Big Sky Senior Living

Big Sky Senior Living was paid $2.12M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoBIG SKY SENIOR LIVING
BUTTE, MT 59701

33aNPI1417261637assigned 07/29/2010

33bProvider typeAssisted Living Facility

28Total paid$2.12M

24GClaims1,045

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in Montana

Rank by total paid#12 of 31

Median peer was paid$1.49M

This provider vs. median1.4×

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.

Single-Code Concentration100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	256	$361K
2019	241	$305K
2020	170	$405K
2021	38	$105K
2023	123	$340K
2024incomplete	217	$603K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	100%	1,045	859	$2.12M

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 officialFISHER, DARRYL (PRESIDENT)

Same official

Other billing entities under FISHER, DARRYL

Full network →

Provider	Location	Paid
Wheatfields Senior Living	Clovis, NM	$650K

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