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.

Health Care Providers Inc. (NPI 1952698201)

Field	Value
Entity Type	Organization
Organization	Health Care Providers Inc.
Address	1900 N 1st St
City	Hamilton
State	MT
ZIP	59840
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 7, 2011

Payer Source	Total Paid
Medicaid	$454.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2028	Specialized supply, not otherwise specified, waiver	3,870	$30	$100.6K
E0601	Continuous positive airway pressure (CPAP) device	1,760	$50	$79.3K
A4604	Tubing with integrated heating element for use with positive airway pressure device	1,270	$40	$48.3K
A7032	Cushion for use on nasal mask interface, replacement only, each	940	$50	$44.1K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	450	$100	$44K
A7031	Face mask interface, replacement for full face mask, each	1,070	$40	$37.6K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	450	$50	$21.9K
A7038	Filter, disposable, used with positive airway pressure device	3,920	$10	$19.6K
A4927	Gloves, non-sterile, per 100	240	$60	$14.5K
A7035	Headgear used with positive airway pressure device	680	$20	$13.6K

Showing 1–10 of 15

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

Health Care Providers Inc. — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	37	40	4,940	$60	$352.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	9	20	450	$90	$189.7K
A4927	Gloves, non-sterile, per 100	15	20	1,750	$40	$132.6K
E0601	Continuous positive airway pressure (CPAP) device	15	40	1,400	$40	$74.2K
A7030	Full face mask used with positive airway pressure device, each	23	30	550	$80	$64.4K
A4604	Tubing with integrated heating element for use with positive airway pressure device	16	30	1,660	$30	$61.5K
T2028	Specialized supply, not otherwise specified, waiver	5	40	570	$40	$58.4K
T4541	Incontinence product, disposable underpad, large, each	16	20	760	$40	$57.8K
A7031	Face mask interface, replacement for full face mask, each	19	30	1,420	$30	$45.1K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	16	30	260	$50	$36.2K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ravalli Services Corporation	MT	Developmentally Disabled Services Day Training Agency	$0	$19.6M
Marcus Daly Memorial Hospital Corporation	MT	Critical Access Hospital	$0	$4.4M
Capron Family Dental PC	MT	General Practice Dentistry	$0	$1.5M
Beyer Big Sky Optical, Inc	MT	Optometrist	$0	$1.4M
Bitterroot Family Medicine, P.C.	MT	Primary Care Clinic/Center	$0	$1.4M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$859.7K
Hamilton Physical Therapy PC	MT	Physical Therapy Clinic/Center	$0	$723.6K
Therapeutic Mentoring PC	MT	Clinical Social Worker	$0	$637.7K
Teresa Maija	MT	Professional Counselor	$0	$492.2K
Hamilton School District #3	MT	Local Education Agency (LEA)	$0	$391.9K

Health Care Providers Inc. — Billing Profile & Reimbursement Data

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Health Care Providers Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References