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NPI 1356792816 · Minot, ND · Methadone Clinic
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Community Medical Services Montana-private, LLC is a methadone clinic provider located in Minot, North Dakota. This profile covers 3 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Community Medical Services Montana-private, LLC |
| Address | 300 30th Ave Nw, Suites D And E |
| City | Minot |
| State | ND |
| ZIP | 58703 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | June 27, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.2M |
| Medicare | $135.1K |
Community Medical Services Montana-Private, LLC is operating as a Methadone Clinic and its Medicare and Medicaid code mix is consistent with an opioid treatment program (OTP) that provides bundled medication-assisted treatment, regular methadone administration, counseling, and toxicology testing. Medicare billing is concentrated on OTP-specific codes such as G2067 (weekly MAT bundle), G2077 (periodic assessment), and G2172 (OUD demonstration bundle), while Medicaid billing is dominated by H0016 (medical/somatic services), H0020 (methadone administration), and H2010 (comprehensive medication services).
Revenue is highly concentrated in a small number of service lines for each payer: the top 3 Medicare codes account for 100.0% of the provider's total Medicare revenue and the top 3 Medicaid codes account for 90.8% of the provider's total Medicaid revenue. Lifetime totals are materially different in scale: total Medicare revenue is $135.1K while total Medicaid revenue is $4.2M, indicating concentration both by code and by payer.
The provider is effectively Medicaid-dominant: Medicaid revenue ($4.2M) far exceeds Medicare revenue ($135.1K), which implies the clinic’s operational volume and reimbursement exposure are primarily tied to state Medicaid programs rather than the Medicare population. This payer mix suggests operational focus on younger or disabled populations covered by Medicaid who require ongoing methadone and associated psychosocial services.
On Medicare, G2067 is the primary revenue driver at $113.5K (83.9% of this provider's Medicare revenue) and the provider ranks #559 of 830 nationally (33th percentile; typical, unremarkable volume for this code). Supplementary Medicare activity comes from G2077 ($11.4K, 8.5%; ranks #69 of 352, 81th percentile; typical, unremarkable volume) and G2172 ($10.3K, 7.6%; ranks #15 of 24, 39th percentile; typical, unremarkable volume), collectively accounting for 100.0% of Medicare revenue and reflecting modest national participation in OTP Medicare billing.
In the state Medicaid market the provider shows stronger in-state placement for its top service lines: H0016 generates $2.3M (55.4% of Medicaid revenue) and ranks #2 of 6 in-state (80th percentile; typical, unremarkable volume), while H0020 ($888.9K, 21.3%; ranks #3 of 5, 50th percentile) and H2010 ($588K, 14.1%; ranks #3 of 5, 50th percentile) complete the top three that together represent 90.8% of Medicaid revenue. These ranks indicate the clinic is a major in-state provider for core OTP/MAT services, particularly H0016 medical/somatic care.
Service-level volume signals the clinic delivers high-frequency, dispensing-centered care: Medicaid claims counts such as 88.9K for H0020 and 73.5K for H2010 point to a heavy throughput of methadone administration and medication management encounters, while 25.1K claims for H0016 and 2K claims for 80307 drug testing indicate integrated counseling and routine toxicology screening. Additional Medicaid revenues from psychotherapy (90832, $171.5K, 4.1% of Medicaid revenue; ranks #4 of 29, 89th percentile) and laboratory screening (80307, $140.6K, 3.4%; ranks #5 of 19, 78th percentile) reinforce that the provider bundles clinical, behavioral, and testing services around methadone treatment.
The provider has an established enrollment history, with its NPI enumerated on 2016-06-27 (~10 years ago), and the lifetime Medicaid revenue of $4.2M coupled with concentrated billing in OTP codes suggests a sustained operational footprint in-state since enumeration. Taken together, the data portray a decade-old OTP-focused clinic that is Medicaid-centric, with concentrated revenue in a few OTP service lines and a modest national presence on Medicare OTP codes but a stronger competitive position within its state for core Medicaid MAT services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 480 | $240 | $113.5K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 110 | $110 | $11.4K |
| G2172 | All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project | 30 | $330 | $10.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
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 |
|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 25,090 | $90 | $2.3M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 88,890 | $10 | $888.9K |
| H2010 | Comprehensive medication services, per 15 minutes | 73,500 | $10 | $588K |
| 90832 | 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… | 3,240 | $50 | $171.5K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 2,040 | $70 | $140.6K |
| 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… | 850 | $80 | $70.5K |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 2 | 10 | 9,500 | $90 | $1.4M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 3 | 10 | 88,890 | $10 | $988.7K |
| H2010 | Comprehensive medication services, per 15 minutes | 3 | 10 | 73,500 | $10 | $459K |
| 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… | 56 | 170 | 300 | $100 | $415.8K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 5 | 20 | 920 | $30 | $111.2K |
| 90832 | 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… | 4 | 30 | 260 | $60 | $55.1K |
Other providers in the same ZIP code as Community Medical Services Montana-private, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kelly Drevecky | ND | Pediatric Occupational Therapist | $0 | $1.5M |
| Dakota Family Services | ND | Clinic/Center | $0 | $684.4K |
| Premier Chiropractic PC | ND | Chiropractor | $0 | $521.6K |
| Timothy Eaton | ND | Clinical Psychologist | $44K | $459.8K |
| Alex Eaton Psychological Services, PLLC | ND | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $470K |
| 701pospishil & Associates, PLLC | ND | Community/Behavioral Health Agency | $0 | $380.1K |
| Mehring Psychological Services, Plc | ND | Clinical Psychologist | $0 | $268.9K |
| Mary J Solberg | ND | Clinical Social Worker | $0 | $265.5K |
| Ward County | ND | Social Worker | $0 | $81.8K |
| Faa Addiction Services, LLC | ND | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $80.1K |
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