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

Community Medical Services Montana Private LLC

Community Medical Services Montana Private LLC was paid $1.78M by Medicaid between Feb 2023 and Dec 2024, across 10 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 52% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
AURORA, CO 80012
33aNPI1871239657assigned 05/05/2022
28Total paid$1.78M
24GClaims108,538
24DCodes billed10
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Colorado

Rank by total paid#7 of 169
Median peer was paid$49K
This provider vs. median37×

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 GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
202348,861$810K
2024incomplete59,677$969K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 52% 67,678 3,595 $918K
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 25% 4,180 2,995 $439K
H0006 Alcohol and/or drug services; case management 7.2% 6,547 2,701 $128K
H0004 Behavioral health counseling and therapy, per 15 minutes 5.5% 2,256 1,692 $98K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 3.1% 16,889 577 $56K
H0001 Alcohol and/or drug assessment 2.8% 501 483 $50K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.4% 290 258 $43K
H0033 Oral medication administration, direct observation 2.2% 2,140 467 $39K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine <1% 7,569 366 $6K
80305 <1% 488 179 $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 officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Same official

Other billing entities under GAITHER, CINDY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.