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.

Tendernest LLC (NPI 1417074436)

Field	Value
Entity Type	Organization
Organization	Tendernest LLC
Address	4001 Parkhill Dr
City	Billings
State	MT
ZIP	59106
Taxonomy	Assisted Living Facility
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Key Findings

TENDERNEST LLC operates as an Assisted Living Facility and its Medicaid billing pattern aligns with long‑term residential care reimbursement: the single reported Medicaid code is T2031 (Assisted living; waiver, per diem), which is a per‑diem waiver payment consistent with day‑to‑day residential support rather than discrete procedure or therapy visits. The reliance on a per‑diem waiver code suggests routine, ongoing service delivery to waiver‑eligible residents rather than episodic clinical billing.

Medicaid revenue for this provider is concentrated entirely in a single code set: the precomputed top 3 Medicaid codes account for 100.0% of its Medicaid revenue, and T2031 alone is recorded as $7.1M of revenue. That concentration indicates that Medicaid waiver per‑diem payments are the sole documented revenue stream in the dataset and that other Medicaid service lines (e.g., therapy or clinic services) are not represented in the billing on file.

Volume and payment level for the dominant code are substantial: T2031 shows 3.4K claims with an average paid per claim of $2067, producing $7.1M in revenue. The scale of 3.4K claims at $2067 per claim implies a steady, ongoing census of residents covered under waiver per‑diem reimbursement rather than infrequent, high‑intensity episodes.

Payer mix is effectively single‑payer within the available data: Medicare revenue is listed as none and the provider has no Medicare billing on file, while Medicaid revenue is $7.1M. This means analysts should treat TENDERNEST as a Medicaid‑dependent operator in the claims dataset and be cautious about drawing conclusions about its commercial or Medicare business lines, which are not represented.

State competitive standing for the Medicaid code is strong but not monopolistic: T2031 ranks #5 of 42 providers in‑state and is at the 90th percentile, which places the provider among the larger in‑state facilities for this waiver per‑diem code. At the same time the descriptor provided—"typical, unremarkable volume for this code"—suggests the provider’s activity is robust for the state market but still within expected operational norms for assisted‑living waiver payments.

Tenure in the enrollment system is long: the NPI is enumerated 2007-03-23 (approximately 19 years ago), indicating a long operational history under this NPI. For analysts assessing stability or historical contracting behavior, this extended enumeration supports the view of an established, ongoing provider rather than a recent market entrant.

The single‑code revenue profile creates operational and reimbursement sensitivity: because 100.0% of Medicaid revenue is attributed to T2031, changes to waiver policy, per‑diem rates, or eligibility in Montana could materially affect the provider’s billed Medicaid revenue. Monitoring state waiver rate updates, policy changes to per‑diem structures, or shifts in enrollment rules will be important for forecasting near‑term revenue risk for this entity.

Data limitations are material for cross‑payer comparisons: with no Medicare billing on file and all Medicaid revenue concentrated in T2031, the available claims data do not show diversification into other Medicaid or Medicare service lines. Analysts should therefore avoid extrapolating clinical breadth or multi‑payer contracting from these records and consider supplementing with state licensing, encounter data, or supplemental payer sources for a fuller picture.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	3,450	$2,070	$7.1M

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

Tendernest LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	5	40	690	$1,470	$2.1M

Nearby Providers

Other providers in the same ZIP code as Tendernest LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yellowstone Boys And Girls Ranch	MT	Adolescent and Children Mental Health Clinic/Center	$0	$8.7M
Discreet Solutions Inc.	MT	Community/Behavioral Health Agency	$0	$4.7M
Yellowstone Boys And Girls Ranch	MT	Case Management Agency	$0	$3.5M
Summit Oral Surgery & Implant Center	MT	Oral and Maxillofacial Surgery (Dentist)	$0	$2.5M
Yellowstone Boys And Girls Ranch	MT	Psychiatry Physician	$0	$1.4M
Yellowstone Boys And Girls Ranch	MT	Addiction (Substance Use Disorder) Counselor	$0	$609.5K
Courtney French	MT	Professional Counselor	$0	$484.2K
Lisa Matovich-brooke	MT	Mental Health Counselor	$0	$323K
Mt Oms Specialty Dental Services, PLLC	MT	Oral and Maxillofacial Surgery (Dentist)	$0	$234K
Costco Wholesale Corporation	MT	Community/Retail Pharmacy	$190.1K	$0

Tendernest LLC — Billing Profile & Reimbursement Data

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Tendernest LLC — 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