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.

Total Family Care Pllp (NPI 1649728577)

Field	Value
Entity Type	Organization
Organization	Total Family Care Pllp
Address	611 Ne Main St Ste 2
City	Lewistown
State	MT
ZIP	59457
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 20, 2016

Payer Source	Total Paid
Medicaid	$395.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	4,050	$70	$271.2K
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…	1,550	$70	$114.8K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	650	$10	$3.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,170	$1	$3.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$50	$1.3K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	50	$20	$800
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	20	$20	$270

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

Total Family Care Pllp — 0 of 7 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

7 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…	160	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…	115	520	730	$40	$196.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	173	190	390	$10	$19.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	204	240	170	$1	$10.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	86	190	950	$1	$4.9K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	18	70	200	$10	$4.3K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	9	20	40	$1	$360

Nearby Providers

Other providers in the same ZIP code as Total Family Care Pllp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montana Family Dentistry	MT	Dentist	$0	$1.3M
Central Montana Medical Facilities, Inc.	MT	Family Medicine Physician	$0	$741.7K
Central Mt Learning Resource Center	MT	Local Education Agency (LEA)	$0	$698.3K
Eyecare Associates Of Lewistown PC	MT	Optometrist	$0	$467.7K
Villa At Valle Vista Rehabilitation LLC	MT	Assisted Living Facility	$0	$414K
Central Montana Medical Facilities, Inc	MT	Critical Access Hospital	$0	$353.7K
Lance Eller	MT	Mental Health Counselor	$0	$326.7K
Kelli Berg	MT	Mental Health Counselor	$0	$234.2K
Central Montana Medical Facilities, Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$223.1K
Matthew Moen	MT	General Practice Dentistry	$0	$205.8K

Total Family Care Pllp — Billing Profile & Reimbursement Data

Sign up for Total Family Care Pllp — Billing Profile & Reimbursement Data policy alerts

Total Family Care Pllp — Billing Profile & Reimbursement Data

Sign up for Total Family Care Pllp — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References