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.

The Cozy Nest (NPI 1669522884)

Field	Value
Entity Type	Organization
Organization	The Cozy Nest
Address	1276 N 15th Ave
City	Bozeman
State	MT
ZIP	59715
Taxonomy	Occupational Therapist
NPI Enumerated	January 11, 2007

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	10,910	$80	$905.4K
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.	7,600	$90	$714K
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…	5,280	$50	$258.7K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	150	$20	$2.9K

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

The Cozy Nest — 1 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
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…	45	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.	26	200	1,110	$60	$207.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	2	90	490	$30	$58.3K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	9	20	190	$1	$1.8K

Nearby Providers

Other providers in the same ZIP code as The Cozy Nest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$15.3M
Bozeman Health Deaconess Hospital	MT	Family Medicine Physician	$0	$7.7M
Bozeman School District #7	MT	Local Education Agency (LEA)	$0	$5.5M
Emeritus Corporation	MT	Assisted Living Facility	$0	$4.6M
Bozeman Health Deaconess Hospital	MT	General Acute Care Hospital	$0	$4.5M
Nasim Aleagha	MT	Pediatric Dentistry	$0	$3.3M
Bozeman Health Deaconess Hospital	MT	Emergency Medicine Physician	$0	$2.8M
Option Care Enterprises Inc	MT	Home Infusion Therapy Pharmacy	$0	$2.7M
Providence Mental Health PLLC	MT	Clinical Social Worker	$0	$1.9M
Hatch Pediatrics LLC	MT	Pediatrics Physician	$0	$1.7M

The Cozy Nest — Billing Profile & Reimbursement Data

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The Cozy Nest — Billing Profile & Reimbursement Data

Sign up for The Cozy Nest — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References