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.

Frontier Psychiatry, PLLC (NPI 1508493156)

Key Findings

Field	Value
Entity Type	Organization
Organization	Frontier Psychiatry, PLLC
Address	1601 Lewis Ave Ste 102
City	Billings
State	MT
ZIP	59102
Taxonomy	Psychiatry Physician
NPI Enumerated	March 24, 2020

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

FRONTIER PSYCHIATRY, PLLC is effectively a single‑payer Medicaid provider — Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $6M — indicating its publicly reported commercial/Medicare footprint is negligible or absent compared with Medicaid activity. This concentration of billing to Medicaid should shape payer‑mix and network analyses.

Revenue concentration is extremely high: the top three Medicaid codes (99214, 90833, 90792) together account for 87.4% of this provider's total Medicaid revenue. This indicates the practice’s revenue is heavily dependent on a narrow set of outpatient psychiatry evaluation/management and psychotherapy services.

The largest revenue driver is 99214 (established patient E/M), with 28.5K claims at $128 avg paid/claim producing $3.6M (60.5% of Medicaid revenue); this volume ranks #12 of 532 providers in‑state (98th percentile) and signals the provider offers high-volume routine outpatient psychiatric management relative to peers. High counts for 99214 suggest a clinic model focused on frequent follow‑up visits for established patients.

90833 appears as an operational outlier: 17.6K claims at $69 avg paid/claim generating $1.2M (20.1% of Medicaid revenue) and ranking #1 of 61 providers in‑state (100th percentile; extreme outlier). The prominence of 90833 (psychotherapy add‑on to E/M) implies the practice commonly delivers concurrent psychotherapy within E/M visits, positioning it as a dominant regional provider of combined E/M plus psychotherapy services.

90792 (psychiatric diagnostic evaluation with medical services) contributes $406.8K (6.8% of Medicaid revenue) from 1.9K claims at $213 avg paid/claim and ranks #4 of 50 providers in‑state (94th percentile). This mix — substantial 99214 and frequent 90792 use — indicates the practice performs both initial diagnostic evaluations and ongoing medication/management care rather than purely psychotherapy‑only services.

Higher‑intensity visit codes also appear meaningfully: 99205 ($194K, ranks #4 of 67, 95th percentile) and 99215 ($160K, ranks #38 of 156, 76th percentile) show the practice bills for time‑intensive new and established patient encounters. This suggests the clinic is equipped to handle complex, high‑decision visits in addition to high volumes of moderate complexity follow‑up care.

Ancillary and technology services are present but modest: remote physiologic monitoring codes 99454 ($56.7K, ranks #1 of 2, 100th percentile) and 99453 ($5.3K, ranks #1 of 2, 100th percentile) indicate the practice bills for RPM device supply and setup, while 99457 shows 1.3K claims with $0 avg paid/claim and $0 revenue, which may reflect non‑payment, zero reimbursement entries, or reporting artifacts requiring further investigation. The presence of G2211 (4.7K claims, $80.3K, ranks #3 of 39, 95th percentile) also signals frequent reporting of complex E/M visit complexity add‑ons.

From a competitive standpoint within Montana the provider is a major in several Medicaid categories: ranked #1 statewide for 90833 and high percentile placement for 99214 and 90792. Combined with its NPI enumeration date of 2020-03-24 (~6 years ago), FRONTIER PSYCHIATRY appears to have rapidly built a concentrated, high‑volume outpatient psychiatry practice focused on frequent established‑patient management and integrated psychotherapy services.

Medicaid: Complete Services Breakdown

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

18 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…	28,450	$130	$3.6M
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…	17,580	$70	$1.2M
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…	1,910	$210	$406.8K
99205	The provider sees a new 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 provider…	920	$210	$194K
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…	900	$180	$160K
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…	1,100	$100	$111K
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…	4,720	$20	$80.3K
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…	460	$150	$71.3K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	1,260	$50	$56.7K
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…	430	$100	$41.3K

Showing 1–10 of 18

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

Frontier Psychiatry, PLLC — 5 of 17 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

18 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…	12	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…	223	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…	767	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…	1	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…	38	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…	4	50	50	$140	$61K
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…	27	130	100	$120	$49.4K
99205	The provider sees a new 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 provider…	4	70	70	$180	$40.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	77	190	60	$70	$36.9K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	1	10	690	$40	$30.8K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Priyanki Pareek	MT	Psychiatry Physician	$52.1K	$0
Melinda Truesdell	MT	Psychiatric/Mental Health Nurse Practitioner	$33.7K	$0
Cordelia Egwim	TX	Psychiatric/Mental Health Nurse Practitioner	$16.1K	$0
Stanley Kong	WA	Nurse Practitioner	$4.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Dynamics, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$65.4M
New Day, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$27.7M
Youth Dynamics, Inc.	MT	Professional Counselor	$0	$24.6M
Resource, Support, & Development, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Brittany Curl	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Rimrock Pediatric Dentistry	MT	Pediatric Dentistry	$0	$15.2M
Bridges Of Montana	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
The Childrens Clinic Of Billings, PC	MT	Pediatrics Physician	$0	$10.9M
Community Option Resource Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Ryan K. Larsen Dmd & Associates	MT	Dental Anesthesiology	$0	$8.3M

Frontier Psychiatry, PLLC — Billing Profile & Reimbursement Data

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Frontier Psychiatry, PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References