Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Ideal Option, PLLC

Ideal Option, PLLC was paid $676K by Medicaid between Feb 2024 and Dec 2024, across 5 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 91% of everything it billed.

33Billing provider infoIDEAL OPTION, PLLC
GREAT FALLS, MT 59405
33aNPI1740041920assigned 01/16/2024
33bProvider typeClinic/Center
28Total paid$676K
24GClaims5,560
24DCodes billed5
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Montana

Rank by total paid#12 of 91
Median peer was paid$152K
This provider vs. median4.4×

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.

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

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
2024incomplete5,560$676K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 91% 4,071 2,206 $616K
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 4.5% 346 252 $30K
82075 3.8% 943 865 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 145 130 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 55 28 $2K

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
Ideal Option, PLLCGreat Falls, MT$3.29M
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, 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.