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.

Partners In Home Care, Inc (NPI 1720145543)

Field	Value
Entity Type	Organization
Organization	Partners In Home Care, Inc
Address	2673 Palmer St Ste 201
City	Missoula
State	MT
ZIP	59808
Taxonomy	Nursing Care Agency
NPI Enumerated	January 2, 2007

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file and the provider reports $13M in lifetime Medicaid revenue, indicating its business is centered on Medicaid-funded services rather than traditional Medicare fee-for-service relationships. This concentration on Medicaid should shape any competitive or utilization analysis, since Medicare-driven insights are not applicable.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T2022 alone representing $12.1M (93.3% of Medicaid revenue). That level of dependence on a single monthly case-management code indicates the firm’s financial performance is heavily tied to continued authorization and payment rates for that service.

The top revenue-driving code mix points to a core operational focus on case management and care-plan development rather than hands-on skilled nursing or procedure-based care. T2022 (Case management, per month) accounts for $12.1M and 38.5K claims, while H0032 (Mental health service plan development by non-physician) contributes $706.2K and T2024 (Service assessment/plan of care development, waiver) contributes $159.5K, which collectively describe an organization oriented toward longitudinal care coordination and waiver/plan development work.

T2022’s competitive standing is solid but not dominant statewide: it ranks #3 of 11 providers in the state and sits at the 80th percentile with a label of "typical, unremarkable volume for this code." That ranking suggests PARTNERS IN HOME CARE, INC is a meaningful mid-to-high volume provider of monthly case management in Montana but not the top market leader.

H0032 (mental health plan development) and T2024 (waiver plan assessment) show different competitive footprints. H0032 ranks #4 of 8 (57th percentile; typical, unremarkable volume) and accounts for $706.2K (5.5% of Medicaid revenue), indicating a modest role in behavioral-health plan work, while T2024 ranks #1 of 2 (100th percentile; typical, unremarkable volume) but represents only $159.5K (1.2% of revenue), so the top rank for T2024 reflects a very small competitive set rather than large absolute revenue.

Small, ancillary codes contribute negligibly to revenue and point to limited service diversification: H2032 produced only $1K (0.0% of the provider’s Medicaid revenue) across 21 claims and sits at the 0th percentile statewide. That near-zero contribution underscores the provider’s practical dependence on the case management and plan-development lines rather than a broader mix of billable clinical activities.

Operational implications from the claims and payment mix suggest a volume-driven case-management model: 38.5K T2022 claims at an average paid/claim of $314 imply sustained monthly enrollment or active caseload management rather than episodic interventions, and the presence of waiver-related codes (T2024) aligns with participation in Medicaid waiver programs or home- and community-based services. Analysts should therefore treat utilization trends, authorization policies, and Medicaid waiver rules as primary drivers of future revenue variability.

The provider has been enumerated for a long period: NPI registration dated 2007-01-02 (~19 years ago) indicates established market presence and regulatory history in Montana. That tenure, combined with concentrated Medicaid billing, suggests institutional experience in Medicaid program requirements and a likely operational focus on maintaining case-management workflows over time.

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
T2022	Case management, per month	38,510	$310	$12.1M
H0032	Mental health service plan development by non-physician	2,000	$350	$706.2K
T2024	Service assessment/plan of care development, waiver	330	$480	$159.5K
H2032	Activity therapy, per 15 minutes	20	$50	$1K

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

Partners In Home Care, Inc — 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
T2022	Case management, per month	3	10	1,510	$320	$5M
H0032	Mental health service plan development by non-physician	4	10	1,920	$360	$1.4M
H2032	Activity therapy, per 15 minutes	4	10	40	$230	$279.7K
T2024	Service assessment/plan of care development, waiver	1	10	230	$480	$113K

Nearby Providers

Other providers in the same ZIP code as Partners In Home Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct Care Network Virginia	MT	Home Health Agency	$0	$2.1B
Consumer Direct Personal Care, LLC	MT	In Home Supportive Care Agency	$0	$49.1M
Hkj Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
We Care Behavioral Health LLC	MT	Clinic/Center	$0	$14.8M
Hkj Inc	MT	Case Management Agency	$0	$11.6M
Sunburst Health LLC	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Welltower Tenant Group LLC	MT	Assisted Living Facility	$0	$3.8M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$3.8M
County Of Missoula School Dist 4	MT	Local Education Agency (LEA)	$0	$3.4M

Partners In Home Care, Inc — Billing Profile & Reimbursement Data

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Partners In Home Care, 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