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.

Bozeman Health Deaconess Hospital (NPI 1619347390)

Field	Value
Entity Type	Organization
Organization	Bozeman Health Deaconess Hospital
Address	915 Highland Blvd
City	Bozeman
State	MT
ZIP	59715
Taxonomy	Family Medicine Physician
NPI Enumerated	October 7, 2015

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Key Findings

BOZEMAN HEALTH DEACONESS HOSPITAL is effectively a single-payer Medicaid outpatient provider in these records: there is no Medicare billing on file, while total Medicaid revenue is $7.7M. This concentration indicates the facility’s publicly visible billing footprint in this dataset is dominated by Medicaid populations rather than Medicare.]

Revenue is heavily concentrated in a small set of outpatient evaluation and management codes: 99213, 99214, and 99391 together account for 70.2% of the provider’s total Medicaid revenue, signaling that routine established-patient visits and preventive care are the primary revenue drivers. That precomputed concentration implies that primary care and well-patient services form the core of the practice’s Medicaid-facing operations.]

99213 is the single largest Medicaid revenue source with $3.4M (44.6% of Medicaid revenue) across 42.5K claims; the provider ranks #11 of 523 in-state and is described as an "extreme outlier, far above typical state volume for this code." This positioning reflects very high encounter volume for low-complexity established visits relative to peers, consistent with a high-throughput primary care or outpatient clinic model focused on frequent follow-ups and chronic care management.]

99214 contributes $1.4M (18.1% of Medicaid revenue) with 13.6K claims and ranks #24 of 532 in-state (96th percentile); this moderate-complexity established-visit volume is typical for high-volume outpatient family medicine, reinforcing that the practice manages a substantial caseload requiring moderate decision-making. Together with 99213, the mix of many low-to-moderate complexity visits suggests operational emphasis on continuity and longitudinal care rather than episodic specialty procedures.]

Preventive care is a significant service line: 99391 and 99392 together account for $568.3K and $538.8K respectively (combined ~14.7% of Medicaid revenue), and both codes rank in the top percentiles in-state (99391 at #4/68, 99392 at #6/72). High volumes of well-patient and age-based preventive visits indicate active pediatric/adolescent and adult wellness programs and a likely focus on vaccinations and routine screening as part of primary care workflows.]

Immunization administration codes (90471 and 90472) and vaccine product codes (90670, 90686, 90680, 90723) appear throughout the top Medicaid codes with large claim counts and high in-state ranks (90471 is #2/191 and 90472 is #3/92). This pattern supports the interpretation that immunization delivery is a major operational activity, consistent with the elevated preventive visit volumes and likely clinic-based vaccine programs for Medicaid enrollees.]

Specific high-value or specialized services are present but much smaller in share: codes for fetal ultrasound follow-up (76816, $246.5K, rank #5/24) and echocardiography (93306, $26.2K) indicate the hospital offers some obstetric and imaging follow-up capabilities, but these are minor compared with office E/M and preventive services. Neuropsychological testing codes (96132/96133/96139) also appear, suggesting availability of behavioral health or cognitive assessment services on a limited scale.]

Competitive standing across Medicaid code lines is mixed but often strong: multiple codes are in very high state percentiles or described as "extreme outlier" (e.g., 99213, 90471, 90472), indicating the provider is a dominant volume leader for certain primary-care and immunization services in Montana. Other codes rank in middle percentiles, showing the provider is more typical for some specialty services rather than broadly dominant across all lines.]

The provider’s NPI was enumerated on 2015-10-07 (~11 years ago), establishing a tenure long enough to build sustained Medicaid market presence and high-volume outpatient operations reflected in the billing mix. That duration, combined with the strong in-state rankings on core codes, suggests established clinical workflows and patient panels that drive repeat visits and immunization throughput.

Medicaid: Complete Services Breakdown

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

78 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…	42,460	$80	$3.4M
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…	13,630	$100	$1.4M
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…	5,310	$110	$568.3K
99392	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…	4,650	$120	$538.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	19,180	$20	$364.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2,650	$90	$246.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	8,530	$20	$187.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,420	$120	$169.5K
96118	N/A	440	$230	$102.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	14,490	$10	$101.4K

Showing 1–10 of 78

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

Bozeman Health Deaconess Hospital — 7 of 25 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	32	30	770	$60	$233.3K
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…	24	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…	11	520	730	$40	$196.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	22	30	640	$90	$188.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	5	20	970	$100	$148K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	17	20	190	$280	$137.5K
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…	4	70	420	$80	$111.7K
99392	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…	6	70	310	$90	$107.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	13	20	100	$160	$100.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	23	40	430	$70	$91.3K

Showing 1–10 of 78

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bozeman Health Deaconess Hospital	MT	General Acute Care Hospital	$0	$4.5M
Bozeman Health Deaconess Hospital	MT	Emergency Medicine Physician	$0	$2.8M
Christopher Baker	MT	Radiation Oncology Physician	$1.3M	$0
Bozeman Health Deaconess Hospital	MT	Oxygen Equipment & Supplies (DME)	$0	$583.5K
David Koeplin	ID	Radiation Oncology Physician	$327.5K	$0
Robert Terry	MT	Interventional Cardiology Physician	$279.8K	$0
Mark Wells	NE	Gastroenterology Physician	$265.3K	$0
Abhijit Shah	CT	Diagnostic Radiology Physician	$216.7K	$14.8K
Patrick Gaylor	MT	Hospitalist Physician	$220.5K	$0
Benjamin Smith	CA	Orthopaedic Surgery of the Spine Physician	$209.6K	$0

Nearby Providers

Other providers in the same ZIP code as Bozeman Health Deaconess Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$15.3M
Bozeman School District #7	MT	Local Education Agency (LEA)	$0	$5.5M
Emeritus Corporation	MT	Assisted Living Facility	$0	$4.6M
Nasim Aleagha	MT	Pediatric Dentistry	$0	$3.3M
Option Care Enterprises Inc	MT	Home Infusion Therapy Pharmacy	$0	$2.7M
Providence Mental Health PLLC	MT	Clinical Social Worker	$0	$1.9M
The Cozy Nest	MT	Occupational Therapist	$0	$1.9M
Hatch Pediatrics LLC	MT	Pediatrics Physician	$0	$1.7M
American Medical Response Ambulance Service Inc	MT	Ambulance	$677.2K	$1M
Ncenter, LLC	MT	Mental Health Counselor	$0	$1.6M

Bozeman Health Deaconess Hospital — Billing Profile & Reimbursement Data

Sign up for Bozeman Health Deaconess Hospital — Billing Profile & Reimbursement Data policy alerts

Bozeman Health Deaconess Hospital — Billing Profile & Reimbursement Data

Sign up for Bozeman Health Deaconess Hospital — Billing Profile & Reimbursement Data policy alerts

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