Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

IDEAL OPTION, PLLC

NPI: 1861132383 · BILLINGS, MT 59102 · Multi-Specialty Clinic/Center · NPI assigned 03/31/2022

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code H0016 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official DAWSON, BRIAN controls 20+ related entities in our dataset. Read more

$1.16M
Total Medicaid Paid
9,306
Total Claims
4,856
Beneficiaries
3
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAWSON, BRIAN (CMO)
NPI Enumeration Date03/31/2022

Related Entities

Other providers sharing the same authorized official: DAWSON, BRIAN

ProviderCityStateTotal Paid
IDEAL OPTION, PLLC KENNEWICK WA $39.28M
IDEAL OPTION, PLLC HAGERSTOWN MD $7.35M
IDEAL OPTION, PLLC CUT BANK MT $3.65M
IDEAL OPTION, PLLC GREAT FALLS MT $3.29M
COLORADO HOSPITALIST SERVICES, PLLC ENGLEWOOD CO $2.21M
IDEAL OPTION, PLLC CUMBERLAND MD $1.79M
IDEAL OPTION, PLLC BOZEMAN MT $1.62M
EAGLE CREEK EMERGENCY GROUP, PC PARIS TN $1.42M
IDEAL OPTION LAB KENNEWICK WA $1.32M
IDEAL OPTION, PLLC FREDERICK MD $1.06M
IDEAL OPTION, PLLC WALDORF MD $917K
IDEAL OPTION, PLLC KALISPELL MT $731K
IDEAL OPTION, PLLC HELENA MT $702K
IDEAL OPTION, PLLC HELENA MT $695K
IDEAL OPTION, PLLC WILLISTON ND $691K
IDEAL OPTION, PLLC GREAT FALLS MT $676K
IDEAL OPTION, PLLC BUTTE MT $620K
IDEAL OPTION, PLLC CATONSVILLE MD $590K
HAVELY SPRINGS EMERGENCY GROUP, PC SPRINGFIELD TN $584K
COLORADO HOSPITALIST SERVICES, PLLC DENVER CO $341K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,312 $164K
2023 2,650 $314K
2024 5,344 $681K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 7,803 3,603 $1.12M
82075 1,148 1,008 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 355 245 $12K