Agency
Region IV Family Outreach, INC
Region IV Family Outreach, INC was paid $7.26M by Medicaid between Jul 2019 and Nov 2024, across 11 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 34% of everything it billed.
33Billing provider infoREGION IV FAMILY OUTREACH, INC
HELENA, MT 59601
HELENA, MT 59601
33aNPI1447300132assigned 01/12/2007
33bProvider typeCase Management Agency
28Total paid$7.26M
24GClaims9,833
24DCodes billed11
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Montana
Rank by total paid#8 of 29
Median peer was paid$1.23M
This provider vs. median5.9×
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 | 1,269 | $893K | |
| 2020 | 2,587 | $1.49M | |
| 2021 | 1,353 | $960K | |
| 2022 | 1,767 | $1.37M | |
| 2023 | 1,513 | $1.34M | |
| 2024incomplete | 1,344 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2013 | Habilitation, educational, waiver; per hour | 34% | 1,150 | 1,066 | $2.50M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 26% | 2,415 | 1,849 | $1.89M |
| T2032 | Residential care, not otherwise specified (nos), waiver; per month | 19% | 1,708 | 1,636 | $1.37M |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 18% | 1,553 | 1,430 | $1.29M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 2.1% | 1,963 | 1,851 | $150K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 619 | 617 | $31K |
| T2002 | Non-emergency transportation; per diem | <1% | 198 | 188 | $27K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 35 | 25 | $3K |
| G9002 | Coordinated care fee, maintenance rate | 0% | 120 | 114 | $0.00 |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 0% | 45 | 13 | $0.00 |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 0% | 27 | 12 | $0.00 |
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 officialPINT, MICHELE (BILLING SPECIALIST)