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.

Big Sandy Activities, Inc. (NPI 1457498552)

Field	Value
Entity Type	Organization
Organization	Big Sandy Activities, Inc.
Address	142 Great Northern Ave.
City	Big Sandy
State	MT
ZIP	59520
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Key Findings

BIG SANDY ACTIVITIES, INC. is effectively a single-payer Medicaid provider: it reports no Medicare billing on file and $6.1M in lifetime Medicaid revenue, indicating its operations and revenue stream are overwhelmingly Medicaid-dependent. The absence of Medicare billing suggests its services and client base are focused on Medicaid-eligible populations rather than Medicare-eligible beneficiaries.

Revenue is highly concentrated in a narrow set of habilitation services: the precomputed top three Medicaid codes account for 99.9% of this provider's total Medicaid revenue. In particular, T2017 and T2021 together make up the vast majority of income, signaling concentration risk if reimbursement or utilization for those codes changes.

T2017 (Habilitation, residential, waiver; 15 minutes) is the single largest revenue driver with $4.1M in revenue, 770 claims, and a high average paid/claim of $5362, representing 67.5% of the provider's Medicaid revenue. Despite generating the majority of revenue, the provider ranks #18 of 21 in-state (15th percentile), a position characterized in the data as a typical, unremarkable volume for this code rather than a dominant market share.

T2021 (Day habilitation, waiver; per 15 minutes) is the second-largest driver with $1.9M in revenue from 1.1K claims and an average paid/claim of $1796, accounting for 31.8% of Medicaid revenue. The provider ranks #29 of 45 in-state (36th percentile) on this code, which the peer comparison also labels as typical and unremarkable—indicating modest, not market-leading, participation in day habilitation services statewide.

T2003 (Non-emergency transportation; encounter/trip) and T2028 (Specialized supply, not otherwise specified, waiver) together contribute a negligible share of revenue ($37K and $5.5K respectively, 0.6% and 0.1% of Medicaid revenue). Both codes have low percentile standings—T2003 ranks #32 of 39 (18th percentile) and T2028 ranks #29 of 38 (24th percentile)—which underscores that transportation and specialized supplies are ancillary revenue lines for this agency rather than core services.

From a service-line perspective, the code mix (primarily T2017 and T2021) is consistent with a provider operating residential and day habilitation programs for individuals with developmental disabilities, matching its taxonomy as a Developmentally Disabled Services Day Training Agency. The high per-claim payment on T2017 combined with the large share of revenue in habilitation services implies operational emphasis on intensive, programmatic care rather than high volumes of low-cost encounters.

The provider has an established presence with an NPI enumerated on 2007-01-30 (~19 years ago), indicating long tenure in the market. However, statewide competitive metrics suggest it is a modest participant on its top codes rather than a dominant provider, so strategic opportunities would likely center on scaling existing habilitation services or diversifying beyond the two revenue-driving codes to reduce concentration risk.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	770	$5,360	$4.1M
T2021	Day habilitation, waiver; per 15 minutes	1,080	$1,800	$1.9M
T2003	Non-emergency transportation; encounter/trip	880	$40	$37K
T2028	Specialized supply, not otherwise specified, waiver	150	$40	$5.5K

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

Big Sandy Activities, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	18	20	2,530	$4,970	$13.2M
T2021	Day habilitation, waiver; per 15 minutes	29	50	1,630	$1,010	$2.6M
T2003	Non-emergency transportation; encounter/trip	32	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	29	40	570	$40	$58.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zane Bendig	MT	Nurse Practitioner	$26K	$0

Big Sandy Activities, Inc. — Billing Profile & Reimbursement Data

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Big Sandy Activities, 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