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

Ideal Option, PLLC

Ideal Option, PLLC was paid $1.62M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 78% of everything it billed.

33Billing provider infoIDEAL OPTION, PLLC
BOZEMAN, MT 59715
33aNPI1841647831assigned 05/19/2016
33bProvider typeClinic/Center
28Total paid$1.62M
24GClaims15,829
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Montana

Rank by total paid#4 of 91
Median peer was paid$152K
This provider vs. median11×

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$20K$40K$60K2018201920202021202220232024
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
20182,886$190K
20192,277$147K
20201,931$196K
20212,080$223K
20221,805$212K
20233,296$423K
2024incomplete1,554$229K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 78% 9,368 5,177 $1.27M
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 13% 2,292 1,066 $216K
82075 4.4% 2,666 1,852 $71K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 1,027 727 $64K
81025 <1% 476 180 $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
Ideal Option, PLLCGreat Falls, MT$3.29M
Colorado Hospitalist Services, PLLCEnglewood, CO$2.21M
Ideal Option, PLLCCumberland, MD$1.79M
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.