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.

Aware Inc (NPI 1427003862)

Field	Value
Entity Type	Organization
Organization	Aware Inc
Address	205 E Park Ave
City	Anaconda
State	MT
ZIP	59711
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$140.3M
Medicare	$0

Key Findings

AWARE INC is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue on the record is $140.3M. Its NPI was enumerated on 2006-05-24 (~20 years ago), indicating an established operating history in the state market.

Revenue is highly concentrated in a small set of waiver and foster‑care services: the precomputed top 3 Medicaid codes by revenue account for 57.8% of this provider's total Medicaid revenue. The top three are T2017 ($32.3M, 23.0%), S5145 ($28.1M, 20.1%), and T2013 ($20.6M, 14.7%), together representing a majority of billed Medicaid dollars.

The code mix signals that AWARE INC operates primarily as a community/behavioral health agency delivering residential habilitation, foster‑care therapeutic services for children, and structured habilitation programs: T2017 is Habilitation, residential, waiver; S5145 is Foster care, therapeutic, child; and T2013 is Habilitation, educational, waiver. Heavy use of per‑diem and per‑15‑minute habilitation and foster‑care codes suggests bed‑based and day‑program operations alongside extensive case/plan management.

AWARE INC is a dominant in‑state provider for several high‑value habilitation and residential codes. T2017 ranks #1 of 21 providers in-state and is labeled an "extreme outlier," while T2021 (day habilitation) and T2016 (residential per diem) also rank #1 of their peer sets (100th percentile; described as "notably above typical state volume"). In contrast, S5145 and T2013 rank in high but not outlier percentiles (#2 of 8 at 86th percentile and #2 of 17 at 94th percentile respectively), indicating strong but more competitive positions for foster‑care and educational habilitation.

Beyond the top three, the provider bills a broad suite of behavioral‑health and support services that indicate comprehensive service lines: high volumes appear in S5145 (147.8K claims), T1016 case management (86K claims, $3.9M), H2019/H2020 therapeutic behavioral services, and H0032 plan development ($6.6M). The presence of transportation codes T2003/T2002 and telehealth originating site Q3014 further indicates operational breadth spanning day programs, non‑emergency transport, and remote access components.

This concentration profile creates both operational scale and revenue risk: a majority of Medicaid dollars flow from a few waiver and foster‑care codes, so changes to payment rates, utilization rules, or authorization for T2017/S5145/T2013 could materially affect revenue. Conversely, the large absolute dollar volumes for those codes (e.g., $32.3M for T2017 and $28.1M for S5145) also reflect scale that could be leveraged for contracting or program expansion.

Several codes where AWARE ranks #1 or in the top percentiles point to notable competitive advantages in Montana’s market for specific service types. Examples include T2017 (extreme outlier), T2021 and T2016 (both 100th percentile; notably above typical state volume), and H0032/H2032/H0046 where the provider likewise ranks #1 among small peer sets, suggesting niche leadership in structured habilitation, plan development, and activity therapy.

Operational intensity is reflected in both high per‑claim payments for some services and very large claim counts for others: T2013 shows a high avg paid/claim ($4953) with 4.2K claims generating $20.6M, while S5145 drives scale through volume (147.8K claims, $28.1M). This mix of high‑unit‑value services and very high‑volume per‑diem billing indicates a blended business model combining resource‑intensive habilitation programs and high‑throughput day or foster‑care placements.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	10,780	$2,990	$32.3M
S5145	Foster care, therapeutic, child; per diem	147,840	$190	$28.1M
T2013	Habilitation, educational, waiver; per hour	4,170	$4,950	$20.6M
T2021	Day habilitation, waiver; per 15 minutes	10,360	$920	$9.6M
H2020	Therapeutic behavioral services, per diem	49,330	$190	$9.1M
T2016	Habilitation, residential, waiver; per diem	28,860	$280	$8.1M
H0032	Mental health service plan development by non-physician	18,330	$360	$6.6M
H0040	Assertive community treatment program, per diem	32,960	$160	$5.1M
T1016	Case management, each 15 minutes	85,990	$50	$3.9M
S5102	Day care services, adult; per diem	16,890	$220	$3.7M

Showing 1–10 of 39

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

Aware Inc — 8 of 25 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	1	20	2,530	$4,970	$13.2M
S5145	Foster care, therapeutic, child; per diem	2	10	10,460	$230	$12.3M
H0040	Assertive community treatment program, per diem	3	10	32,960	$330	$11M
S5102	Day care services, adult; per diem	4	10	16,590	$280	$7.2M
T2013	Habilitation, educational, waiver; per hour	2	20	770	$2,020	$5.2M
T2016	Habilitation, residential, waiver; per diem	1	10	2,300	$460	$3.2M
T2021	Day habilitation, waiver; per 15 minutes	1	50	1,630	$1,010	$2.6M
H2012	Behavioral health day treatment, per hour	7	20	27,640	$60	$2M
S5100	Day care services, adult; per 15 minutes	2	10	1,530	$440	$2M
H2020	Therapeutic behavioral services, per diem	2	10	1,970	$120	$1.7M

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aware Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andree Gasper Wock	MT	Clinical Social Worker	$0	$555K
Patricia White	MT	Physician Assistant	$27.1K	$0
Jane Mergy	MT	Family Nurse Practitioner	$21.5K	$0
Jill Buck	MT	Psychiatric/Mental Health Nurse Practitioner	$11.8K	$0
Katherine Bugni	MT	Psychiatric/Mental Health Nurse Practitioner	$7.4K	$0
Chelsea Boggess	MT	Clinical Social Worker	$6.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anaconda School District	MT	Local Education Agency (LEA)	$0	$1.5M
Community Hospital Of Anaconda	MT	Pediatric Adolescent Medicine Physician	$0	$1.4M
Leonard E. Vainio & David G. Vainio PC	MT	Optometrist	$0	$1.1M
Community Hospital Of Anaconda	MT	Family Medicine Physician	$0	$1.1M
Community Hospital Of Anaconda	MT	Critical Access Hospital	$0	$1.1M
Northwest Ehr Collaborative Inc.	MT	Internal Medicine Physician	$0	$982.6K
Pintler Health & Rehab, LLC	MT	Physical Therapist	$0	$614.4K
Anaconda Oxygen Service	MT	Durable Medical Equipment & Medical Supplies	$0	$542K
Lorena Craig	MT	Professional Counselor	$0	$286.2K
Jill Johnson	MT	Dental Hygienist	$0	$260.5K

Aware Inc — Billing Profile & Reimbursement Data

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Aware 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

Related Providers

Nearby Providers

Frequently Asked Questions

References