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.

Livingston Healthcare Urgent Care (NPI 1780077354)

Livingston Healthcare Urgent Care is a urgent care clinic/center provider located in Livingston, Montana. This profile covers 0 Medicare and 12 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	Livingston Healthcare Urgent Care
Address	104 Centennial Dr Ste 103
City	Livingston
State	MT
ZIP	59047
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	March 6, 2015

Payer Source	Total Paid
Medicaid	$513.6K
Medicare	$0

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

12 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…	3,450	$80	$289.9K
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,…	3,600	$50	$169.1K
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…	230	$130	$30.2K
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.	250	$20	$6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	330	$20	$5.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	310	$20	$4.7K
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…	70	$50	$3.4K
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…	20	$80	$1.9K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	20	$90	$1.4K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	30	$30	$1K

Showing 1–10 of 12

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

Livingston Healthcare Urgent Care — 0 of 12 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

12 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…	337	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…	128	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…	150	190	130	$70	$37.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	48	50	190	$20	$14.7K
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…	55	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.	44	50	290	$10	$10.5K
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,…	22	240	170	$1	$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.	28	60	190	$10	$6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	43	100	180	$10	$5.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	32	80	150	$10	$4.6K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Livingston Healthcare	MT	Critical Access Hospital	$0	$1.2M
Angela Watkins	MT	Ophthalmology Physician	$449.5K	$0
Meghan Mckeon	MO	Diagnostic Radiology Physician	$318.9K	$0
Christopher Goulet	MT	Radiation Oncology Physician	$177.2K	$0
Anthony Stark	IA	Physical Medicine & Rehabilitation Physician	$105.5K	$40K
Shawn Braunagel	MT	Podiatrist	$142.7K	$0
George Knight	MT	Diagnostic Radiology Physician	$141.3K	$0
John Brandon	MT	Diagnostic Radiology Physician	$126.3K	$0
Jarett Thelen	MT	Diagnostic Radiology Physician	$123.2K	$800
Zachary Bland	MT	Vascular & Interventional Radiology Physician	$118.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counterpoint, Inc.	MT	Adult Care Home Facility	$0	$5.7M
Livingston School District 1 & 4	MT	Local Education Agency (LEA)	$0	$5.6M
L Esprit PC	MT	Community/Behavioral Health Agency	$0	$4.9M
Southwest Chemical Dependency Program	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.8M
City Of Livingston	MT	Ambulance	$448.2K	$281.4K
Alexandria Saunders	MT	Addiction (Substance Use Disorder) Counselor	$0	$709.2K
Eyecare Professionals - Mountain Eyewear	MT	Eyewear Supplier	$0	$652.8K
Debra Mcgrath	MT	Professional Counselor	$0	$549.6K
Sara Gentry	MT	Clinical Social Worker	$0	$372.1K
Donna Delich	MT	Clinical Social Worker	$0	$323.7K

Livingston Healthcare Urgent Care — Billing Profile & Reimbursement Data

Sign up for Livingston Healthcare Urgent Care — Billing Profile & Reimbursement Data policy alerts

Livingston Healthcare Urgent Care — Billing Profile & Reimbursement Data

Sign up for Livingston Healthcare Urgent Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References