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.

Missoula Developmental Service Corp (NPI 1710015755)

Field	Value
Entity Type	Organization
Organization	Missoula Developmental Service Corp
Address	1005 Marshall St
City	Missoula
State	MT
ZIP	59801
Taxonomy	Non-emergency Medical Transport (VAN)
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

Key Findings

MISSOULA DEVELOPMENTAL SERVICE CORP is effectively a single-payer Medicaid provider: there is no Medicare revenue on file while it reports $33.6M in lifetime Medicaid revenue, indicating its operations are focused almost entirely on Medicaid-funded services rather than dual-payer billing. The NPI was enumerated on 2007-03-01 (~19 years ago), signaling long-standing participation in Medicaid programs and an established presence in the state market.

Revenue is highly concentrated in a small set of Medicaid service lines: the top 3 Medicaid codes account for 96.1% of this provider's total Medicaid revenue, which indicates the business model centers on a narrow set of service offerings rather than a diversified code mix. That concentration suggests sensitivity to rate or utilization changes for those principal codes.

The dominant revenue driver is T2017 (Habilitation, residential, waiver; 15 minutes), which generates $23.9M and represents 71.3% of the provider's Medicaid revenue. This places the provider as a substantial residential habilitation service operator and shows that residential waiver habilitation is the core service line for this entity.

T2021 (Day habilitation, waiver; per 15 minutes) is the second major revenue source at $5.5M (16.5% of Medicaid revenue) and T2017 plus T2021 together demonstrate the provider is primarily organized around habilitation services across residential and day settings, reflecting a programmatic focus on long-term developmental support rather than episodic medical care. These two codes drive most of the organization’s Medicaid income.

Competitive standing by code is mixed but generally modest to mid-tier within Montana. For T2017 the provider ranks #5 of 21 in-state (80th percentile), indicating a strong position among residential habilitation suppliers; for T2021 it ranks #15 of 45 (68th percentile), a typical but not dominant role in day habilitation; and for S5100 it ranks #4 of 5 (25th percentile), indicating limited market share among in-state day care service providers.

Ancillary and transportation codes are present but minor: non-emergency transportation codes T2002 and T2003 together account for a small share of revenue ($125.6K and $71.6K respectively) and rank in the mid-range among peers, suggesting the provider handles some transport encounters but does not derive meaningful revenue from transportation services. These appear supplementary to the core habilitation services.

Several smaller codes reflect breadth in supportive services but limited revenue contribution: S5100 (Day care services, adult; per 15 minutes) contributes $2.8M (8.4% of Medicaid revenue) and other codes such as H0046 and T1003 each contribute under 2% of total Medicaid revenue. This pattern indicates the provider offers a range of support services associated with developmental care but that they are secondary to the primary habilitation codes.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	3,790	$6,320	$23.9M
T2021	Day habilitation, waiver; per 15 minutes	3,200	$1,730	$5.5M
S5100	Day care services, adult; per 15 minutes	1,040	$2,710	$2.8M
H0046	Mental health services, not otherwise specified	1,060	$580	$619.2K
T1003	Lpn/lvn services, up to 15 minutes	590	$770	$456.8K
T2002	Non-emergency transportation; per diem	1,550	$80	$125.6K
T2003	Non-emergency transportation; encounter/trip	2,470	$30	$71.6K
T2028	Specialized supply, not otherwise specified, waiver	650	$50	$31.9K

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

Missoula Developmental Service Corp — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	5	20	2,530	$4,970	$13.2M
T2021	Day habilitation, waiver; per 15 minutes	15	50	1,630	$1,010	$2.6M
S5100	Day care services, adult; per 15 minutes	4	10	1,530	$440	$2M
T1003	Lpn/lvn services, up to 15 minutes	7	10	1,570	$170	$823K
H0046	Mental health services, not otherwise specified	2	10	1,060	$220	$589.3K
T2002	Non-emergency transportation; per diem	15	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	17	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	16	40	570	$40	$58.4K

Nearby Providers

Other providers in the same ZIP code as Missoula Developmental Service Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Mental Health Center	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$87.8M
Opportunity Resources Inc	MT	Developmentally Disabled Services Day Training Agency	$0	$48.5M
Express Personnel Services	MT	Nursing Care Agency	$0	$20.4M
3 Rivers Mental Health Solutions LLC	MT	Community/Behavioral Health Agency	$0	$16.7M
Missoula County Public Schools	MT	Local Education Agency (LEA)	$0	$16.3M
Meadowlark Home Care LLC	MT	Home Health Agency	$0	$12.9M
Client Dedicated Services, Inc	MT	Home Health Agency	$0	$10.6M
Children's Dentistry Of The Rockies	MT	Pediatric Dentistry	$0	$10.1M
Missoula Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.3M
Missoula Oral Surgery	MT	Oral and Maxillofacial Surgery Clinic/Center	$0	$8M

Missoula Developmental Service Corp — Billing Profile & Reimbursement Data

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Missoula Developmental Service Corp — 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