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.

Primrose Inc (NPI 1689274185)

Field	Value
Entity Type	Organization
Organization	Primrose Inc
Address	1349 Lake Elmo Dr
City	Billings
State	MT
ZIP	59105
Taxonomy	Assisted Living Facility
NPI Enumerated	October 26, 2020

Payer Source	Total Paid
Medicaid	$388.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	520	$740	$388.8K

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

Primrose Inc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	28	40	690	$1,470	$2.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Nutrition Solutions LLC	MT	Durable Medical Equipment & Medical Supplies	$0	$3.7M
Trailhead Pediatric Dentistry	MT	Pediatric Dentistry	$0	$2.5M
Heights Eyecare, Inc.	MT	Optometrist	$0	$1.4M
Lasting Legacy Assisted Living, LLC	MT	Assisted Living Facility	$0	$1.2M
J&j Caregivers, LLC	MT	Assisted Living Facility	$0	$1.1M
Edgewood Vista	MT	Assisted Living Facility	$0	$853.6K
Crossway Incorporated	MT	Mental Health Counselor	$0	$622.6K
Mark S Rosebush	MT	General Practice Dentistry	$0	$572.4K
Steven Biondich	MT	Professional Counselor	$0	$530.3K
Destination Zen	MT	Professional Counselor	$0	$480.9K

Primrose Inc — Billing Profile & Reimbursement Data

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Primrose Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References