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.

Bozeman Health Urgent Care (NPI 1740693761)

Bozeman Health Urgent Care is a urgent care clinic/center provider located in Bozeman, Montana. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Bozeman Health Urgent Care
Address	1006 W Main St
City	Bozeman
State	MT
ZIP	59715
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	June 6, 2014

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

9 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…	11,440	$80	$938K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	1,620	$110	$172.8K
99203	The provider sees a new 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 provider…	1,350	$110	$150.8K
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.	2,660	$30	$69.2K
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…	400	$110	$44.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	200	$80	$14.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	560	$10	$6.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	10	$50	$670
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	10	$1	$30

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

Bozeman Health Urgent Care — 0 of 9 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

9 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…	296	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…	44	520	730	$40	$196.4K
99203	The provider sees a new 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 provider…	24	190	130	$70	$37.2K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	2	20	150	$30	$21.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	72	80	300	$10	$14.4K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	21	50	290	$10	$10.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	100	60	$40	$10.3K
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.	5	60	190	$10	$6K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	52	50	2,680	$1	$3.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronald Chin	MT	Cardiovascular Disease Physician	$112.2K	$0
Mara Limoncelli	MT	Medical Physician Assistant	$69.9K	$0
Nathaniel Madsen	MT	Interventional Cardiology Physician	$67.9K	$0
Stewart Chumbley	MT	Family Nurse Practitioner	$62K	$0
Kelsey Elkins	MT	Nurse Practitioner	$50.5K	$0
Keri Ferguson	MT	Medical Physician Assistant	$39.7K	$0
Elizabeth Sherman	MT	Physician Assistant	$39.1K	$0
Evan Howe	MT	Physician Assistant	$34.4K	$0
Justin Eisel	MT	Family Medicine Physician	$29.1K	$0
Gwendolyn Mccall	MT	Family Medicine Physician	$27.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$15.3M
Bozeman Health Deaconess Hospital	MT	Family Medicine Physician	$0	$7.7M
Bozeman School District #7	MT	Local Education Agency (LEA)	$0	$5.5M
Emeritus Corporation	MT	Assisted Living Facility	$0	$4.6M
Bozeman Health Deaconess Hospital	MT	General Acute Care Hospital	$0	$4.5M
Nasim Aleagha	MT	Pediatric Dentistry	$0	$3.3M
Bozeman Health Deaconess Hospital	MT	Emergency Medicine Physician	$0	$2.8M
Option Care Enterprises Inc	MT	Home Infusion Therapy Pharmacy	$0	$2.7M
Providence Mental Health PLLC	MT	Clinical Social Worker	$0	$1.9M
The Cozy Nest	MT	Occupational Therapist	$0	$1.9M

Bozeman Health Urgent Care — Billing Profile & Reimbursement Data

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Bozeman Health Urgent Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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