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.

Bridger Orthopedics And Sports Medicine, PC (NPI 1750310926)

Bridger Orthopedics And Sports Medicine, PC is a orthopaedic surgery physician provider located in Bozeman, Montana. This profile covers 0 Medicare and 18 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	Bridger Orthopedics And Sports Medicine, PC
Address	3400 Laramie Dr
City	Bozeman
State	MT
ZIP	59718
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$547.2K
Medicare	$0

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

18 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…	4,200	$70	$293.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,080	$40	$110.8K
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…	450	$100	$46.6K
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…	170	$120	$19.9K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	360	$50	$19.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	460	$30	$12.9K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	520	$20	$12.4K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	300	$40	$10.6K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	90	$100	$8.6K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	140	$30	$4K

Showing 1–10 of 18

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

Bridger Orthopedics And Sports Medicine, PC — 0 of 18 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

18 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…	363	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…	109	520	730	$40	$196.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	48	90	490	$30	$58.3K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	5	10	1,100	$50	$57.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	53	160	1,050	$10	$45.3K
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…	48	190	130	$70	$37.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	60	110	740	$10	$30.5K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	7	10	90	$60	$18.9K
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,…	160	240	170	$1	$10.3K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	33	60	210	$10	$5.9K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Vinglas	MT	Surgery of the Hand (Surgery) Physician	$298K	$0
Eugene Slocum	MT	Interventional Pain Medicine Physician	$223.9K	$0
Benjamin Smith	CA	Orthopaedic Surgery of the Spine Physician	$209.6K	$0
Jarred Pinnick	MT	Physician Assistant	$205.3K	$0
Martin Gelbke	MT	Adult Reconstructive Orthopaedic Surgery Physician	$194.8K	$0
Travis Curry	LA	Orthopaedic Surgery Physician	$173.1K	$0
Justin Schwartzenberger	MT	Orthopaedic Surgery Physician	$168.2K	$0
Elba Gerena Maldonado	MT	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	$85.8K	$0
Marcie Lovgren	MT	Surgical Physician Assistant	$82.5K	$0
Jason Lawn	MT	Physician Assistant	$69.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wojj Pediatric Dentistry	MT	Dental Clinic/Center	$0	$3.3M
Smiles Across Montana	MT	Dental Hygienist	$0	$1.9M
West Bozeman Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$1.9M	$55K
Psychiatry Associates PC	MT	Psychiatry Physician	$0	$1.4M
Marc Comaratta	MT	Retina Specialist (Ophthalmology) Physician	$1.2M	$124.7K
Foundation Therapy Services Inc	MT	Speech-Language Pathologist	$0	$1.1M
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$1M
Montana Psychiatry, PLLC	MT	Psychiatry Physician	$0	$1M
Kenneth Olson	MT	Addiction Psychiatry Physician	$29.3K	$809.9K
Aaron Bruce	MT	Dermatology Physician	$682.7K	$0

Bridger Orthopedics And Sports Medicine, PC — Billing Profile & Reimbursement Data

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Bridger Orthopedics And Sports Medicine, PC — 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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