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.

Benefis Hospitals, Inc. (NPI 1114934023)

Field	Value
Entity Type	Organization
Organization	Benefis Hospitals, Inc.
Address	1101 26th St S
City	Great Falls
State	MT
ZIP	59405
Taxonomy	Air Ambulance
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	1,400	$1,220	$1.7M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1,160	$1,120	$1.3M
A0435	Fixed wing air mileage, per statute mile	1,400	$850	$1.2M
A0436	Rotary wing air mileage, per statute mile	1,160	$880	$1M
A0425	Ground mileage, per statute mile	250	$40	$10.5K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	20	$140	$2.2K

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

Benefis Hospitals, Inc. — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	2	10	1,080	$1,310	$1.2M
A0435	Fixed wing air mileage, per statute mile	2	10	1,080	$1,000	$956.2K
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1	10	520	$1,230	$770.5K
A0436	Rotary wing air mileage, per statute mile	1	10	520	$860	$541.2K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	37	40	450	$160	$374.1K
A0425	Ground mileage, per statute mile	29	50	390	$30	$48.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benefis Hospitals Inc	MT	Multi-Specialty Clinic/Center	$0	$38.2M
West Mont	MT	Adult Care Home Facility	$0	$34.7M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Benefis Hospitals, Inc.	MT	General Acute Care Hospital	$0	$3.5M
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Michele Degregorio	MI	Cardiovascular Disease Physician	$436.4K	$0
David Reisman	NH	Hematology & Oncology Physician	$366.8K	$0
James Haug	CO	Diagnostic Radiology Physician	$326.9K	$0
Noman Malik	GA	Diagnostic Radiology Physician	$326.1K	$0
Scott Pargot	MT	Otolaryngology Physician	$57.3K	$263.5K

Nearby Providers

Other providers in the same ZIP code as Benefis Hospitals, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Great Falls Public Schools	MT	Local Education Agency (LEA)	$0	$15M
Great Falls Pediatric Dentistry, LLC	MT	Pediatric Dentistry	$0	$14.9M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$13.2M
Great Falls Clinic LLC	MT	Multi-Specialty Clinic/Center	$0	$11.2M
Easterseals-goodwill Northern Rocky Mountain, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$7.4M
Levi C Maltby Dmd P.C.	MT	Dentist	$0	$6M
Great Falls Emergency Services Inc	MT	Land Ambulance	$842.6K	$4.4M
Easterseals Goodwill N. Rocky Mtn	MT	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Great Falls Sl, LLC	MT	Assisted Living Facility	$0	$3M
Cmsc, LLC	MT	General Acute Care Hospital	$0	$2.6M

Benefis Hospitals, Inc. — Billing Profile & Reimbursement Data

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Benefis Hospitals, Inc. — 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