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.

Carter Beck (NPI 1225022023)

Field	Value
Entity Type	Individual
Organization	Carter Beck
Address	500 West Broadway Street
City	Missoula
State	MT
ZIP	59802
Taxonomy	Neurological Surgery Physician
NPI Enumerated	September 7, 2005

Payer Source	Total Paid
Medicare	$287.9K
Medicaid	$0

Key Findings

This provider's payable activity is effectively single-payer Medicare: total Medicare revenue is $287.9K and there is no Medicaid billing on file ("none below — this provider has no Medicaid billing on file"). Analysts should treat Medicaid as absent when modeling payer mix or access for low-income populations.

Revenue is highly concentrated in a few spine procedures: the precomputed top-three-share is 57.3% of Medicare revenue, driven by 22630 ($100.3K, 34.9%), 22842 ($33.8K, 11.8%), and 22853 ($30.8K, 10.7%). This concentration signals that a majority of Medicare dollars come from complex spinal fusion and instrumentation work rather than from broad outpatient E/M billing.

The CPT mix indicates a specialty practice centered on complex spine surgery: 22630 and 22632 are lumbar arthrodesis/fusion procedures, 22842 and 22853 reflect multi‑level posterior instrumentation and interbody device placement, and decompression codes such as 63052/63053 also appear in the top entries. Together these codes point to a service line focused on operative spinal fusion and decompression rather than general neurosurgery or nonoperative spine care.

Several procedure codes are national outliers, supporting a dominant role in these niches: 22630 ranks #1 of 138 nationally (100th percentile; extreme outlier) and 22632 ranks #1 of 14 nationally (100th percentile; notably above typical national volume for this code). High national ranks for 22842 (rank #52 of 2689, 98th percentile; extreme outlier) and 22853 (rank #56 of 4082, 99th percentile; extreme outlier) further indicate above‑typical national volume in complex spinal instrumentation and interbody fusion.

Ambulatory evaluation patterns show substantial new and established patient throughput associated with surgical practice: 99204 appears 208 times ($26K, 9.0%) and ranks #4282 of 227068 providers nationally (98th percentile; extreme outlier), while 99213 has 219 claims ($14K, 4.9%). This combination of high‑level new patient visits and routine established visits is consistent with a referral-driven practice that performs preoperative evaluations, perioperative follow-up, and postoperative care in clinic.

Beyond the top three revenue drivers, procedural breadth includes notable decompression work: 63052 has 76 claims and $15.8K revenue (5.5%) and ranks #9 of 1335 providers nationally (99th percentile; extreme outlier), while 63053 also appears with 59 claims and $10.9K revenue (3.8%) and ranks #10 of 392 (97th percentile; notably above typical national volume). These additional high-percentile decompression codes reinforce that the practice performs both fusion and decompression procedures at elevated volumes compared with peers.

The absence of Medicaid billing (explicitly stated as "none below — this provider has no Medicaid billing on file") means the provider's commercial/Medicaid exposure is either zero or not in the available dataset; for network design and access analyses this provider should be treated as effectively Medicare-only unless supplemental payer data are obtained. This has implications for Medicaid beneficiaries in the market and for payers evaluating network adequacy for spine services.

The provider has a long billing tenure: NPI enumerated 2005-09-07 (~21 years ago), indicating an established practice footprint and sustained Medicare billing history that supports interpreting current high volumes as persistent practice patterns rather than a short-term anomaly.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22630	The provider performs an arthrodesis, also known as spinal fusion, in the lumbar spine, or lower back, to permanently join two vertebrae, the interlocking bones of the spine. He excises the lamina…	80	$1,270	$100.3K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	60	$620	$33.8K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	150	$210	$30.8K
99204	The provider sees a new 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 provider…	210	$130	$26K
22840	The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.	30	$610	$18.3K
63052	At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.	80	$210	$15.8K
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	10	$1,320	$14.5K
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…	220	$60	$14K
22632	The provider performs an arthrodesis, also known as spinal fusion, in the lumbar spine, or lower back, to permanently join two vertebrae, the interlocking bones of the spine. He excises the lamina…	50	$260	$13.2K
63053	At the same session as lumbar posterior interbody arthrodesis (joint fusion) and after the provider performs laminectomy, facetectomy, or foraminotomy on an initial vertebral segment for…	60	$180	$10.9K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Carter Beck — 7 of 12 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

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22630	1	10	20	$1,250	$46.3K
22551	5	10	10	$1,140	$14.8K
22632	1	10	50	$260	$13.2K
99214	960	1,810	100	$70	$12.4K
22842	1	10	20	$460	$9.7K
22840	1	10	20	$460	$8.7K
99213	308	1,730	90	$50	$7.2K
22853	1	20	40	$140	$6.9K
63053	1	10	20	$160	$5.4K
99442	85	90	20	$50	$5.3K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Melody Nelsen	MT	Rheumatology Physician	$2M	$0
Providence Health & Services Mt	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
Rebecca Belsom	MT	Rheumatology Physician	$1.4M	$0
Rebecca Danforth	MT	Rheumatology Physician	$396K	$0
Providence Health & Services Mt	MT	Pulmonary Disease Physician	$0	$394K

Nearby Providers

Other providers in the same ZIP code as Carter Beck, 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
Western Montana Clinic PC	MT	Multi-Specialty Clinic/Center	$0	$8.7M
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
Western Montana Clinic PC	MT	Clinical Medical Laboratory	$668.9K	$1.7M
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

Carter Beck — 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