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.

Eastern Mt Community Mental Health Cdu Prog (NPI 1912032509)

Field	Value
Entity Type	Organization
Organization	Eastern Mt Community Mental Health Cdu Prog
Address	2508 Wilson St
City	Miles City
State	MT
ZIP	59301
Taxonomy	Clinic/Center
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$956.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	7,530	$90	$662.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5,160	$20	$87.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	770	$100	$72.8K
T1016	Case management, each 15 minutes	1,930	$30	$52.1K
H2035	Alcohol and/or other drug treatment program, per hour	400	$70	$27.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	560	$50	$26.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	290	$70	$18.9K
H0001	Alcohol and/or drug assessment	30	$260	$8.4K

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

Eastern Mt Community Mental Health Cdu Prog — 1 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	35	50	2,720	$50	$1.4M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	45	1,200	750	$80	$143.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	25	110	1,250	$10	$50.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	65	170	310	$20	$38.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	34	190	60	$70	$36.9K
H2035	Alcohol and/or other drug treatment program, per hour	10	20	370	$50	$31.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	8	20	200	$40	$11K
H0001	Alcohol and/or drug assessment	8	20	30	$230	$7.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eastern Mt Community Mental Health Cdu Prog, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Montana Community Mental Health Center	MT	Clinic/Center	$0	$13.7M
Melinda Truesdell	MT	Psychiatric/Mental Health Nurse Practitioner	$33.7K	$0

Nearby Providers

Other providers in the same ZIP code as Eastern Mt Community Mental Health Cdu Prog, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Montana Industries	MT	Developmentally Disabled Services Day Training Agency	$0	$19.9M
Miles City Public Schools	MT	Local Education Agency (LEA)	$0	$4.6M
Developmental Educational Assistance Program	MT	Local Education Agency (LEA)	$0	$1.4M
Carrie David	MT	Professional Counselor	$0	$652.1K
Yerger Family Dental, PC	MT	Dentist	$0	$570K
Holy Rosary Healthcare	MT	Critical Access Hospital	$0	$564.7K
Miles City Vision Clinic P C	MT	Optometrist	$0	$563.3K
Pamela Colombik	MT	Mental Health Counselor	$0	$418.5K
Tabitha Williams	MT	Clinical Social Worker	$0	$406.5K
City Of Miles City	MT	Land Ambulance	$200.2K	$188.4K

Eastern Mt Community Mental Health Cdu Prog — Billing Profile & Reimbursement Data

Sign up for Eastern Mt Community Mental Health Cdu Prog — Billing Profile & Reimbursement Data policy alerts

Eastern Mt Community Mental Health Cdu Prog — Billing Profile & Reimbursement Data

Sign up for Eastern Mt Community Mental Health Cdu Prog — 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