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.

Barrett Hospital Development Corporation (NPI 1396286480)

Barrett Hospital Development Corporation is a critical access hospital provider located in Dillon, Montana. This profile covers 0 Medicare and 14 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	Barrett Hospital Development Corporation
Address	30 Mt Highway 91 S
City	Dillon
State	MT
ZIP	59725
Taxonomy	Critical Access Hospital
NPI Enumerated	March 9, 2017

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

14 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…	10,840	$90	$943.3K
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…	1,340	$130	$177.1K
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…	560	$80	$44.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,040	$20	$17.7K
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…	30	$110	$3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	100	$20	$2.3K
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…	40	$50	$2K
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…	10	$150	$1.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	250	$10	$1.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	40	$10	$500

Showing 1–10 of 14

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

Barrett Hospital Development Corporation — 0 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. Montana median

14 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…	177	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…	48	520	730	$40	$196.4K
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…	691	1,200	750	$80	$143.2K
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…	61	70	420	$80	$111.7K
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…	122	130	100	$120	$49.4K
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…	191	230	300	$30	$38.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	62	190	390	$10	$19.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	59	90	200	$20	$19.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	31	30	190	$20	$11K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	37	40	350	$10	$9.1K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clay Holley	MT	Ophthalmology Physician	$1.9M	$3K
Barrett Hospital Development Corporation	MT	Critical Access Hospital	$0	$791.4K
Richard Vinglas	MT	Surgery of the Hand (Surgery) Physician	$298K	$0
David Fortenberry	MT	Vascular Surgery Physician	$213K	$0
Nathaniel Readal	MT	Urology Physician	$193.3K	$0
Travis Curry	LA	Orthopaedic Surgery Physician	$173.1K	$0
Tana Taylor	MT	Certified Registered Nurse Anesthetist	$89.1K	$0
Camilla Juhl-petersen	MT	Family Medicine Physician	$73.7K	$0
Jason Lawn	MT	Physician Assistant	$69.7K	$0
Kenny Wallen	MT	Certified Registered Nurse Anesthetist	$69K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dillon Elementary Distict #10	MT	Local Education Agency (LEA)	$0	$1.7M
Catherine Griffin	MT	Speech-Language Pathologist	$0	$427.9K
Jennifer Smith	MT	Professional Counselor	$0	$344.9K
Creger Family Eye Care, PC	MT	Optometrist	$0	$252.9K
Jennifer Miller	MT	Mental Health Counselor	$0	$233.1K
Zachary M Oswald PLLC	MT	Optometrist	$0	$230.9K
Beaverhead Emergency Medical Services	MT	Ambulance	$151.5K	$67.4K
Zachary Oswald	MT	Optometrist	$75.3K	$0
Daniel Downey	MT	Orthopaedic Surgery Physician	$65.1K	$0
Kirk Vanslyke	MT	Physical Therapist	$60.8K	$0

Barrett Hospital Development Corporation — Billing Profile & Reimbursement Data

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Barrett Hospital Development Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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