Physician
Central Montana Medical Facilities, INC.
Central Montana Medical Facilities, INC. was paid $741K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoCENTRAL MONTANA MEDICAL FACILITIES, INC.
LEWISTOWN, MT 59457
LEWISTOWN, MT 59457
33aNPI1497868814assigned 08/17/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$741K
24GClaims11,317
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Montana
Rank by total paid#1 of 8
Median peer was paid$130K
This provider vs. median5.7×
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 | 2,243 | $92K | |
| 2019 | 2,274 | $139K | |
| 2020 | 1,102 | $88K | |
| 2021 | 1,254 | $79K | |
| 2022 | 1,979 | $145K | |
| 2023 | 1,402 | $123K | |
| 2024incomplete | 1,063 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 4,813 | 4,290 | $385K |
| 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 | 21% | 1,290 | 1,131 | $156K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 16% | 1,638 | 925 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 124 | 108 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 484 | 455 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 995 | 785 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 61 | 59 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 140 | 127 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 208 | 198 | $7K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 40 | 38 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 12 | $3K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 676 | 676 | $3K |
20 more codes
| 90670 | <1% | 52 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 179 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 15 | $1K |
| 90686 | <1% | 128 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 64 | $1K |
| 96127 | <1% | 118 | $1K | |
| 99283 | Emergency room visit (moderate) | <1% | 14 | $1K |
| 11721 | <1% | 69 | $715.35 | |
| 90723 | <1% | 25 | $594.60 | |
| 90688 | <1% | 30 | $478.08 | |
| 90680 | <1% | 13 | $324.12 | |
| 90473 | <1% | 13 | $300.68 | |
| 90656 | <1% | 12 | $155.27 | |
| 90647 | <1% | 13 | $150.36 | |
| 99307 | 0% | 12 | $0.00 | |
| 90685 | 0% | 12 | $0.00 |
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 officialLANGBEHN, CODY (CEO)
Parent organizationCENTRAL MONTANA MEDICAL FACILITIES, INC.
| Provider | Location | Paid |
|---|---|---|
| Central Montana Medical Facilities, INC | Lewistown, MT | $352K |
| Central Montana Medical Facilities, INC. | Lewistown, MT | $222K |
| Central Montana Medical Facilities, INC. | Lewistown, MT | $204K |
| Central Montana Medical Facilities, INC. | Lewistown, MT | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.