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.

Logan Health - Whitefish (NPI 1487085098)

Logan Health - Whitefish is a psychiatry physician provider located in Whitefish, 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	Logan Health - Whitefish
Address	2004 Hospital Way
City	Whitefish
State	MT
ZIP	59937
Taxonomy	Psychiatry Physician
NPI Enumerated	December 6, 2013

Payer Source	Total Paid
Medicaid	$1.3M
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
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…	8,010	$120	$952.8K
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…	2,400	$90	$208.9K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	440	$70	$32.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	210	$150	$31.8K
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…	540	$50	$28.2K
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…	120	$110	$12.7K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	480	$20	$8.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	120	$70	$8.4K
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…	180	$40	$7.1K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	710	$10	$6.4K

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

Logan Health - Whitefish — 0 of 14 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…	48	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…	398	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…	251	1,200	750	$80	$143.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	27	60	380	$70	$91.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	122	160	250	$110	$85.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	12	50	50	$140	$61K
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…	100	170	310	$20	$38.7K
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…	97	230	300	$30	$38.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	144	190	60	$70	$36.9K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	31	40	250	$60	$33.4K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Logan Health - Whitefish	MT	Critical Access Hospital	$0	$696.3K
Jennie Eckstrom	MT	Family Medicine Physician	$166K	$0
Jon Miller	MT	Family Medicine Physician	$163.6K	$0
Thomas Addison	MT	Geriatric Medicine (Internal Medicine) Physician	$139.2K	$0
David Healy	MT	Otolaryngology Physician	$108.9K	$0
Jay Erickson	MT	Family Medicine Physician	$99.2K	$0
Jason Leep	MT	Family Medicine Physician	$78.1K	$0
Tony Lloyd	MT	Family Medicine Physician	$69.8K	$0
Frederick Pascual	WA	Pulmonary Disease Physician	$68.9K	$0
Daniel Zlogar	MT	Emergency Medicine Physician	$61.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glacier Medical Associates	MT	Family Medicine Physician	$0	$5M
Whitefish School District #44	MT	Local Education Agency (LEA)	$0	$1.4M
Whitefish Physical Therapy & Sports Rehab, Inc.	MT	Physical Therapist	$0	$707.8K
Angela Garrett	MT	Mental Health Counselor	$0	$637.8K
Angie Spring	MT	Speech-Language Pathologist	$0	$421K
Gfc Inc	MT	Chiropractor	$0	$365.9K
John Kalbfleisch	MT	Family Medicine Physician	$306.1K	$0
City Of Whitefish	MT	Land Ambulance	$215.9K	$83.1K
Big Mountain Chiropractic, P.C.	MT	Chiropractor	$0	$253.2K
Daniel Munzing	MT	Family Medicine Physician	$176.1K	$0

Logan Health - Whitefish — Billing Profile & Reimbursement Data

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Logan Health - Whitefish — 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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