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.

Hkj Inc (NPI 1558483206)

Field	Value
Entity Type	Organization
Organization	Hkj Inc
Address	3000 Palmer St Ste B
City	Missoula
State	MT
ZIP	59808
Taxonomy	Case Management Agency
NPI Enumerated	April 4, 2007

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Key Findings

HKJ INC is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $11.6M, indicating near‑exclusive reliance on Medicaid as the revenue source for this entity. This concentration in a single program is a central feature of the provider’s financial profile.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 87.7% of the provider’s total Medicaid revenue, led by T1016 ($6M, 51.5%), followed by T2016 ($2.8M, 24.0%) and 90837 ($1.4M, 12.3%). Those three codes together drive the bulk of cash flow for the organization.

The code mix is consistent with a Case Management Agency that also delivers residential habilitation and intensive behavioral health treatment: heavy billing for T1016 (case management) and T2016 (habilitative residential waiver) paired with large-volume psychotherapy billing (90837) signals operations spanning care coordination, residential support, and high‑intensity psychotherapy. Additional codes such as H2014 (skills training), 90853 (group psychotherapy), and Q3014 (telehealth originating site) support a mix of community‑based and behavioral health services.

Competitive standing varies by code: T1016 ranks #3 of 53 providers in‑state (96th percentile) but is described in the source as “typical, unremarkable volume for this code,” and T2016 ranks #2 of 10 (89th percentile) also labeled “typical, unremarkable volume.” By contrast, 90837 is an “extreme outlier,” ranking #11 of 1203 providers in‑state (99th percentile), which indicates statewide scale in long psychotherapy sessions far above typical provider volume.

Telehealth and group therapy are meaningful components of the service footprint: Q3014 shows 7.2K claims and $136.2K revenue (1.2% of Medicaid revenue) and ranks #6 of 55 in‑state (91th percentile), indicating a substantive originating‑site presence, while 90853 has 17.6K claims and $264.7K revenue (2.3%) and ranks #5 of 106 (96th percentile), described as “notably above typical state volume.” These patterns suggest both individual and group modalities plus telehealth infrastructure.

The provider demonstrates breadth across psychotherapy modalities and initial evaluations: claims and revenue for 90832 ($313.2K, 2.7%; rank #9 of 167, 95th percentile), 90834 ($114.8K, 1.0%; rank #43 of 232, 82th percentile), 90833 ($46.1K, 0.4%; rank #17 of 61, 73th percentile) and 90791 ($143.4K, 1.2%; rank #20 of 190, 90th percentile) indicate capacity to deliver short, mid, and long psychotherapy sessions and intake evaluations in addition to case management.

HKJ INC has an established operational tenure: the NPI was enumerated on 2007-04-04 (~19 years ago), which supports interpretation of the current billing mix as the product of a long‑standing Medicaid practice rather than a recent entrant. The longevity combined with concentrated Medicaid revenue suggests institutional experience with state behavioral health and waiver programs.

The provider’s business risk is focused around a few high‑impact Medicaid services: with the single largest code T1016 representing $6M (51.5%) and the top three codes comprising 87.7% of Medicaid revenue, reimbursement changes or policy shifts affecting case management, residential habilitation (T2016), or long psychotherapy sessions (90837) would likely have outsized effects on cash flow. Diversification away from those top codes is limited based on the current payer and code mix.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	106,330	$60	$6M
T2016	Habilitation, residential, waiver; per diem	18,130	$150	$2.8M
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…	16,540	$90	$1.4M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,120	$40	$313.2K
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…	17,640	$20	$264.7K
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…	3,010	$70	$223K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,540	$90	$143.4K
H2014	Skills training and development, per 15 minutes	4,170	$30	$141.6K
Q3014	Telehealth originating site facility fee	7,170	$20	$136.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,980	$60	$114.8K

Showing 1–10 of 16

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

Hkj Inc — 5 of 15 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	10	2,300	$460	$3.2M
T1016	Case management, each 15 minutes	3	50	2,720	$50	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	35	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…	102	530	580	$70	$224.6K
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…	287	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…	11	1,200	750	$80	$143.2K
H2014	Skills training and development, per 15 minutes	1	10	1,050	$70	$115K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	17	60	380	$70	$91.2K
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…	5	110	1,250	$10	$50.5K
99204	The provider sees a new 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 provider…	71	130	100	$120	$49.4K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hkj Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
May Victor	MT	Psychiatric/Mental Health Nurse Practitioner	$33.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct Care Network Virginia	MT	Home Health Agency	$0	$2.1B
Consumer Direct Personal Care, LLC	MT	In Home Supportive Care Agency	$0	$49.1M
We Care Behavioral Health LLC	MT	Clinic/Center	$0	$14.8M
Partners In Home Care, Inc	MT	Nursing Care Agency	$0	$13M
Sunburst Health LLC	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Welltower Tenant Group LLC	MT	Assisted Living Facility	$0	$3.8M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$3.8M
County Of Missoula School Dist 4	MT	Local Education Agency (LEA)	$0	$3.4M
Nightingale Nursing Service, Inc	MT	Nursing Care Agency	$0	$3.1M

Hkj Inc — Billing Profile & Reimbursement Data

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Hkj 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