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.

Marcus Daly Memorial Hospital Corporation (NPI 1659475846)

Field	Value
Entity Type	Organization
Organization	Marcus Daly Memorial Hospital Corporation
Address	1200 Westwood Drive
City	Hamilton
State	MT
ZIP	59840
Taxonomy	Critical Access Hospital
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

187 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	21,120	$60	$1.2M
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.	23,340	$40	$980.4K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	2,500	$100	$259.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	18,580	$10	$241.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,930	$60	$235.5K
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.	6,500	$30	$162.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	17,860	$10	$160.7K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	1,990	$70	$143.5K
A0390	Als mileage (per mile)	1,400	$90	$126.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	4,140	$20	$82.8K

Showing 1–10 of 187

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

Marcus Daly Memorial Hospital Corporation — 3 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

187 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.	14	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.	9	80	2,770	$60	$471K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	13	40	450	$160	$374.1K
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.	10	90	2,330	$40	$281.3K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	7	30	240	$180	$270.7K
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…	176	530	580	$70	$224.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	11	150	2,760	$40	$224.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	22	30	3,780	$40	$222.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	10	200	1,110	$60	$207.2K
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…	148	520	730	$40	$196.4K

Showing 1–10 of 187

Related Providers

Other providers that share a Tax Identification Number (TIN) with Marcus Daly Memorial Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Slater	OK	Adult Reconstructive Orthopaedic Surgery Physician	$352.3K	$0
Shahid Chaudhary	MT	Nephrology Physician	$268.2K	$0
Jonathan Fowlkes	MT	Otolaryngology Physician	$100.5K	$121.8K
Brad Peterson	MT	Anatomic Pathology & Clinical Pathology Physician	$212.7K	$0
Phillip Gardner	MT	Otolaryngology Physician	$29.9K	$179.3K
Marcus Daly Memorial Hospital Corporation	MT	Pain Medicine Physician	$0	$208.8K
Anthony Navone	MT	Cardiovascular Disease Physician	$171.5K	$0
Daric Russell	ID	Pain Medicine (Anesthesiology) Physician	$164.6K	$0
Josh Moser	MT	Physician Assistant	$83.1K	$68K
Richard Runyan	ID	Pain Medicine (Anesthesiology) Physician	$138.7K	$0

Nearby Providers

Other providers in the same ZIP code as Marcus Daly Memorial Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ravalli Services Corporation	MT	Developmentally Disabled Services Day Training Agency	$0	$19.6M
Capron Family Dental PC	MT	General Practice Dentistry	$0	$1.5M
Beyer Big Sky Optical, Inc	MT	Optometrist	$0	$1.4M
Bitterroot Family Medicine, P.C.	MT	Primary Care Clinic/Center	$0	$1.4M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$859.7K
Hamilton Physical Therapy PC	MT	Physical Therapy Clinic/Center	$0	$723.6K
Therapeutic Mentoring PC	MT	Clinical Social Worker	$0	$637.7K
Teresa Maija	MT	Professional Counselor	$0	$492.2K
Health Care Providers Inc.	MT	Oxygen Equipment & Supplies (DME)	$0	$454.9K
Hamilton School District #3	MT	Local Education Agency (LEA)	$0	$391.9K

Marcus Daly Memorial Hospital Corporation — 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