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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Hit Inc. (NPI 1558961391)

Field	Value
Entity Type	Organization
Organization	Hit Inc.
Address	1007 18th St Nw
City	Mandan
State	ND
ZIP	58554
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 30, 2020

Payer Source	Total Paid
Medicaid	$27.7M
Medicare	$0

Key Findings

HIT INC. is effectively a Medicaid-focused provider: it reports $27.7M in lifetime Medicaid revenue and has no Medicare billing on file, making Medicaid its sole payer source in the available data. The provider’s NPI was enumerated on 2020-10-30 (~6 years ago), indicating it has been billing under this enrollment for several years.

Revenue is extremely concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 99.8% of the provider’s total Medicaid revenue. This high concentration means a handful of service lines drive almost all recorded Medicaid income.

T2016 is the single largest revenue driver, accounting for $14.4M (52.1% of the provider’s Medicaid revenue) across 43K claims at an average paid amount of $335 per claim. The code description (Habilitation, residential, waiver; per diem) and the claim volume indicate the organization operates substantial residential habilitation/waiver per-diem services, and the provider ranks #10 of 29 in-state (68th percentile), which the source characterizes as typical, unremarkable volume for this code.

W0725 is the second-largest revenue source, generating $13M (46.9% of Medicaid revenue) from about 2.4K claims with a very high average paid/claim of $5425; no description is available for this code in the file. The unusually high average payment per claim suggests a high-dollar or bundled service line within the provider’s Medicaid business, but its in-state rank of #11 of 25 (58th percentile) indicates this is a typical, unremarkable volume level relative to peers.

Smaller codes T2017 and W0730 together represent tiny shares of revenue (T2017: $227.2K, 0.8% of Medicaid revenue; W0730: $44.7K, 0.2% of Medicaid revenue) and have low in-state standings (T2017 #10 of 12, 18th percentile; W0730 #9 of 11, 20th percentile). These codes appear to be marginal lines for this provider and are described in the source data as typical, unremarkable volumes for those codes.

Competitively, HIT INC. is a modest in-state participant rather than a statewide leader: its rank and percentile positions for its top Medicaid codes (68th and 58th percentiles for the two largest codes) place the provider near the middle of peers rather than at the top. There is no Medicare presence on file, so the provider’s competitive profile should be assessed solely within the Medicaid market.

From a business risk and operational planning perspective, the provider is heavily dependent on a couple of service lines: T2016 and W0725 individually account for 52.1% and 46.9% of Medicaid revenue, respectively. That dependence creates concentrated exposure to rate changes, policy shifts, or utilization changes affecting residential habilitation/waiver per-diem services and whatever high-dollar service W0725 represents.

The code mix aligns with the Taxonomy designation (Community/Behavioral Health Agency) and points to an operational model focused on residential habilitation and waiver-related services; high claim counts for per-diem habilitation and a separate high-dollar code with large average payments indicate the provider likely combines high-volume residential support with one or more specialized or high-cost packaged services under Medicaid.

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
T2016	Habilitation, residential, waiver; per diem	43,030	$340	$14.4M
W0725	N/A	2,390	$5,430	$13M
T2017	Habilitation, residential, waiver; 15 minutes	1,940	$120	$227.2K
W0730	N/A	60	$730	$44.7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Dakota Distribution

Hit Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	30	21,220	$400	$14.1M
W0725	N/A	11	30	1,380	$2,520	$9.9M
T2017	Habilitation, residential, waiver; 15 minutes	10	10	4,870	$100	$1M
W0730	N/A	9	10	130	$530	$107.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Goodwill Nd, Inc.	ND	Community/Behavioral Health Agency	$0	$70.5M
Hit Inc.	ND	Community/Behavioral Health Agency	$0	$55.1M
Prairie Rose Family Dentists	ND	Dentist	$0	$1.6M
Kids In Motion Inc	ND	Physical Therapy Clinic/Center	$0	$1.5M
Easter Seals Goodwill Nd, Inc.	ND	In Home Supportive Care Agency	$0	$1M
Western Plains Public Health	ND	Public Health or Welfare Agency	$68.7K	$174.6K
Carter Chiropractic P C	ND	Chiropractor	$0	$187.2K
Mcbw Chiropractic PC	ND	Chiropractor	$0	$160.7K
Laura Archuleta	ND	Family Medicine Physician	$133.3K	$0
Transitions Healthcare PLLC	ND	Clinic/Center	$0	$95.2K

Hit Inc. — Billing Profile & Reimbursement Data

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Hit 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