organization	Eastern Montana Industries
Address	805 S Haynes Ave
City	Miles City
State	MT
ZIP	59301
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $19.9M. The absence of Medicare billing makes the organization single-payer in practice and concentrates strategic and regulatory exposure to Medicaid policy and waiver reimbursement rules.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 99.4% of this provider's total Medicaid revenue. In particular, T2017 alone represents $14.2M (71.4%) and T2021 contributes $5.4M (27.3%), meaning two habilitation codes drive the overwhelming share of receipts.

The code mix aligns with the provider's taxonomy (Developmentally Disabled Services Day Training Agency): large volumes and dollar amounts for T2017 (Habilitation, residential, waiver; 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes) indicate core operations are waiver-funded residential and day habilitation services and day training for individuals with developmental disabilities. This mix suggests day-to-day operations and staffing will be oriented around habilitation programs rather than medical procedures or acute care.

Despite the large dollar share from T2017 ($14.2M, 71.4%), the provider is not a dominant statewide player on that code: it ranks #10 of 21 providers in-state (55th percentile; typical, unremarkable volume for this code). In other words, while T2017 is this provider's revenue backbone, its utilization level is middling compared with peers rather than an extreme outlier.

On T2021 (Day habilitation, waiver), the provider reports $5.4M (27.3%) and ranks #10 of 45 providers in-state (80th percentile; typical, unremarkable volume for this code), indicating relatively stronger competitive standing in day habilitation across a larger peer set even as the statistical label remains "typical, unremarkable." This suggests the provider has a meaningful presence in day habilitation relative to many peers but is still within common utilization patterns.

Non-emergency transportation and other ancillary codes are minor revenue contributors: T2002 generated $142.5K (0.7%) and T2003 generated $100.4K (0.5%) of Medicaid revenue, and both are characterized as typical, unremarkable volumes (T2002 ranks #13 of 32, 61th percentile; T2003 ranks #14 of 39, 66th percentile). These lines appear complementary to the core habilitation services and do not materially diversify the revenue base.

Another service-coded line, T2032 (Residential care, nos, waiver; per month), is very small at $27.9K (0.1%) and ranks #20 of 20 providers in-state (0th percentile; typical, unremarkable volume for this code), suggesting limited engagement in month-based residential billing relative to peers and little revenue insulation from the dominant habilitation codes.

The provider shows long tenure in the market with an NPI enumerated on 2007-03-26 (~19 years ago), indicating established operations and experience navigating state waiver programs. That longevity combined with very high revenue concentration in waiver habilitation services highlights both operational stability and vulnerability to changes in Medicaid waiver reimbursement or program enrollment dynamics.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	2,670	$5,310	$14.2M
T2021	Day habilitation, waiver; per 15 minutes	3,800	$1,430	$5.4M
T2002	Non-emergency transportation; per diem	1,720	$80	$142.5K
T2003	Non-emergency transportation; encounter/trip	2,790	$40	$100.4K
T2032	Residential care, not otherwise specified (nos), waiver; per month	40	$750	$27.9K

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

Eastern Montana Industries — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	10	20	2,530	$4,970	$13.2M
T2021	Day habilitation, waiver; per 15 minutes	10	50	1,630	$1,010	$2.6M
T2032	Residential care, not otherwise specified (nos), waiver; per month	20	20	1,120	$830	$1M
T2002	Non-emergency transportation; per diem	13	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	14	40	2,180	$30	$78K

Nearby Providers

Other providers in the same ZIP code as Eastern Montana Industries, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Montana Community Mental Health Center	MT	Clinic/Center	$0	$13.7M
Miles City Public Schools	MT	Local Education Agency (LEA)	$0	$4.6M
Developmental Educational Assistance Program	MT	Local Education Agency (LEA)	$0	$1.4M
Eastern Mt Community Mental Health Cdu Prog	MT	Clinic/Center	$0	$956.4K
Carrie David	MT	Professional Counselor	$0	$652.1K
Yerger Family Dental, PC	MT	Dentist	$0	$570K
Holy Rosary Healthcare	MT	Critical Access Hospital	$0	$564.7K
Miles City Vision Clinic P C	MT	Optometrist	$0	$563.3K
Pamela Colombik	MT	Mental Health Counselor	$0	$418.5K
Tabitha Williams	MT	Clinical Social Worker	$0	$406.5K

Eastern Montana Industries — Billing Profile & Reimbursement Data

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Eastern Montana Industries — 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