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.

Mission Mountain Enterprises, Inc. (NPI 1932259140)

Field	Value
Entity Type	Organization
Organization	Mission Mountain Enterprises, Inc.
Address	330 Main St Sw
City	Ronan
State	MT
ZIP	59864
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 11, 2007

Payer Source	Total Paid
Medicaid	$17.9M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively a single-payer Medicaid provider, reporting Total Medicaid revenue of $17.9M. The absence of Medicare activity and the concentration of revenue in Medicaid suggest its operations and reimbursement exposure are tightly tied to state Medicaid program policies and rates.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes (T2017, T2021, T2002) account for 99.5% of this provider's total Medicaid revenue. In particular, T2017 generated $12.1M (67.8% of Medicaid revenue) and T2021 generated $5.5M (30.7% of Medicaid revenue), making these two codes the dominant revenue drivers for the organization.

The code mix (T2017 – Habilitation, residential, waiver; 15 minutes and T2021 – Day habilitation, waiver; per 15 minutes) indicates core operations are time-based habilitation services delivered in residential waiver settings and day habilitation programs. This pattern aligns with the provider taxonomy Developmentally Disabled Services Day Training Agency and implies service delivery is structured around per-15-minute program models rather than episodic medical procedures.

Non-emergency transportation codes (T2002 – per diem and T2003 – encounter/trip) represent only a small share of revenue ($180K for T2002 at 1.0% and $90.4K for T2003 at 0.5%), showing that transportation is offered as an ancillary service but not a material revenue center. The presence of both per-diem and per-trip transport billing suggests the provider supplies multiple transport options to support day and residential habilitation activity.

State-level competitive standing is modest rather than dominant across its key codes: T2017 ranks #14 of 21 providers in-state (35th percentile; typical, unremarkable volume for this code), indicating below-median statewide volume for residential habilitation. T2021 ranks #18 of 45 (61th percentile; typical, unremarkable volume for this code), showing an above-median but not leading position in day habilitation, while T2002 ranks #10 of 32 (71th percentile; typical, unremarkable volume) where the provider is relatively stronger among peers for non-emergency transport.

The provider has long tenure in the NPI registry, enumerated on 2007-01-11 (~19 years ago), which suggests an established presence in the local service market and potential continuity of contracts and referral relationships over many years. Longevity combined with concentrated service lines may indicate stable program operations focused on a narrow set of Medicaid-funded habilitation services.

Across listed codes, volumes are labeled in the source as typical and unremarkable (every cited code carries the descriptor "typical, unremarkable volume for this code"), so there are no in-state statistical outliers reported. In practice, this means the provider's heavy revenue concentration in T2017 and T2021 reflects business focus rather than atypical billing behavior relative to state peers.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	1,680	$7,210	$12.1M
T2021	Day habilitation, waiver; per 15 minutes	2,240	$2,440	$5.5M
T2002	Non-emergency transportation; per diem	1,770	$100	$180K
T2003	Non-emergency transportation; encounter/trip	2,660	$30	$90.4K

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

Mission Mountain Enterprises, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	14	20	2,530	$4,970	$13.2M
T2021	Day habilitation, waiver; per 15 minutes	18	50	1,630	$1,010	$2.6M
T2002	Non-emergency transportation; per diem	10	30	1,440	$110	$141.5K
T2003	Non-emergency transportation; encounter/trip	15	40	2,180	$30	$78K

Nearby Providers

Other providers in the same ZIP code as Mission Mountain Enterprises, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronald Dean	MT	Emergency Medicine Physician	$2.3M	$2.3K
Pal Memory Care, LLC	MT	Assisted Living Facility	$0	$1.7M
School District #30	MT	Local Education Agency (LEA)	$0	$1.4M
St Lukes Community Hospital	MT	Urgent Care Clinic/Center	$0	$1.2M
Western Montana Family Dentistry	MT	Dentist	$0	$1.2M
Mission Valley Eye Center, Inc.	MT	Optometrist	$0	$1.1M
St Lukes Community Hospital	MT	Family Medicine Physician	$0	$824.3K
St Lukes Community Hospital	MT	Critical Access Hospital	$0	$714.7K
Rosemary Epperson	MT	Clinical Social Worker	$0	$366.8K
Hikmat Maaliki	MT	Family Medicine Physician	$127K	$0

Mission Mountain Enterprises, Inc. — Billing Profile & Reimbursement Data

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Mission Mountain Enterprises, 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