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.

Intermountain Deaconess Home (NPI 1518954106)

Field	Value
Entity Type	Organization
Organization	Intermountain Deaconess Home
Address	500 S. Lamborn St.
City	Helena
State	MT
ZIP	59601
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	September 29, 2005

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: Total Medicaid revenue is $11.9M and there is no Medicare billing on file. The absence of Medicare activity indicates the organization’s commercial footprint, for Medicare at least, is either non-existent or not reported in the claims data set.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 67.1% of the provider’s total Medicaid revenue. The leading code S5145 generates $4.6M (38.7%), followed by T1016 at $1.8M (15.4%) and H2019 at $1.5M (13.0%), which together create a narrow revenue base focused on a few program types.

The code mix aligns with a residential and intensive behavioral-health operation: S5145 (Foster care, therapeutic, child; per diem) as the single largest revenue source supports a per‑diem residential foster care model, while T1016 (case management) and H2019 (therapeutic behavioral services, per 15 minutes) point to heavy care coordination and time‑based therapy delivery. The presence of H2012 (behavioral health day treatment, per hour), 97530 (therapy per 15 minutes), and psychotherapy/outpatient E/M codes indicates the site also bills for day treatment, therapy, and clinic-based encounters alongside residential services.

Competitive standing by in‑state ranks is mixed but generally indicates above‑average activity within Montana for key services. S5145 ranks #3 of 8 (71th percentile) so the provider is a top‑three in a small pool for foster care per‑diem; T1016 ranks #9 of 53 (85th percentile) and H2019 ranks #10 of 36 (74th percentile), yet the dataset describes volumes for these codes as "typical, unremarkable volume for this code," suggesting the provider is a meaningful regional participant without an extreme outlier profile.

Claim volumes reflect sustained, high‑frequency service delivery: 47K claims for T1016, 27.6K claims for H2012, 17.4K claims for H2019, and 15.6K claims for S5145. Those claim counts, coupled with the dollar amounts cited, indicate recurring, time‑based service utilization (case management and per‑15‑minute therapy) rather than one‑off high‑value procedures.

Outpatient and telehealth activity exist but represent smaller revenue streams relative to residential/day treatment lines. Q3014 (telehealth originating site) accounts for 867 claims and $22.5K revenue, while 99214 office visits produce $792.9K (6.7% of Medicaid revenue), indicating some clinic‑based evaluation and management capacity but not the primary revenue engine.

The revenue concentration in per‑diem and time‑based behavioral codes creates exposure to Medicaid policy or rate changes targeting foster care placements, case management, or billed minutes of therapy. Given that the top three codes drive 67.1% of Medicaid revenue, payer or programmatic shifts affecting those codes could disproportionately affect the provider’s financials.

This entity has an established presence: NPI enumerated 2005-09-29 (~21 years ago), which supports that it is a longstanding provider in Montana. Coupled with relatively small statewide provider pools for core codes (for example, only 8 providers billing S5145), this tenure and specialization suggest a focused regional role in residential behavioral health for children.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	15,630	$290	$4.6M
T1016	Case management, each 15 minutes	47,010	$40	$1.8M
H2019	Therapeutic behavioral services, per 15 minutes	17,360	$90	$1.5M
H2012	Behavioral health day treatment, per hour	27,640	$50	$1.5M
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.	11,960	$80	$968.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	6,100	$130	$792.9K
H2020	Therapeutic behavioral services, per diem	2,490	$120	$308.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	6,930	$20	$110.8K
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…	1,080	$60	$60.7K
99443	N/A	380	$100	$39.4K

Showing 1–10 of 20

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

Intermountain Deaconess Home — 0 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	3	10	10,460	$230	$12.3M
H2012	Behavioral health day treatment, per hour	8	20	27,640	$60	$2M
H2020	Therapeutic behavioral services, per diem	6	10	1,970	$120	$1.7M
T1016	Case management, each 15 minutes	9	50	2,720	$50	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	10	40	3,280	$50	$759.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	62	530	580	$70	$224.6K
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…	104	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.	18	200	1,110	$60	$207.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	412	520	730	$40	$196.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	844	1,200	750	$80	$143.2K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intermountain Deaconess Home For Children	MT	Psychologist	$0	$1.7M
Intermountain Sbs	MT	Community/Behavioral Health Agency	$0	$606.1K
Dawnell Blood	MT	Clinical Social Worker	$0	$581.4K
Kymberlie Bailey	MT	Professional Counselor	$0	$304K
Kelly Killham	MT	Clinical Social Worker	$0	$227.6K

Nearby Providers

Other providers in the same ZIP code as Intermountain Deaconess Home, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Mont	MT	Adult Care Home Facility	$0	$34.7M
County Of Lewis & Clark Lewis & Clark County School District #1	MT	Local Education Agency (LEA)	$0	$10.8M
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

Intermountain Deaconess Home — Billing Profile & Reimbursement Data

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Intermountain Deaconess Home — 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