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.

Northeast Montana Health Services Inc (NPI 1821016536)

Field	Value
Entity Type	Organization
Organization	Northeast Montana Health Services Inc
Address	315 Knapp St
City	Wolf Point
State	MT
ZIP	59201
Taxonomy	Critical Access Hospital
NPI Enumerated	July 18, 2006
NPI Deactivated	May 16, 2018

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

117 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	5,300	$240	$1.3M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	1,000	$340	$342K
A0380	Bls mileage (per mile)	3,400	$70	$241.6K
A0382	Bls routine disposable supplies	2,050	$60	$122.9K
A0390	Als mileage (per mile)	480	$140	$65.5K
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.	5,300	$10	$31.8K
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.	4,370	$10	$30.6K
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.	3,420	$10	$20.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,660	$1	$10.6K
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.	9,980	$1	$10K

Showing 1–10 of 117

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

Northeast Montana Health Services 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

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	26	60	2,160	$80	$526.7K
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.	35	80	2,770	$60	$471K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	6	40	450	$160	$374.1K
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.	36	90	2,330	$40	$281.3K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	10	30	240	$180	$270.7K
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.	135	200	1,110	$60	$207.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	23	20	970	$100	$148K
A0382	Bls routine disposable supplies	5	20	210	$90	$130K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	12	20	100	$160	$100.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	24	40	1,380	$20	$71K

Showing 1–10 of 117

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northeast Montana Health Services 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
Northeast Montana Health Services, Inc.	MT	Critical Access Hospital	$0	$1M
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Eric Hoyer	WY	Diagnostic Radiology Physician	$534.9K	$0
Riverside Family Clinic	MT	Rural Health Clinic/Center	$0	$421K
Mark Ellis	MN	Specialist	$337.9K	$0
Drew Hunter	AZ	Diagnostic Radiology Physician	$306.2K	$0
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myriam Greene	MT	General Practice Dentistry	$0	$553.2K
Wolf Point Clinic Association Inc	MT	Rural Health Clinic/Center	$0	$521.1K

Northeast Montana Health Services Inc — Billing Profile & Reimbursement Data

Sign up for Northeast Montana Health Services Inc — Billing Profile & Reimbursement Data policy alerts

Northeast Montana Health Services Inc — Billing Profile & Reimbursement Data

Sign up for Northeast Montana Health Services 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