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.

Central Montana Medical Facilities, Inc (NPI 1790798387)

Field	Value
Entity Type	Organization
Organization	Central Montana Medical Facilities, Inc
Address	408 Wendell Ave
City	Lewistown
State	MT
ZIP	59457
Taxonomy	Critical Access Hospital
NPI Enumerated	August 14, 2006

Payer Source	Total Paid
Medicaid	$353.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

98 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	6,360	$20	$139.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3,550	$10	$49.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,990	$10	$38.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	600	$30	$18.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,820	$10	$10.9K
0241U	N/A	460	$20	$9.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	8,850	$1	$8.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	8,120	$1	$8.1K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	300	$30	$7.5K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,640	$1	$6.6K

Showing 1–10 of 98

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

Central Montana Medical Facilities, Inc — 0 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

98 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	34	80	2,770	$60	$471K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30	90	2,330	$40	$281.3K
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…	159	530	580	$70	$224.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	106	150	2,760	$40	$224.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	75	200	1,110	$60	$207.2K
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…	168	520	730	$40	$196.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	35	50	1,150	$50	$119.8K
G0378	Hospital observation service, per hour	23	30	1,610	$20	$60.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	37	50	1,430	$20	$54.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	23	70	860	$20	$50.8K

Showing 1–10 of 98

Related Providers

Other providers that share a Tax Identification Number (TIN) with Central Montana Medical Facilities, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Michael Schekall	MN	Diagnostic Radiology Physician	$1.7M	$710
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Central Montana Medical Facilities, Inc.	MT	Family Medicine Physician	$0	$741.7K
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Eric Hoyer	WY	Diagnostic Radiology Physician	$534.9K	$0
Michael Groover	MT	Adult Reconstructive Orthopaedic Surgery Physician	$370.4K	$0
Mark Ellis	MN	Specialist	$337.9K	$0
Jong-ho Choi	MN	Diagnostic Radiology Physician	$326K	$0
Meghan Mckeon	MO	Diagnostic Radiology Physician	$318.9K	$0

Nearby Providers

Other providers in the same ZIP code as Central Montana Medical Facilities, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montana Family Dentistry	MT	Dentist	$0	$1.3M
Central Mt Learning Resource Center	MT	Local Education Agency (LEA)	$0	$698.3K
Eyecare Associates Of Lewistown PC	MT	Optometrist	$0	$467.7K
Villa At Valle Vista Rehabilitation LLC	MT	Assisted Living Facility	$0	$414K
Total Family Care Pllp	MT	Family Nurse Practitioner	$0	$395.8K
Lance Eller	MT	Mental Health Counselor	$0	$326.7K
Kelli Berg	MT	Mental Health Counselor	$0	$234.2K
Central Montana Medical Facilities, Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$223.1K
Matthew Moen	MT	General Practice Dentistry	$0	$205.8K
County Of Fergus	MT	Public Health or Welfare Agency	$105.4K	$0

Central Montana Medical Facilities, Inc — Billing Profile & Reimbursement Data

Sign up for Central Montana Medical Facilities, Inc — Billing Profile & Reimbursement Data policy alerts

Central Montana Medical Facilities, Inc — Billing Profile & Reimbursement Data

Sign up for Central Montana Medical Facilities, Inc — 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