Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC

NPI: 1407222003 · KALISPELL, MT 59901 · Addiction (Substance Use Disorder) Counselor · NPI assigned 08/18/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

$25K
Total Medicaid Paid
7,598
Total Claims
1,285
Beneficiaries
10
Codes Billed
2018-11
First Month
2022-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date08/18/2015

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
PREMIER CARE OF INDIANA, INC. MARION IN $33.81M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC WASILLA AK $18.90M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $18.54M
PREMIER CARE OF OHIO LLC CINCINNATI OH $13.13M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC GLENDALE AZ $12.90M
PREMIER CARE OF WISCONSIN, LLC. WEST ALLIS WI $11.15M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC TUCSON AZ $10.72M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC FARGO ND $8.90M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $7.83M
PREMIER CARE OF OHIO, LLC. LIMA OH $5.35M
PREMIER CARE OF WISCONSIN, LLC. FOND DU LAC WI $4.91M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC ANCHORAGE AK $4.83M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC LAKE HAVASU CITY AZ $4.60M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC MINOT ND $4.16M
PREMIER CARE OF OHIO LLC KETTERING OH $2.67M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $2.49M
PREMIER CARE OF WISCONSIN, LLC. SOUTH MILWAUKEE WI $1.97M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,496 $25K
2020 2,722 $0.00
2021 747 $0.00
2022 633 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 105 88 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 149 134 $10K
90832 Psychotherapy, 30 minutes with patient 76 69 $3K
86580 31 17 $249.76
80305 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) 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 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 2,201 115 $0.00
86593 16 16 $0.00
S0109 Methadone, oral, 5 mg 3,097 136 $0.00