Supplier
Benefis Community Care, INC.
Benefis Community Care, INC. was paid $2.38M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 33% of everything it billed.
33Billing provider infoBENEFIS COMMUNITY CARE, INC.
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1477583011assigned 07/03/2006
33bProvider typeCustomized Equipment (DME)
28Total paid$2.38M
24GClaims66,622
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Montana
Rank by total paid#2 of 15
Median peer was paid$349K
This provider vs. median6.8×
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
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 | 8,107 | $213K | |
| 2019 | 8,483 | $253K | |
| 2020 | 9,218 | $316K | |
| 2021 | 10,506 | $407K | |
| 2022 | 11,347 | $431K | |
| 2023 | 10,642 | $445K | |
| 2024incomplete | 8,319 | $312K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 33% | 14,534 | 13,500 | $774K |
| A7030 | Full face mask used with positive airway pressure device, each | 9.6% | 3,065 | 2,905 | $229K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | 7.0% | 1,224 | 1,142 | $167K |
| E0601 | Continuous positive airway pressure (cpap) device | 6.6% | 4,229 | 3,923 | $156K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 6.6% | 4,733 | 4,500 | $156K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 5.6% | 1,758 | 1,656 | $134K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 4.1% | 1,730 | 1,654 | $97K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.6% | 7,601 | 6,899 | $86K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 2.9% | 1,573 | 1,342 | $70K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.6% | 2,120 | 2,016 | $61K |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 2.0% | 386 | 360 | $48K |
| A7035 | Headgear used with positive airway pressure device | 2.0% | 2,950 | 2,800 | $48K |
27 more codes
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 1.7% | 1,539 | $41K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.6% | 302 | $38K |
| E1392 | Portable oxygen concentrator, rental | 1.4% | 1,700 | $34K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 1.3% | 171 | $30K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.2% | 7,125 | $28K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 1.2% | 717 | $27K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 1.1% | 563 | $26K |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 1.0% | 141 | $24K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 2,215 | $23K |
| E0570 | Nebulizer, with compressor | <1% | 3,359 | $22K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 97 | $7K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 277 | $6K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 265 | $6K |
| A4565 | Slings | <1% | 756 | $6K |
| K0003 | Lightweight wheelchair | <1% | 291 | $6K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | <1% | 285 | $5K |
| K0108 | Wheelchair component or accessory, not otherwise specified | <1% | 192 | $5K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 116 | $4K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 40 | $3K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 66 | $2K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 189 | $2K |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | <1% | 53 | $2K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 86 | $1K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 12 | $298.05 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 104 | $109.86 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 45 | $87.38 |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 13 | $67.56 |
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 officialGINNATY, RAYN (PRESIDENT OF SYSTEM OPERATIONS)
Parent organizationBENEFIS HEALTH SYSTEM, INC.
| Provider | Location | Paid |
|---|---|---|
| Benefis Community Care, INC. | Great Falls, MT | $553.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.