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.

Whitehall Public Schools (NPI 1992937239)

Field	Value
Entity Type	Organization
Organization	Whitehall Public Schools
Address	309 N Division
City	Whitehall
State	MT
ZIP	59759
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	August 20, 2009

Payer Source	Total Paid
Medicaid	$234.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3,500	$70	$234.3K

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

Whitehall Public Schools — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	59	90	5,740	$80	$1.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caslen Living Centers, Inc.	MT	Assisted Living Facility	$0	$4.2M
Liberty Place Inc	MT	Assisted Living Facility	$0	$789.1K
Whitehall Medical Clinic	MT	Family Medicine Physician	$0	$715K
Peace Of Mind Telehealth And Urgent Care LLC	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$315.6K
Partners United For Life Saving Education	MT	Ambulance	$89.3K	$7.5K
Terry Reiff	MT	Family Medicine Physician	$59.5K	$0
Lisa Turk	MT	Psychiatric/Mental Health Nurse Practitioner	$23.8K	$27K
Steven Sacry	MT	Physician Assistant	$47.7K	$0
Gayle Sacry	MT	Family Medicine Physician	$43.1K	$0

Whitehall Public Schools — Billing Profile & Reimbursement Data

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Whitehall Public Schools — Billing Profile & Reimbursement Data

Sign up for Whitehall Public Schools — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References