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.

Kalispell Public Schools (NPI 1992836779)

Field	Value
Entity Type	Organization
Organization	Kalispell Public Schools
Address	233 1st Ave E
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Key Findings

KALISPELL PUBLIC SCHOOLS is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $6M in total Medicaid revenue. This concentration means the organization’s payer exposure is dominated by state Medicaid programs rather than Medicare fee-for-service.

Revenue for this provider is highly concentrated in a very small number of service lines: the precomputed top 3 Medicaid codes by revenue account for 94.6% of total Medicaid revenue. Those top three codes are H0036 ($4.8M), T1019 ($485.2K), and 92507 ($469.1K), indicating a heavy reliance on a few high-volume services.

The code mix and taxonomy (Local Education Agency, LEA) point to school-based behavioral health and therapy operations: H0036 is community psychiatric supportive treatment delivered face-to-face, while 92507 and 92508 are direct speech/language therapy codes and T1019 covers personal care services under an individualized plan. Together these codes suggest the LEA is delivering in-school psychiatric support, speech-language services, and individualized personal care to enrolled students.

H0036 dominates the Medicaid footprint with 75.6K claims, a $63 avg paid/claim, and $4.8M in revenue; the provider ranks #7 of 90 in-state and sits in the 93th percentile. This ranking and raw claim volume make the provider a prominent statewide participant for community psychiatric supportive treatment and reflect service volumes that are notably above typical state levels for this code.

Speech and communication services are another major pillar: 92507 and 92508 together represent high claim volumes (14.7K and 14.8K claims) with $469.1K and $222.1K in revenue, respectively. 92507 ranks #14 of 147 (91th percentile) and 92508 ranks #4 of 50 (94th percentile), indicating a strong, statewide presence in both one-on-one and group speech/language therapy relative to peers.

T1019 personal care services is a smaller but high-dollar-per-claim line for this provider, with 1.4K claims, a $341 avg paid/claim, and $485.2K in revenue; the provider ranks #30 of 38 in-state (22th percentile). The combination of modest rank and a high avg paid/claim suggests fewer but potentially higher-intensity personal care units billed under individualized plans.

Occupational/functional therapy activity as captured by 97530 is present but not dominant: 4.2K claims, $25 avg paid/claim, and $104.1K in revenue with a rank of #51 of 196 (74th percentile). This places the provider in a typical to slightly-above-typical range among in-state peers for functional performance therapies.

The NPI was enumerated on 2007-03-07 (~19 years ago), indicating long-tenured participation in Medicaid billing. That tenure, combined with the concentrated service mix, suggests an established, school-based provider that has scaled a narrow set of behavioral-health and therapy programs within the Medicaid system.

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	75,550	$60	$4.8M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,420	$340	$485.2K
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…	14,660	$30	$469.1K
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…	14,810	$20	$222.1K
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.	4,160	$30	$104K

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

Kalispell Public Schools — 0 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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	30	40	6,240	$130	$14.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7	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…	14	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.	51	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…	4	50	3,530	$10	$61.6K

Nearby Providers

Other providers in the same ZIP code as Kalispell Public Schools, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M
Sunburst Community Service Foundation, Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M

Kalispell Public Schools — Billing Profile & Reimbursement Data

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Kalispell Public Schools — 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