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.

Glacier Medical Associates (NPI 1104882232)

Glacier Medical Associates is a family medicine physician provider located in Whitefish, Montana. This profile covers 0 Medicare and 40 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Glacier Medical Associates
Address	1111 Baker Ave
City	Whitefish
State	MT
ZIP	59937
Taxonomy	Family Medicine Physician
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	37,740	$80	$3.1M
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…	12,630	$110	$1.3M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	4,820	$20	$101.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	810	$120	$95.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	730	$110	$77.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	320	$120	$39.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	600	$50	$32K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,320	$20	$30.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	850	$30	$23.8K
99203	The provider sees a new 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 provider…	180	$120	$22.1K

Showing 1–10 of 40

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

Glacier Medical Associates — 2 of 25 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	25	530	580	$70	$224.6K
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…	13	520	730	$40	$196.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	24	70	420	$80	$111.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	26	70	310	$90	$107.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	30	80	130	$80	$43.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	93	230	300	$30	$38.1K
99203	The provider sees a new 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 provider…	83	190	130	$70	$37.2K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	12	20	100	$40	$21.6K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	28	30	940	$10	$20K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	11	190	390	$10	$19.6K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whitefish School District #44	MT	Local Education Agency (LEA)	$0	$1.4M
Logan Health - Whitefish	MT	Psychiatry Physician	$0	$1.3M
Whitefish Physical Therapy & Sports Rehab, Inc.	MT	Physical Therapist	$0	$707.8K
Logan Health - Whitefish	MT	Critical Access Hospital	$0	$696.3K
Angela Garrett	MT	Mental Health Counselor	$0	$637.8K
Angie Spring	MT	Speech-Language Pathologist	$0	$421K
Gfc Inc	MT	Chiropractor	$0	$365.9K
City Of Whitefish	MT	Land Ambulance	$215.9K	$83.1K
Big Mountain Chiropractic, P.C.	MT	Chiropractor	$0	$253.2K
Walgreen Co	MT	Pharmacy	$102.3K	$0

Glacier Medical Associates — Billing Profile & Reimbursement Data

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Glacier Medical Associates — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Kalbfleisch	MT	Family Medicine Physician	$306.1K	$0
Daniel Munzing	MT	Family Medicine Physician	$176.1K	$0
Jennie Eckstrom	MT	Family Medicine Physician	$166K	$0
Jon Miller	MT	Family Medicine Physician	$163.6K	$0
Courtney Austin	MT	Internal Medicine Physician	$134.2K	$0
Hikmat Maaliki	MT	Family Medicine Physician	$127K	$0
Jeremy Jennings	MT	Internal Medicine Physician	$119.2K	$0
Robert Nitschelm	MT	Family Medicine Physician	$108.5K	$0
Karen Vesely	MT	Family Medicine Physician	$102.1K	$0
Jay Erickson	MT	Family Medicine Physician	$99.2K	$0