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.

Bitterroot Valley Education Cooperative (NPI 1922155209)

Field	Value
Entity Type	Organization
Organization	Bitterroot Valley Education Cooperative
Address	300 Park St
City	Stevensville
State	MT
ZIP	59870
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Key Findings

BITTERROOT VALLEY EDUCATION COOPERATIVE is effectively a Medicaid-focused provider with no Medicare billing on file and $9.3M in lifetime Medicaid revenue; its NPI has been active since 2007-01-05 (~19 years ago), indicating long-standing enrollment in public programs.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes account for 99.5% of this provider’s Medicaid revenue, with H0036 alone representing $8.9M (95.2% of total Medicaid revenue). This level of concentration ties the organization’s financial performance closely to the reimbursement and utilization dynamics for community psychiatric supportive treatment.

H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) drives the provider’s scale: 96.6K claims at a $92 avg paid/claim produced $8.9M in revenue, and the provider ranks #5 of 90 in-state (96th percentile). That combination of very high claim volume and a top-5 state rank indicates the organization is a major, high-volume regional provider of this specific behavioral health service.

Speech and related therapy services appear as secondary lines: 92507 produced $294.9K from 8.4K claims at a $35 avg paid/claim and 97530 produced $100.3K from 3.7K claims at a $27 avg paid/claim. Both codes are present but much smaller contributors (3.2% and 1.1% of Medicaid revenue respectively) and are described as typical, unremarkable volumes within the state (92507 ranks #26 of 147, 83th percentile; 97530 ranks #56 of 196, 72th percentile).

Competitive standing is mixed: the cooperative is a dominant state-level participant for H0036 (top-5 rank, 96th percentile, described as notably above typical state volume), while its footprint for rehabilitative/speech therapy codes is more modest and within normal state variation. This suggests market influence in school-based behavioral health but only a typical presence for therapy-based services.

The LEA taxonomy and the code mix (predominantly H0036 plus speech/therapy CPTs 92507 and 97530) point to an operational model centered on school-based behavioral health and allied therapy services delivered at scale. High-volume, short-interval psychiatric supportive contacts (15-minute units) imply standardized, repeated face-to-face encounters consistent with school or community wraparound mental health programming.

The organization’s financial profile carries operational concentration risk: because $8.9M of $9.3M in Medicaid revenue comes from H0036, changes in coverage, rate-setting, or utilization for community psychiatric supportive treatment could materially affect overall revenue. Maintaining or diversifying service mix would be important to reduce dependency on a single code.

Other listed codes (e.g., 92508 and H2027) account for only small fractions of revenue and do not materially change the provider’s Medicaid concentration profile; the dominant role of H0036 remains the defining characteristic of this cooperative’s billing pattern.

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
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	96,590	$90	$8.9M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	8,430	$40	$294.9K
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.	3,720	$30	$100.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	3,520	$10	$38.7K
H2027	Psychoeducational service, per 15 minutes	180	$70	$11.9K

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

Bitterroot Valley Education Cooperative — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5	90	5,740	$80	$1.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	26	150	2,760	$40	$224.3K
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.	56	200	1,110	$60	$207.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	26	50	3,530	$10	$61.6K
H2027	Psychoeducational service, per 15 minutes	2	10	140	$90	$21.4K

Nearby Providers

Other providers in the same ZIP code as Bitterroot Valley Education Cooperative, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Living Centre Limited	MT	Skilled Nursing Facility	$0	$4.4M
Amy Elliott-winter	MT	Mental Health Counselor	$0	$808.3K
Bitterroot Valley Education Cooperative	MT	Community/Behavioral Health Agency	$0	$536.7K
Connections To Communication, Speech Therapy Services	MT	Speech-Language Pathologist	$0	$386.3K
Rhonda Eickholt	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$301.7K
Adrienne Gross	MT	Clinical Social Worker	$0	$273.3K
Kate Brewer	MT	Speech-Language Pathologist	$0	$258.4K
Angela Haugo	MT	Family Medicine Physician	$44.9K	$32.2K
Mt Family Rx Inc.	MT	Community/Retail Pharmacy	$76.9K	$0
Amber Coulter	MT	Physical Therapist	$59.8K	$0

Bitterroot Valley Education Cooperative — Billing Profile & Reimbursement Data

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Bitterroot Valley Education Cooperative — 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