Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MT › Great Falls › NPI 1487001475
Physician

Ideal Option, PLLC

Ideal Option, PLLC was paid $3.29M by Medicaid between Jan 2018 and Feb 2024, across 7 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 57% of everything it billed.

33Billing provider infoIDEAL OPTION, PLLC
GREAT FALLS, MT 59401
33aNPI1487001475assigned 05/19/2016
28Total paid$3.29M
24GClaims37,769
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DAWSON, BRIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
201811,819$708K
20198,860$683K
20204,824$567K
20212,064$178K
20225,697$651K
20233,874$427K
2024incomplete631$80K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 57% 14,191 9,038 $1.89M
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 28% 9,447 6,658 $913K
82075 7.2% 9,019 5,932 $238K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.7% 3,387 2,864 $222K
99205 Prolong outpt/office vis <1% 101 93 $16K
81025 <1% 1,593 627 $13K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 31 31 $4K

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 officialDAWSON, BRIAN (CMO)
Same official

Other billing entities under DAWSON, BRIAN

Full network →
ProviderLocationPaid
Ideal Option, PLLCKennewick, WA$39.28M
Ideal Option, PLLCHagerstown, MD$7.35M
Ideal Option, PLLCCut Bank, MT$3.65M
Colorado Hospitalist Services, PLLCEnglewood, CO$2.21M
Ideal Option, PLLCCumberland, MD$1.79M
Ideal Option, PLLCBozeman, MT$1.62M
Eagle Creek Emergency Group, PCParis, TN$1.42M
Ideal Option LabKennewick, WA$1.32M
Ideal Option, PLLCBillings, MT$1.16M
Ideal Option, PLLCFrederick, MD$1.06M
Ideal Option, PLLCWaldorf, MD$917K
Ideal Option, PLLCKalispell, MT$731K
Ideal Option, PLLCHelena, MT$702K
Ideal Option, PLLCHelena, MT$695K
Ideal Option, PLLCWilliston, ND$691K
Ideal Option, PLLCGreat Falls, MT$676K
Ideal Option, PLLCButte, MT$620K
Ideal Option, PLLCCatonsville, MD$590K
Havely Springs Emergency Group, PCSpringfield, TN$584K
Colorado Hospitalist Services, PLLCDenver, CO$341K

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