Clinic
Community Medical Services Montana-Private, LLC
Community Medical Services Montana-Private, LLC was paid $43.25M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 49% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
33aNPI1679926745assigned 07/13/2016
33bProvider typeMethadone Clinic
28Total paid$43.25M
24GClaims2,102,830
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more
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 | 235,817 | $2.47M | |
| 2019 | 271,700 | $3.16M | |
| 2020 | 297,965 | $7.32M | |
| 2021 | 375,300 | $9.98M | |
| 2022 | 349,902 | $7.19M | |
| 2023 | 320,094 | $7.14M | |
| 2024incomplete | 252,052 | $6.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 49% | 164,723 | 49,663 | $21.19M |
| S0109 | Methadone, oral, 5 mg | 24% | 1,473,912 | 53,857 | $10.28M |
| H0033 | Oral medication administration, direct observation | 9.6% | 68,921 | 5,381 | $4.14M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 5.6% | 195,980 | 7,588 | $2.43M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 2.6% | 28,187 | 6,190 | $1.13M |
| 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 | 2.2% | 9,885 | 8,008 | $958K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.9% | 13,747 | 12,211 | $821K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 1.6% | 75,379 | 3,159 | $705K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 13,637 | 10,881 | $551K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 21,582 | 2,981 | $548K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | <1% | 14,225 | 573 | $196K |
| T1016 | Case management, each 15 minutes | <1% | 3,379 | 1,960 | $55K |
22 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 647 | $40K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 1,440 | $36K |
| H0001 | Alcohol and/or drug assessment | <1% | 174 | $35K |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | <1% | 1,594 | $28K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 231 | $25K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 194 | $25K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 34 | $15K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 149 | $10K |
| J0571 | Buprenorphine, oral, 1 mg | <1% | 660 | $9K |
| 80305 | <1% | 635 | $6K | |
| 90837 | Psychotherapy session, about an hour | <1% | 53 | $5K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 285 | $4K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 4,944 | $2K |
| 86580 | <1% | 241 | $2K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 235 | $317.20 |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 231 | $200.80 |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 55 | $24.32 |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 0% | 6,783 | $0.00 |
| H0046 | Mental health services, not otherwise specified | 0% | 111 | $0.00 |
| 93041 | 0% | 141 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 21 | $0.00 |
| 86593 | 0% | 415 | $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 officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.