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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

L.i.s.t.e.n. Inc (NPI 1912359886)

Field	Value
Entity Type	Organization
Organization	L.i.s.t.e.n. Inc
Address	1407 24th Ave S
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 5, 2016

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Key Findings

L.I.S.T.E.N. INC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports total Medicaid revenue of $9.4M, indicating Medicaid is the sole material public-payer revenue source on record for this NPI. This concentration means any analysis of its public-payer footprint should focus on Medicaid-funded waiver and attendant services rather than Medicare fee-for-service dynamics.

Revenue is highly concentrated in a very small code set: the precomputed top 3 Medicaid codes account for 97.9% of the provider's total Medicaid revenue, signaling that a few service lines drive nearly all reported Medicaid income. This narrow revenue base increases sensitivity to policy or rate changes affecting those specific codes.

The largest revenue driver is T2021 (Day habilitation, waiver; per 15 minutes), which accounts for $6.2M or 66.0% of this provider's Medicaid revenue with 30.6K claims and an average paid/claim of $203. Despite its dominance in this provider's mix, L.I.S.T.E.N. ranks #15 of 26 in-state (44th percentile), which suggests the provider delivers substantial day habilitation volume for its own size but is not a statewide leader for that service.

T2016 (Habilitation, residential, waiver; per diem) and W0715 (no description available) are the second and third revenue contributors, together representing 31.9% of Medicaid revenue ($1.5M and $1.5M respectively). T2016 shows 4.3K claims at $354 avg paid/claim and ranks #22 of 29 in-state (25th percentile), while W0715 shows 3K claims at $504 avg paid/claim and ranks #21 of 25 (17th percentile); both placements indicate modest, typical participation in those statewide markets rather than dominant positions.

Smaller-coded activity is present but immaterial to total revenue: W0200 (69 claims, $2581 avg paid/claim, $178.1K, 1.9% of Medicaid revenue) and S5125 (128 claims, $136 avg paid/claim, $17.4K, 0.2% of Medicaid revenue) together account for only a few percent of revenue. W0200 ranks #24 of 25 in-state (4th percentile) and S5125 ranks #18 of 18 (0th percentile), suggesting these lines are niche or infrequently billed relative to peers.

From a service-line perspective, the code mix (T2021 and T2016 as top codes) indicates L.I.S.T.E.N. operates primarily in habilitation services for waiver populations, with a dominant emphasis on day habilitation and a secondary emphasis on residential habilitation. The prominence of time-based, per-15-minute billing (T2021) combined with per-diem residential billing (T2016) is consistent with ongoing outpatient/day program operations supplemented by residential supports.

Competitive standing across its top Medicaid codes is modest: none of the top three codes place L.I.S.T.E.N. in a leading statewide percentile (the highest rank among them is #15 of 26 for T2021 at the 44th percentile). These rankings, described in the source data as "typical, unremarkable volume for this code," indicate the provider is a routine service participant in its market rather than a regional anchor for waiver habilitation services.

The provider has been enumerated since 2016-07-05 (~10 years ago), so its Medicaid footprint reflects roughly a decade of operational presence. Given the combination of tenure and highly concentrated Medicaid revenue, analysts should treat changes to the top few waiver-related codes as the primary drivers of financial and operational shifts for this entity.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	30,630	$200	$6.2M
T2016	Habilitation, residential, waiver; per diem	4,270	$350	$1.5M
W0715	N/A	2,960	$500	$1.5M
W0200	N/A	70	$2,580	$178.1K
S5125	Attendant care services; per 15 minutes	130	$140	$17.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

L.i.s.t.e.n. Inc — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	22	30	21,220	$400	$14.1M
T2021	Day habilitation, waiver; per 15 minutes	15	30	32,410	$170	$6.6M
W0715	N/A	21	30	6,250	$450	$3.8M
S5125	Attendant care services; per 15 minutes	18	20	10,750	$180	$2.7M
W0200	N/A	24	30	200	$1,670	$454.3K

Nearby Providers

Other providers in the same ZIP code as L.i.s.t.e.n. Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Valley Oral & Facial Surgery PC	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$4.5M

L.i.s.t.e.n. Inc — Billing Profile & Reimbursement Data

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L.i.s.t.e.n. 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