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    OpenPayerNPI Medicare & MedicaidMadison Valley Hospital Inc
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    Madison Valley Hospital Inc — Billing Profile & Reimbursement Data

    NPI 1518546365 · Ennis, MT · Land Ambulance

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    Madison Valley Hospital Inc is a land ambulance provider located in Ennis, Montana. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMadison Valley Hospital Inc
    Address328 W Main St
    CityEnnis
    StateMT
    ZIP59729
    TaxonomyLand Ambulance
    NPI EnumeratedApril 7, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$87.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile5,260$10$42.1K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)40$490$21.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)30$410$10.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)20$310$6.5K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)20$260$6.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427295050$440$78.3K
    A0429537060$370$57.6K
    A042517802,110$10$32K
    A0428233060$230$24K
    A0426122030$300$12.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Madison Valley Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kenny WallenMTCertified Registered Nurse Anesthetist$69K$0
    Sean SimmonsMTPhysician Assistant$33.8K$0
    Mel BinghamIDPhysician Assistant$27.9K$0
    Jessica SimmonsMTCertified Registered Nurse Anesthetist$23.9K$0
    Douglas HadleyMTVascular & Interventional Radiology Physician$14.8K$0
    Scott RigdonORCertified Registered Nurse Anesthetist$12.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Madison Valley Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert SahliMTPhysical Therapist$38.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Montana Distribution
    Madison Valley Hospital Inc — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana