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.

Rebecca Belsom (NPI 1063604338)

Field	Value
Entity Type	Individual
Organization	Rebecca Belsom
Address	500 W Broadway St
City	Missoula
State	MT
ZIP	59802
Taxonomy	Rheumatology Physician
NPI Enumerated	August 10, 2007

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

This provider’s clinical billing footprint is concentrated in Medicare with Total Medicare revenue reported as $1.4M and Total Medicaid revenue reported as none (no Medicaid billing on file), so the practice is effectively single‑payer at scale for the data available. The absence of Medicaid activity limits in‑state payer comparisons and indicates revenue exposure is driven almost entirely by Medicare policy and beneficiary volume.

Revenue concentration is extreme: the precomputed top‑3 Medicare codes by revenue account for 88.4% of this provider's total Medicare revenue. Those three codes are J3262 ($540.7K, 37.4%), J0129 ($371.5K, 25.7%), and J1602 ($368K, 25.4%), which together dominate the revenue profile and suggest dependence on a small set of biologic drug administrations.

The code mix indicates a specialty rheumatology infusion practice that delivers in‑office biologic therapies: J3262 (tocilizumab), J0129 (abatacept), and J1602 (golimumab) are the primary revenue drivers and are injectable/infused biologic agents rather than predominantly office‑evaluation services. Supportive procedure codes for infusion administration such as 96365 ($30K, 2.1%) and add‑on infusion code 96415 ($2K, 0.1%) appear in the top codes, consistent with on‑site IV infusion operations and nursing/infusion throughput.

On competitive standing for key drugs, the provider is a major national participant for some biologics: J3262 ranks #40 of 618 providers nationally (94th percentile; notably above typical national volume for this code), and J1602 ranks #101 of 1041 providers nationally (90th percentile; typical, unremarkable volume). By contrast, J0129 ranks #425 of 1221 providers nationally (65th percentile; typical, unremarkable volume), so abatacept administration is more in line with national peers while tocilizumab and golimumab volumes are comparatively elevated.

Evaluation & management activity shows a substantive established‑patient workload: 99214 accounts for $63.4K in revenue across 720 claims and ranks #24708 of 479517 providers nationally (95th percentile; notably above typical national volume for this code). The presence of new patient codes such as 99205 (79 claims, $12.1K) indicates intake of higher‑complex new patients, but E/M revenue is modest relative to biologic drug revenue.

Infusion throughput appears high relative to peers: 96365 (initial IV infusion) has 589 claims, $30K revenue and ranks #274 of 8873 providers nationally (97th percentile; notably above typical national volume for this code), suggesting regular use of an infusion suite and operational capacity to support frequent IV biologic administration. Additional administration codes such as 96372 (208 claims, $2.3K; 89th percentile) further support routine in‑office injections/infusions.

Tenure data show the provider’s NPI was enumerated 2007-08-10 (~19 years ago), indicating an established billing history and likely sustained referral relationships and Medicare patient panel development over nearly two decades. This longevity is consistent with the concentrated, procedure‑heavy revenue mix observed.

Because Medicaid billing is absent (none on file), payer diversification is limited and the provider’s financial performance and operational risk are tied largely to Medicare reimbursement patterns and biologic drug utilization trends; this concentration increases sensitivity to changes in Medicare drug coverage, pricing, or physician administration reimbursement for the high‑revenue J‑codes driving 88.4% of revenue.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3262	Injection, tocilizumab, 1 mg	108,150	$10	$540.7K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	10,930	$30	$371.4K
J1602	Injection, golimumab, 1 mg, for intravenous use	36,800	$10	$368K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	720	$90	$63.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	590	$50	$30K
J0897	Injection, denosumab, 1 mg	1,440	$20	$27.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	80	$150	$12.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	150	$60	$9.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	60	$100	$6.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$110	$4.9K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Rebecca Belsom — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1602	2	10	17,870	$10	$287.4K
J3262	1	10	51,720	$1	$272.3K
J0129	2	10	6,880	$30	$252.9K
J0897	6	10	1,200	$20	$27.2K
99214	52	1,810	100	$70	$12.4K
96413	3	10	60	$100	$11.3K
99215	376	780	40	$100	$7.9K
90662	167	180	70	$70	$7.9K
96365	2	20	70	$50	$7.8K
99213	508	1,730	90	$50	$7.2K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rebecca Belsom, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Clinic PC	MT	Multi-Specialty Clinic/Center	$0	$8.7M
Providence Health & Services Mt	MT	Emergency Medicine Physician	$0	$8.2M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$5.7M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Scott Guess	MT	Ophthalmology Physician	$2.7M	$72.4K
Providence Health & Services Mt	MT	General Acute Care Hospital	$0	$2.4M
Western Montana Clinic PC	MT	Clinical Medical Laboratory	$668.9K	$1.7M
Melody Nelsen	MT	Rheumatology Physician	$2M	$0
Providence Health & Services Mt	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
Ann Corsi	MT	Rheumatology Physician	$656.8K	$0

Nearby Providers

Other providers in the same ZIP code as Rebecca Belsom, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct District Of Columbia	MT	In Home Supportive Care Agency	$0	$393.2M
Youth Homes	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$9.7M
Providence Surgery Center	MT	Ambulatory Surgical Clinic/Center	$1.6M	$3.5M
Partnership For Children	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$4.7M
Gary Wingfield	MT	Assisted Living Facility	$0	$4.7M
Blue Mountain Clinic, Inc.	MT	Family Medicine Physician	$0	$1.4M
Youth Homes	MT	Community/Behavioral Health Agency	$0	$972.2K
Partnership For Children	MT	Community/Behavioral Health Agency	$0	$937.8K
County Of Missoula	MT	Public Health or Welfare Agency	$81.3K	$657.1K
Missoula Alf Operations, LLC	MT	Assisted Living Facility	$0	$675.4K

Rebecca Belsom — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References