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    OpenPayerNPI Medicare & MedicaidButte Public Schools
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    Butte Public Schools — Billing Profile & Reimbursement Data

    NPI 1720295041 · Butte, MT · Local Education Agency (LEA)

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    Butte Public Schools is a local education agency (lea) provider located in Butte, Montana. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationButte Public Schools
    Address1050 S Montana St
    CityButte
    StateMT
    ZIP59701
    TaxonomyLocal Education Agency (LEA)
    NPI EnumeratedMay 17, 2007
    NPI DeactivatedAugust 20, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.9M
    Medicare$0

    Key Findings

    BUTTE PUBLIC SCHOOLS is effectively a single-payer billing entity in the federal programs data: there is no Medicare billing on file while total Medicaid revenue is reported as $6.9M. This concentrated payer mix means Medicaid policy and rate changes will have outsized impact on reported revenue.

    The provider is listed as a Local Education Agency (LEA) and its NPI was enumerated on 2007-05-17 (~19 years ago), indicating long-standing school-district operations that have been billing Medicaid for nearly two decades. The LEA taxonomy aligns with school-based service delivery rather than a traditional clinic or hospital model.

    Revenue is highly concentrated within a very narrow set of services: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and a single code, H0036, is reported to represent 100.0% of Medicaid revenue. This extreme concentration means a single service line drives the entire Medicaid revenue base recorded for this provider.

    The dominant billed procedure is H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) with 93.5K claims at an average paid amount of $74 per claim, totaling $6.9M. The code description and the high claim count are consistent with frequent, time-based behavioral health contacts typical of school-based mental health services provided under an LEA.

    Competitive standing for H0036 is strong within Montana: BUTTE PUBLIC SCHOOLS ranks #6 of 90 providers in-state and sits in the 94th percentile, described as notably above typical state volume for this code. That rank indicates the provider is a major state-level participant for this specific community psychiatric supportive treatment service.

    Operationally, the combination of a high claim count (93.5K) and a modest average paid per claim ($74) implies a volume-driven reimbursement model where overall revenue is generated by many short, time-based encounters rather than high-dollar single procedures. Staffing and scheduling are therefore likely optimized for frequent face-to-face sessions.

    Because both the payer mix and service mix are highly concentrated (Medicaid-only billing documented and H0036 accounting for 100.0% of Medicaid revenue), the provider’s financial profile is sensitive to changes in Medicaid coverage, coding rules, or reimbursement rates for that code. Any administrative or policy shifts affecting H0036 would materially affect reported revenue levels.

    Given the LEA taxonomy and the exclusive reliance on H0036 for Medicaid revenue, the pattern strongly suggests school-based behavioral health programming as the core service line. This positioning may create opportunities for collaboration with regional behavioral health agencies and for programmatic grants, but it also means growth beyond current Medicaid-funded services would require diversifying billed codes or payers.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes93,500$70$6.9M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes6905,740$80$1.6M

    Nearby Providers

    Other providers in the same ZIP code as Butte Public Schools, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bsw, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$20.4M
    Benefis Community Care, Inc.MTCase Management Agency$0$14.6M
    State Of MontanaMTSubstance Abuse Rehabilitation Facility$0$12.7M
    Scl Health Medical Group-butte LLCMTFamily Medicine Physician$0$9.9M
    Community, Counseling & Correctional Services, Inc.MTSubstance Use Disorder Rehabilitation Clinic/Center$0$3.8M
    Butte School District #1MTMental Health Counselor$0$3.8M
    Ryan TodorovichMTGeneral Practice Dentistry$0$3.1M
    Lindsey TodorovichMTGeneral Practice Dentistry$0$2.9M
    Silver Bow County Developmental Disabilities Council, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$2.2M
    Big Sky Senior LivingMTAssisted Living Facility$0$2.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Montana Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Butte Public Schools — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana