Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Community Medical Services Montana Private LLC

Community Medical Services Montana Private LLC was paid $8.90M by Medicaid between Feb 2019 and Dec 2024, across 10 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 52% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
FARGO, ND 58103
33aNPI1205360153assigned 04/18/2017
28Total paid$8.90M
24GClaims375,108
24DCodes billed10
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in North Dakota

Rank by total paid#2 of 8
Median peer was paid$2.25M
This provider vs. median3.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201992$5K
202023,753$780K
202183,323$2.58M
202280,118$1.62M
202395,523$2.05M
2024incomplete92,299$1.85M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 52% 44,562 11,780 $4.60M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 29% 229,889 13,465 $2.61M
H2010 Comprehensive medication services, per 15 minutes 11% 89,054 9,707 $947K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 4.5% 6,753 6,003 $404K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.5% 2,957 2,371 $219K
H2035 Alcohol and/or other drug treatment program, per hour <1% 891 805 $57K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 757 569 $49K
H0001 Alcohol and/or drug assessment <1% 40 40 $5K
80305 <1% 28 22 $833.00
T1016 Case management, each 15 minutes <1% 177 96 $120.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Same official

Other billing entities under GAITHER, CINDY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.