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.

Southwest Chemical Dependency Program (NPI 1649300567)

Field	Value
Entity Type	Organization
Organization	Southwest Chemical Dependency Program
Address	430 E Park St
City	Livingston
State	MT
ZIP	59047
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	7,760	$110	$830.1K
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…	4,150	$90	$360.6K
H0038	Self‑help/peer services, per 15 minutes	6,160	$50	$332.8K
H2034	Alcohol and/or drug abuse halfway house services, per diem	150	$810	$119.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5,640	$20	$95.8K
H2035	Alcohol and/or other drug treatment program, per hour	560	$60	$31K
H2036	Alcohol and/or other drug treatment program, per diem	250	$100	$24.4K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	3,010	$10	$24.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	270	$60	$15.8K
H0001	Alcohol and/or drug assessment	20	$230	$3.4K

Showing 1–10 of 11

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

Southwest Chemical Dependency Program — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6	20	1,510	$170	$848K
H2034	Alcohol and/or drug abuse halfway house services, per diem	4	10	260	$240	$542.3K
H0038	Self‑help/peer services, per 15 minutes	6	40	1,050	$50	$171.5K
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…	128	1,200	750	$80	$143.2K
H2036	Alcohol and/or other drug treatment program, per diem	7	10	260	$90	$74.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	22	110	1,250	$10	$50.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	180	190	60	$70	$36.9K
H2035	Alcohol and/or other drug treatment program, per hour	8	20	370	$50	$31.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	3	10	1,030	$10	$22.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	10	20	200	$40	$11K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Chemical Dependency Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
April Stuart	MT	Professional Counselor	$0	$233.4K

Nearby Providers

Other providers in the same ZIP code as Southwest Chemical Dependency Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counterpoint, Inc.	MT	Adult Care Home Facility	$0	$5.7M
Livingston School District 1 & 4	MT	Local Education Agency (LEA)	$0	$5.6M
L Esprit PC	MT	Community/Behavioral Health Agency	$0	$4.9M
Livingston Healthcare	MT	Critical Access Hospital	$0	$1.2M
City Of Livingston	MT	Ambulance	$448.2K	$281.4K
Alexandria Saunders	MT	Addiction (Substance Use Disorder) Counselor	$0	$709.2K
Eyecare Professionals - Mountain Eyewear	MT	Eyewear Supplier	$0	$652.8K
Debra Mcgrath	MT	Professional Counselor	$0	$549.6K
Livingston Healthcare Urgent Care	MT	Urgent Care Clinic/Center	$0	$513.6K
Sara Gentry	MT	Clinical Social Worker	$0	$372.1K

Southwest Chemical Dependency Program — Billing Profile & Reimbursement Data

Sign up for Southwest Chemical Dependency Program — Billing Profile & Reimbursement Data policy alerts

Southwest Chemical Dependency Program — Billing Profile & Reimbursement Data

Sign up for Southwest Chemical Dependency Program — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References