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.

We Care Behavioral Health LLC (NPI 1922559053)

Field	Value
Entity Type	Organization
Organization	We Care Behavioral Health LLC
Address	2809 Great Northern Loop Ste 300
City	Missoula
State	MT
ZIP	59808
Taxonomy	Clinic/Center
NPI Enumerated	October 24, 2016

Payer Source	Total Paid
Medicaid	$14.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $14.8M in lifetime Medicaid revenue, making its financial footprint effectively single‑payer and Medicaid‑focused. The absence of Medicare activity means analysts should treat this entity as primarily dependent on state Medicaid policy and contracts rather than federal Medicare markets.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 93.5% of this provider's total Medicaid revenue, with T1016 alone representing $11.8M (80.2% of Medicaid revenue). That concentration indicates most revenue is tied to a single service line (case management) rather than a diversified mix of procedures.

The code mix points to a case‑management and outpatient behavioral services operation: T1016 (Case management, each 15 minutes) dominates volume and dollars, while S5102 (Day care services, adult; per diem) and H2019 (Therapeutic behavioral services, per 15 minutes) together make up the remainder of the top revenue drivers. This combination suggests the organization operates intensive case‑management programs supplemented by adult day‑program services and time‑based therapeutic behavioral interventions.

T1016 is a statewide market strength: the provider ranks #2 of 53 and sits in the 98th percentile for this code, a pattern described as "notably above typical state volume." This ranking positions the organization as a major in‑state provider of Medicaid case management services and a leading recipient of payments tied to that code.

High‑intensity psychotherapy is also present at above‑typical levels: 90837 shows 20.5K claims and $717.9K in revenue (4.9% of Medicaid revenue), ranking #9 of 1203 providers and in the 99th percentile where it is labeled an "extreme outlier." While 90837 is not in the precomputed top 3, its very high rank signals unusually large volumes of long psychotherapy sessions compared with in‑state peers.

Clinical assessment and psychiatric evaluation activity is meaningfully above peer norms: 90791 has 3.2K claims and $128.9K in revenue (0.9% of Medicaid revenue) and ranks #8 of 190 (96th percentile), described as "notably above typical state volume." This indicates the provider performs a substantial number of initial psychiatric evaluations relative to most in‑state peers.

Other Medicaid service lines show more typical or modest participation: S5102 (7.2K claims, $1.1M; 7.6% of revenue) ranks #7 of 8 (14th percentile) and is labeled "typical, unremarkable volume," while H2019 (24.8K claims, $843.1K; 5.7% of revenue) ranks #7 of 36 (83th percentile) and is also described as "typical, unremarkable volume." These positions suggest day‑program and per‑15‑minute therapeutic services are part of the offer set but not areas of dominant market share.

The provider's NPI enumeration date is 2016-10-24 (~10 years ago), indicating an established presence in the market. Combined with the heavy reliance on a single Medicaid‑reimbursed service (T1016) and elevated psychotherapy volumes (90837), the profile suggests an organization with entrenched state Medicaid relationships and concentrated service delivery that could be sensitive to changes in T1016 utilization or reimbursement policy.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	204,210	$60	$11.8M
S5102	Day care services, adult; per diem	7,200	$160	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	24,800	$30	$843.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20,510	$40	$717.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,220	$40	$128.9K
H2012	Behavioral health day treatment, per hour	2,330	$30	$72.4K
H0038	Self‑help/peer services, per 15 minutes	610	$60	$33.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	250	$20	$4.2K

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

We Care Behavioral Health LLC — 3 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	7	10	16,590	$280	$7.2M
H2012	Behavioral health day treatment, per hour	12	20	27,640	$60	$2M
T1016	Case management, each 15 minutes	2	50	2,720	$50	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	7	40	3,280	$50	$759.9K
H0038	Self‑help/peer services, per 15 minutes	23	40	1,050	$50	$171.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	9	1,200	750	$80	$143.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	91	170	310	$20	$38.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	8	190	60	$70	$36.9K

Nearby Providers

Other providers in the same ZIP code as We Care Behavioral Health LLC, 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
Partners In Home Care, Inc	MT	Nursing Care Agency	$0	$13M
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

We Care Behavioral Health LLC — Billing Profile & Reimbursement Data

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We Care Behavioral Health LLC — 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