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.

Scl Health Montana (NPI 1699724401)

Field	Value
Entity Type	Organization
Organization	Scl Health Montana
Address	1101 N 27th St Ste A
City	Billings
State	MT
ZIP	59101
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	14,180	$50	$666.5K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	750	$760	$568.5K
E0601	Continuous positive airway pressure (CPAP) device	4,930	$30	$152.8K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	3,390	$40	$148.9K
A4604	Tubing with integrated heating element for use with positive airway pressure device	4,860	$30	$140.9K
A7030	Full face mask used with positive airway pressure device, each	2,130	$70	$140.3K
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	1,170	$80	$91.2K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	7,770	$10	$85.4K
E0562	Humidifier, heated, used with positive airway pressure device	5,770	$10	$63.5K
A7032	Cushion for use on nasal mask interface, replacement only, each	2,800	$20	$61.5K

Showing 1–10 of 47

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

Scl Health Montana — 9 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	4	40	4,940	$60	$352.8K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	380	$760	$289.1K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	16	20	450	$90	$189.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	7	10	270	$130	$172.1K
A4927	Gloves, non-sterile, per 100	8	20	1,750	$40	$132.6K
E0601	Continuous positive airway pressure (CPAP) device	4	40	1,400	$40	$74.2K
A7000	Canister, disposable, used with suction pump, each	2	10	1,520	$50	$70.5K
A7030	Full face mask used with positive airway pressure device, each	4	30	550	$80	$64.4K
A4604	Tubing with integrated heating element for use with positive airway pressure device	1	30	1,660	$30	$61.5K
T4541	Incontinence product, disposable underpad, large, each	12	20	760	$40	$57.8K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scl Health Medical Group - Billings LLC	MT	Clinic/Center	$0	$32.2M
Scl Health Montana	MT	General Acute Care Hospital	$0	$13.5M
Douglas Debenham	IN	Radiation Oncology Physician	$1.8M	$0
Scl Health Montana	MT	Emergency Care Clinic/Center	$0	$867.8K
Scl Health Montana	MT	Oncology Clinic/Center	$0	$448.6K
Jared Heaton	UT	MOHS-Micrographic Surgery Physician	$447.3K	$0
Joshua Holstead	LA	Urology Physician	$389.5K	$0
Scl Health Montana	MT	Clinic/Center	$0	$385.9K
Catherine Brignoni	CA	Neurology Physician	$328.9K	$0
Michael Ganz	MT	Nephrology Physician	$305.1K	$0

Nearby Providers

Other providers in the same ZIP code as Scl Health Montana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Billings Clinic	MT	General Practice Physician	$0	$53.8M
Rimrock Foundation	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$44.9M
Residential Support Services	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$30.6M
Billings Public School District 2	MT	Local Education Agency (LEA)	$0	$19.2M
South Central Montana Regional Mental Health Center	MT	Clinic/Center	$0	$16.6M
Billings Clinic	MT	Emergency Care Clinic/Center	$0	$15.7M
Community Solutions Incorporated	MT	Clinical Medical Laboratory	$0	$14.1M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$10.8M
American Medical Response Ambulance Service Inc	MT	Ambulance	$2.1M	$6.7M
Yellowstone Pathology Institute, Inc.	MT	Clinical Medical Laboratory	$777.4K	$4.4M

Scl Health Montana — Billing Profile & Reimbursement Data

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Scl Health Montana — 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