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.

Sidney Health Center (NPI 1568532802)

Field	Value
Entity Type	Organization
Organization	Sidney Health Center
Address	216 14th Ave Sw
City	Sidney
State	MT
ZIP	59270
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$415.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	2,260	$70	$160.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1,000	$130	$125.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,530	$40	$108.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	90	$180	$16.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	460	$10	$4.1K

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

Sidney Health Center — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	48	60	2,160	$80	$526.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	48	80	2,770	$60	$471K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	46	90	2,330	$40	$281.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	26	70	860	$20	$50.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	25	40	630	$10	$33.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sidney Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Michael Schekall	MN	Diagnostic Radiology Physician	$1.7M	$710
Sidney Health Center	MT	Clinic/Center	$0	$1.1M
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Sidney Health Center	MT	Critical Access Hospital	$0	$549.8K
Sidney Health Center	MT	In Home Supportive Care Agency	$0	$373.8K
Mark Ellis	MN	Specialist	$337.9K	$0
Jong-ho Choi	MN	Diagnostic Radiology Physician	$326K	$0
Richard Wilson	MN	Diagnostic Radiology Physician	$304.5K	$0

Nearby Providers

Other providers in the same ZIP code as Sidney Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richland Opportunities Incorporated	MT	Developmentally Disabled Services Day Training Agency	$0	$7.6M
Shc 2021 LLC	MT	Air Ambulance	$1.2M	$42.4K
Prairie Hills Recovery Center	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$820.6K
Sidney Eye Care PLLC	MT	Optometrist	$0	$447.7K
Fink Dental Center	MT	Dental Clinic/Center	$0	$423.4K
Sidney Public Schools	MT	Community/Behavioral Health Agency	$0	$326.6K
Lincare Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$302K
Sunrise Wellness Center, LLC	MT	Community/Behavioral Health Agency	$0	$242.7K
County Of Richland	MT	Public Health or Welfare Agency	$78.1K	$67.2K
Kristin O'brien	MT	Optometrist	$66.6K	$0

Sidney Health Center — Billing Profile & Reimbursement Data

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Sidney Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References