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.

Havre Day Activity Center, Inc (NPI 1669550430)

Field	Value
Entity Type	Organization
Organization	Havre Day Activity Center, Inc
Address	235 1st St W
City	Havre
State	MT
ZIP	59501
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

Key Findings

HAVRE DAY ACTIVITY CENTER, INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $16.6M in Medicaid revenue, indicating operations are funded almost entirely through Medicaid programs rather than Medicare. This concentration in a single payer should frame any competitive or reimbursement risk analysis.

Revenue is highly concentrated in a narrow set of Medicaid habilitation services: the precomputed top-3 Medicaid codes (T2017, T2021, T2002) account for 99.5% of the provider's Medicaid revenue. T2017 alone accounts for 71.2% of Medicaid revenue and T2021 accounts for 27.5%, so the vast majority of dollars flow through these habilitation/day habilitation waiver codes.

The code mix and average paid-per-claim values signal a day habilitation and residential habilitation operation: T2017 (Habilitation, residential, waiver; 15 minutes) shows 2.5K claims with a $4669 avg paid/claim and $11.8M revenue, while T2021 (Day habilitation, waiver; per 15 minutes) shows 2.8K claims with a $1629 avg paid/claim and $4.6M revenue. Those per-claim averages, combined with the code descriptions, are consistent with bundled or aggregated billing for extended habilitation services rather than isolated short services.

On competitive standing for the largest revenue driver, T2017 the provider ranks #11 of 21 in-state (50th percentile), indicating a middle-of-the-pack position for residential habilitation; its volume for this code is described as typical and is not an outlier in the state market. This suggests the provider is a stable participant but not a statewide leader on T2017.

For day habilitation, T2021 ranks #16 of 45 providers in-state (66th percentile), which places the provider modestly above the median but still within a typical range; this ranking implies it is a meaningful local participant in day habilitation services without being a dominant market incumbent. The characterization provided in the data labels this volume as typical and unremarkable.

Non-emergency transportation appears as a consistent ancillary service rather than a primary revenue line: T2002 (Non-emergency transportation; per diem) has 1.9K claims, $68 avg paid/claim and $131.6K revenue (0.8% of Medicaid revenue) and ranks #8 of 32 (77th percentile), while T2003 (Non-emergency transportation; encounter/trip) has 3.5K claims, $24 avg paid/claim and $84.2K revenue (0.5% of Medicaid revenue) and ranks #9 of 39 (79th percentile). These high claim counts but low revenue shares indicate transportation is operationally significant for service delivery but not a major payment driver.

The provider's NPI was enumerated on 2006-11-01 (approximately 20 years ago), which signals an established presence in the Montana Medicaid habilitation market and suggests organizational stability when viewed alongside the multi-year revenue totals. Long tenure combined with concentrated code utilization is consistent with a focused service model that has persisted over time.

The extreme concentration of revenue in two habilitation codes creates policy and reimbursement sensitivity: because T2017 and T2021 together account for the bulk of Medicaid dollars, any changes to waiver program rules, rate-setting, or utilization controls for these codes could materially affect the provider's financials. This concentration represents both an operational focus and a potential vulnerability to waiver-level policy changes.

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	2,530	$4,670	$11.8M
T2021	Day habilitation, waiver; per 15 minutes	2,800	$1,630	$4.6M
T2002	Non-emergency transportation; per diem	1,940	$70	$131.6K
T2003	Non-emergency transportation; encounter/trip	3,510	$20	$84.2K

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

Havre Day Activity Center, 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	11	20	2,530	$4,970	$13.2M
T2021	Day habilitation, waiver; per 15 minutes	16	50	1,630	$1,010	$2.6M
T2002	Non-emergency transportation; per diem	8	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	9	40	2,180	$30	$78K

Nearby Providers

Other providers in the same ZIP code as Havre Day Activity Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Montana Hospital	MT	Clinic/Center	$0	$2.3M
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Havre Public Schools	MT	Local Education Agency (LEA)	$0	$1.3M
Wheatland Management	MT	Assisted Living Facility	$0	$978.8K
Northern Montana Hospital	MT	Critical Access Hospital	$0	$938.4K
Havre Pediatric Dentistry	MT	Pediatric Dentistry	$0	$766.6K
Michele Holden	MT	Professional Counselor	$0	$760.6K
City Of Havre	MT	Land Ambulance	$197.6K	$489.3K
Bear Paw Recovery Center	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$638.2K
Misty Geer	MT	Mental Health Counselor	$0	$491.5K

Havre Day Activity Center, Inc — Billing Profile & Reimbursement Data

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Havre Day Activity Center, 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