Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Community Medical Services Montana-Private, LLC

Community Medical Services Montana-Private, LLC was paid $25K by Medicaid between Nov 2018 and Dec 2022, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
KALISPELL, MT 59901
33aNPI1407222003assigned 08/18/2015
28Total paid$25K
24GClaims7,598
24DCodes billed10
24AFirst – last monthNov 2018 – Dec 2022
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Montana

Rank by total paid#86 of 118
Median peer was paid$82K
This provider vs. median0.3×

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$10K$20K$30K2018201920202021202220232024
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
20183,496$25K
20202,722$0.00
2021747$0.00
2022633$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 43% 105 88 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 42% 149 134 $10K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 13% 76 69 $3K
86580 1.0% 31 17 $249.76
80305 <1% 22 18 $187.10
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 0% 1,708 521 $0.00
G2077 Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 0% 193 171 $0.00
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 0% 2,201 115 $0.00
86593 0% 16 16 $0.00
S0109 Methadone, oral, 5 mg 0% 3,097 136 $0.00

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.