Agency
Quality Life Concepts INC.
Quality Life Concepts INC. was paid $25.98M by Medicaid between Jun 2019 and Nov 2024, across 13 billing codes. Its largest line is T2017, Habilitation, residential, waiver; 15 minutes — 54% of everything it billed.
33Billing provider infoQUALITY LIFE CONCEPTS INC.
GREAT FALLS, MT 59404
GREAT FALLS, MT 59404
33aNPI1437223518assigned 11/20/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$25.98M
24GClaims17,956
24DCodes billed13
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Montana
Rank by total paid#3 of 44
Median peer was paid$374K
This provider vs. median69×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 2,273 | $2.54M | |
| 2020 | 4,763 | $5.74M | |
| 2021 | 3,031 | $4.05M | |
| 2022 | 3,474 | $4.42M | |
| 2023 | 2,804 | $4.68M | |
| 2024incomplete | 1,611 | $4.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2017 | Habilitation, residential, waiver; 15 minutes | 54% | 3,909 | 2,691 | $14.07M |
| T2013 | Habilitation, educational, waiver; per hour | 21% | 2,033 | 1,478 | $5.56M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 16% | 4,015 | 2,458 | $4.11M |
| T2032 | Residential care, not otherwise specified (nos), waiver; per month | 7.1% | 2,227 | 2,117 | $1.84M |
| T2002 | Non-emergency transportation; per diem | <1% | 1,718 | 1,657 | $184K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | <1% | 3,532 | 3,015 | $127K |
| H0046 | Mental health services, not otherwise specified | <1% | 66 | 62 | $37K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 156 | 151 | $30K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 14 | 13 | $5K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 221 | 215 | $4K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 15 | 12 | $4K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 34 | 34 | $3K |
1 more codes
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 16 | $866.29 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWERTZ, LORI (CEO)