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.

Hit Inc. (NPI 1932709771)

Field	Value
Entity Type	Organization
Organization	Hit Inc.
Address	2493 4th Ave W Ste F
City	Dickinson
State	ND
ZIP	58601
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	October 30, 2020

Payer Source	Total Paid
Medicaid	$17.4M
Medicare	$0

Key Findings

HIT INC. is effectively a Medicaid-focused provider with no Medicare billing on file and $17.4M in lifetime Medicaid revenue; the absence of Medicare claims means analysts should treat this entity as single-payer in practical terms rather than a mixed Medicare/Medicaid operator. The provider’s NPI was enumerated on 2020-10-30 (~6 years ago), indicating a relatively recent tenure in the state market.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes (S5111, W0500, T2025) account for 71.3% of this provider’s total Medicaid revenue. Those codes individually generate $5.9M (33.8%), $3.4M (19.4%), and $3.1M (18.1%) respectively, signaling dependence on a narrow set of service lines for the majority of billing.

The code mix and descriptions indicate a service model focused on home- and waiver-based early intervention and care-planning services. S5111 (Home care training, family; per session) shows very high utilization (39.6K claims at $148 avg paid/claim, $5.9M revenue), while T2025 (Waiver services; nos) and T2024 (Service assessment/plan of care development, waiver) point to substantial engagement in Medicaid waiver program delivery and care planning.

High claim volumes for sessional and waiver codes suggest an operational emphasis on recurring, encounter-based services rather than one-off procedures: S5111 has 39.6K claims, W0500 has 24.6K claims, and T2025 has 9.9K claims, reinforcing that front-line service delivery (family training and waiver encounters) is the core business activity. Average paid-per-claim values (for example $316 for T2025 and $470 for T2024) imply these are higher-value encounters within the provider’s portfolio.

Statewide competitive standing is mixed but includes at least one dominant position: T2025 ranks #1 of 9 providers in-state (100th percentile), marking HIT INC. as the leading in-state biller for that waiver-coded service. For S5111 and W0500 the provider ranks #2 of 9 in-state (88th percentile for both), which positions the organization as a major but not sole provider of those family/home training services. Other codes such as T2024 (#2 of 10, 89th percentile) and T1023 (#2 of 8, 86th percentile) further indicate above-typical statewide volumes across assessment and screening activities.

Although several code ranks are high, the dataset flags these volumes as "typical, unremarkable" for multiple top codes; for example S5111, W0500, and T2025 are each described as typical rather than extreme outliers. This suggests the provider’s concentration in these codes is significant for its own revenue profile but falls within expected volume ranges for in-state peers, except T2025 where the provider is the top biller.

Smaller revenue contributors show the provider has some diversification within waiver-related services: T2024 ($1.6M, 9.2%), W0510 ($1.3M, 7.3%), W0530 ($965.7K, 5.6%), and T1023 ($709.8K, 4.1%) together supplement the top-three concentration and reflect offerings in assessment, additional waiver services, and screening encounters. These secondary codes are generally mid-to-upper percentile in-state (mostly 67th–89th percentiles), indicating consistent but not dominant participation across the broader set of waiver and home-based service codes.

From a payer-strategy perspective, payers and network planners should view HIT INC. as a Medicaid-focused early intervention and waiver-service vendor with substantial sessional volume and a near-term operational track record of ~6 years; growth or risk assessments should prioritize the provider’s exposure to the three codes that make up 71.3% of its Medicaid revenue and its leadership position in T2025.

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
S5111	Home care training, family; per session	39,610	$150	$5.9M
W0500	N/A	24,630	$140	$3.4M
T2025	Waiver services; not otherwise specified (nos)	9,940	$320	$3.1M
T2024	Service assessment/plan of care development, waiver	3,410	$470	$1.6M
W0510	N/A	4,330	$290	$1.3M
W0530	N/A	2,150	$450	$965.7K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,510	$470	$709.8K
W0520	N/A	990	$450	$447.4K

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

Hit Inc. — 1 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5111	Home care training, family; per session	2	10	12,520	$140	$2.8M
W0500	N/A	2	10	10,780	$140	$2M
T2025	Waiver services; not otherwise specified (nos)	1	10	3,670	$300	$1.4M
W0510	N/A	3	10	3,780	$290	$1M
T2024	Service assessment/plan of care development, waiver	2	10	2,140	$410	$880.1K
W0530	N/A	3	10	1,580	$400	$854.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2	10	800	$420	$412.2K
W0520	N/A	3	10	380	$390	$346.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Able Inc	ND	Community/Behavioral Health Agency	$0	$39.8M
St Josephs Hospital And Health Center	ND	Rural Acute Care Hospital	$0	$4.1M
Dickinson Area Ambulance Service Inc	ND	Land Ambulance	$574.5K	$1.8M
Omaha Therapy, Inc	ND	Rehabilitation Clinic/Center	$0	$1.8M
Badlands Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.4M
High Plains Dental	ND	General Practice Dentistry	$0	$1.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$771.3K
Heartview Foundation Dickinson	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$677.5K
Joann Nupen Lindemann	ND	Family Nurse Practitioner	$517.4K	$0
St Joseph's Hospital And Health Center	ND	Clinic/Center	$0	$398.8K

Hit Inc. — Billing Profile & Reimbursement Data

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Hit 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