Ideal Option, PLLC
Ideal Option, PLLC was paid $620K by Medicaid between Aug 2018 and Dec 2024, across 6 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 69% of everything it billed.
BUTTE, MT 59701
Next to other Clinic/Center providers in Montana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 462 | $38K | |
| 2019 | 2,027 | $138K | |
| 2020 | 1,273 | $138K | |
| 2021 | 411 | $27K | |
| 2022 | 895 | $98K | |
| 2023 | 1,036 | $102K | |
| 2024incomplete | 555 | $80K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 69% | 3,030 | 1,975 | $429K |
| 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 | 15% | 981 | 517 | $93K |
| 82075 | 8.4% | 1,989 | 1,333 | $52K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 594 | 377 | $40K |
| 99205 | Prolong outpt/office vis | <1% | 29 | 29 | $5K |
| Q3014 | Telehealth originating site facility fee | <1% | 36 | 30 | $932.75 |
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.
Who's on the registration
| Provider | Location | 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 | Billings, MT | $1.16M |
| 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 | Catonsville, MD | $590K |
| Havely Springs Emergency Group, PC | Springfield, TN | $584K |
| Colorado Hospitalist Services, PLLC | Denver, CO | $341K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.