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.

Flathead Valley Chemical Dependency Clinic Inc (NPI 1225106842)

Field	Value
Entity Type	Organization
Organization	Flathead Valley Chemical Dependency Clinic Inc
Address	1312 N Meridian Rd
City	Kalispell
State	MT
ZIP	59904
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$284.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,120	$80	$169.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	3,310	$20	$56.3K
H2035	Alcohol and/or other drug treatment program, per hour	500	$60	$28.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	270	$60	$17K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	60	$90	$5.1K
H0001	Alcohol and/or drug assessment	20	$280	$4.2K
99409	The provider spends more than 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	80	$50	$3.8K

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

Flathead Valley Chemical Dependency Clinic Inc — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	287	1,200	750	$80	$143.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	37	110	1,250	$10	$50.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	96	190	60	$70	$36.9K
H2035	Alcohol and/or other drug treatment program, per hour	9	20	370	$50	$31.5K
99409	The provider spends more than 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	7	10	100	$40	$17.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	9	20	200	$40	$11K
H0001	Alcohol and/or drug assessment	12	20	30	$230	$7.7K

Flathead Valley Chemical Dependency Clinic Inc — Billing Profile & Reimbursement Data

Sign up for Flathead Valley Chemical Dependency Clinic Inc — Billing Profile & Reimbursement Data policy alerts

Flathead Valley Chemical Dependency Clinic Inc — Billing Profile & Reimbursement Data

Sign up for Flathead Valley Chemical Dependency Clinic Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References