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

Alternatives INC

Alternatives INC was paid $336K by Medicaid between Apr 2019 and Oct 2024, across 8 billing codes. Its largest line is 90853, Group psychotherapy (other than of a multiple-family group) — 52% of everything it billed.

33Billing provider infoALTERNATIVES INC
BILLINGS, MT 59101
33aNPI1407337124assigned 08/22/2018
28Total paid$336K
24GClaims13,752
24DCodes billed8
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers

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

Rank by total paid#20 of 118
Median peer was paid$82K
This provider vs. median4.1×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20191,300$27K
20202,916$66K
20212,300$44K
20222,385$63K
20232,641$76K
2024incomplete2,210$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90853 Group psychotherapy (other than of a multiple-family group) 52% 10,487 3,403 $174K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 22% 861 700 $73K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 16% 1,163 870 $54K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 4.2% 137 132 $14K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 3.3% 192 176 $11K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 2.1% 780 142 $7K
98968 <1% 108 99 $3K
98967 <1% 24 18 $389.62

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 officialARMSTRONG, DAVID (CEO OF ALTERNATIVES)
Same official

Other billing entities under ARMSTRONG, DAVID

Full network →
ProviderLocationPaid
Crittstrong CorporationFlagstaff, AZ$37K

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