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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

Community Medical Services Montana-private, LLC (NPI 1679926745)

Field	Value
Entity Type	Organization
Organization	Community Medical Services Montana-private, LLC
Address	8444 N 90th St Ste 100
City	Scottsdale
State	AZ
ZIP	85258
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	July 13, 2016

Payer Source	Total Paid
Medicaid	$43.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	164,720	$130	$21.2M
S0109	Methadone, oral, 5 mg	1,473,910	$10	$10.3M
H0033	Oral medication administration, direct observation	68,920	$60	$4.1M
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	195,980	$10	$2.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	28,190	$40	$1.1M
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…	9,890	$100	$958.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	13,750	$60	$824.8K
J0572	Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine	75,380	$10	$678.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,640	$40	$545.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	21,580	$30	$539.5K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arizona Distribution

Community Medical Services Montana-private, LLC — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	1	10	164,720	$130	$21.2M
S0109	Methadone, oral, 5 mg	1	10	1,473,910	$10	$10.3M
H2010	Comprehensive medication services, per 15 minutes	60	80	71,620	$10	$1.7M
T1016	Case management, each 15 minutes	495	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	924	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	171	270	600	$410	$983.9K
H2015	Comprehensive community support services, per 15 minutes	11	20	2,230	$80	$913K
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	1	20	17,040	$30	$687K
H0038	Self‑help/peer services, per 15 minutes	541	580	1,250	$80	$479.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	48	70	62,920	$1	$408.4K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Medical Services Montana-private, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Medical Services Montana Private LLC	AK	Methadone Clinic	$395.9K	$18.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Community Medical Services Montana-private, LLC	AK	Methadone Clinic	$0	$4.8M
Community Medical Services Montana-private, LLC	ND	Methadone Clinic	$135.1K	$4.2M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$0	$460.2K
Community Medical Services Montana-private, LLC	MT	Methadone Clinic	$258.1K	$11K
Community Medical Services Montana-private, LLC	MT	Methadone Clinic	$144.9K	$24.6K
Community Medical Services Montana-private, LLC	MT	Methadone Clinic	$115.5K	$14.1K
Maureen Daigler-kluge	CO	Family Nurse Practitioner	$88.9K	$0

Nearby Providers

Other providers in the same ZIP code as Community Medical Services Montana-private, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dependable Nurses Of Phoenix, LLC	AZ	Home Health Agency	$0	$49.4M
Scottsdale Physicians Group Plc	AZ	Internal Medicine Physician	$0	$17.7M
Desert Tranquility Integrated Wellness Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Arizona Pulmonary Specialists Ltd	AZ	Pulmonary Disease Physician	$0	$15.1M
Scottsdale Recovery Ii, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$13.7M
Arbor Medical Partners, LLC	AZ	Pediatrics Physician	$0	$12.7M
Purpose Healing Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.5M
Purpose Healing Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.1M
Texan Urgent Care PLLC	AZ	Emergency Medicine Physician	$0	$8.5M
Scottsdale Eye Surgery Center, P.C	AZ	Ambulatory Surgical Clinic/Center	$5.7M	$1.9M

Community Medical Services Montana-private, LLC — Billing Profile & Reimbursement Data

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Community Medical Services Montana-private, LLC — 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