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.

Developmental Educational Assistance Program (NPI 1710047642)

Field	Value
Entity Type	Organization
Organization	Developmental Educational Assistance Program
Address	2200 Box Elder St
City	Miles City
State	MT
ZIP	59301
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2032	Residential care, not otherwise specified (nos), waiver; per month	1,060	$820	$865K
T2013	Habilitation, educational, waiver; per hour	330	$1,370	$451.1K
T1027	Family training and counseling for child development, per 15 minutes	1,090	$80	$90.5K
T2003	Non-emergency transportation; encounter/trip	330	$40	$11.9K
S5150	Unskilled respite care, not hospice; per 15 minutes	10	$910	$10.9K
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.	130	$70	$9K
T2028	Specialized supply, not otherwise specified, waiver	160	$40	$7K

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

Developmental Educational Assistance Program — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	5	10	3,560	$80	$46.8M
T2013	Habilitation, educational, waiver; per hour	11	20	770	$2,020	$5.2M
T2032	Residential care, not otherwise specified (nos), waiver; per month	12	20	1,120	$830	$1M
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.	164	200	1,110	$60	$207.2K
T2003	Non-emergency transportation; encounter/trip	36	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	26	40	570	$40	$58.4K
T1027	Family training and counseling for child development, per 15 minutes	1	10	80	$90	$30.2K

Nearby Providers

Other providers in the same ZIP code as Developmental Educational Assistance Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Montana Industries	MT	Developmentally Disabled Services Day Training Agency	$0	$19.9M
Eastern Montana Community Mental Health Center	MT	Clinic/Center	$0	$13.7M
Miles City Public Schools	MT	Local Education Agency (LEA)	$0	$4.6M
Eastern Mt Community Mental Health Cdu Prog	MT	Clinic/Center	$0	$956.4K
Carrie David	MT	Professional Counselor	$0	$652.1K
Yerger Family Dental, PC	MT	Dentist	$0	$570K
Holy Rosary Healthcare	MT	Critical Access Hospital	$0	$564.7K
Miles City Vision Clinic P C	MT	Optometrist	$0	$563.3K
Pamela Colombik	MT	Mental Health Counselor	$0	$418.5K
Tabitha Williams	MT	Clinical Social Worker	$0	$406.5K

Developmental Educational Assistance Program — Billing Profile & Reimbursement Data

Sign up for Developmental Educational Assistance Program — Billing Profile & Reimbursement Data policy alerts

Developmental Educational Assistance Program — Billing Profile & Reimbursement Data

Sign up for Developmental Educational Assistance Program — 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