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.

Flathead Industries (NPI 1780737007)

Field	Value
Entity Type	Organization
Organization	Flathead Industries
Address	66 4th Ave Wn
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$40.7M
Medicare	$0

Key Findings

FLATHEAD INDUSTRIES appears to be effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider’s lifetime Medicaid revenue is $40.7M, indicating single-payer concentration in publicly funded behavioral/waiver services. The absence of Medicare activity limits any cross-payer revenue diversification analysis and suggests operations are tightly aligned with state Medicaid programs.

Revenue is highly concentrated in a small set of waiver habilitation services: the precomputed top three Medicaid codes (T2017, T2021, T2013) together account for 94.5% of the provider’s total Medicaid revenue, with T2017 generating $22.3M (54.7%), T2021 $8.6M (21.1%), and T2013 $7.6M (18.7%). This concentration implies most financial risk and growth opportunities are tied to changes in waiver reimbursement or utilization for these specific service lines.

The code mix signals core operations in residential and day habilitation: T2017 is billed as habilitation, residential, waiver (15 minutes) and T2021 as day habilitation, waiver (per 15 minutes), while T2013 is habilitation, educational, waiver (per hour). Together these codes indicate FLATHEAD INDUSTRIES primarily provides residential supports, day programs, and educational habilitation services under Medicaid waiver arrangements rather than medical or Medicare-focused clinical care.

FLATHEAD INDUSTRIES is a notable statewide player for day habilitation: T2021 ranks #2 of 45 providers in-state and sits in the 98th percentile with a label of notably above typical state volume for this code, reflecting a particularly strong footprint in day habilitation services compared with in-state peers. That high relative volume in T2021 suggests competitive strength and potential referral relationships or program scale in day habilitation.

For residential and educational habilitation the provider’s standing is more modest. T2017 (residential habilitation) ranks #6 of 21 providers (75th percentile; typical, unremarkable volume) and T2013 (educational habilitation) ranks #7 of 17 (63th percentile; typical, unremarkable volume), indicating solid but not dominant market positions for those service types within Montana.

Ancillary transportation and support services are present but small in revenue share; T2002 (non-emergency transportation; per diem) produced $288.4K (0.7% of Medicaid revenue) with 2.2K claims and ranks #6 of 32 (84th percentile), while T2003 (non-emergency transportation; encounter/trip) produced $165.3K (0.4%) with 5.2K claims and ranks #4 of 39 (92th percentile; notably above typical state volume). These patterns show FLATHEAD INDUSTRIES relies on transport encounters at above-typical volumes relative to peers, likely as operational support for day and residential programs.

Per-claim payment patterns emphasize high-dollar habilitation claims: T2017 reports an average paid/claim of $7183 and T2013 reports $6715 avg paid/claim, whereas T2021 reports $892 avg paid/claim. The contrast between large average payments for residential/educational habilitation claims and lower per-15-minute payments for day habilitation affects cash-flow dynamics and the financial impact of utilization changes across these service lines.

The provider has an established tenure in the field, with NPI enumeration on 2007-01-19 (~19 years ago), which together with $40.7M in Medicaid revenue suggests a sustained, Medicaid-centered operating history; this longevity may support continued program stability but also means future strategy should account for heavy exposure to Medicaid policy and waiver rate changes.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	3,100	$7,180	$22.3M
T2021	Day habilitation, waiver; per 15 minutes	9,640	$890	$8.6M
T2013	Habilitation, educational, waiver; per hour	1,130	$6,720	$7.6M
T2032	Residential care, not otherwise specified (nos), waiver; per month	1,310	$970	$1.3M
H2025	Ongoing support to maintain employment, per 15 minutes	1,040	$470	$490.2K
T2002	Non-emergency transportation; per diem	2,190	$130	$288.4K
T2003	Non-emergency transportation; encounter/trip	5,170	$30	$165.3K
T2028	Specialized supply, not otherwise specified, waiver	340	$50	$15.7K
T2004	Non-emergency transport; commercial carrier, multi-pass	90	$70	$6.1K

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

Flathead Industries — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	6	20	2,530	$4,970	$13.2M
T2013	Habilitation, educational, waiver; per hour	7	20	770	$2,020	$5.2M
T2021	Day habilitation, waiver; per 15 minutes	2	50	1,630	$1,010	$2.6M
T2032	Residential care, not otherwise specified (nos), waiver; per month	9	20	1,120	$830	$1M
H2025	Ongoing support to maintain employment, per 15 minutes	7	20	940	$590	$609.8K
T2002	Non-emergency transportation; per diem	6	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	4	40	2,180	$30	$78K
T2028	Specialized supply, not otherwise specified, waiver	23	40	570	$40	$58.4K
T2004	Non-emergency transport; commercial carrier, multi-pass	5	10	660	$80	$49.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M
Sunburst Community Service Foundation, Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M

Flathead Industries — 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