Medicare Revenue Report Card 2026
Montana
5K Medicare providers analyzed
One-Click LinkedIn Post
I just reviewed the 2026 Medicare Revenue Report Card for Montana. Key findings: - Overall Grade: F - Estimated Missed Revenue: $1.1M - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full Montana report card:
https://npixray.com/reports/states/montana
Total Providers
5K
in Montana
Total Medicare Payment
$250.7M
Avg Payment / Provider
$54K
Est. Missed Revenue
$1.1M
across all providers
Care Management Program Adoption
How Montana providers compare to the national average in adopting revenue-generating care management programs.
CCM
Chronic Care Management
$62/patient/mo potential revenue
RPM
Remote Patient Monitoring
$120/patient/mo potential revenue
BHI
Behavioral Health Integration
$50/patient/mo potential revenue
AWV
Annual Wellness Visits
$175/visit potential revenue
Montana Trend Signals
Revenue per Provider
$54,309
-31.9% vs benchmark · national avg $79,744
Provider Market Share
0.4% of US
-80.4% vs benchmark · 4,617 providers
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How Montana providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
Top Specialties in Montana
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 600 | $21K |
| Physician Assistant | 584 | $24K |
| Physical Therapist in Private Practice | 544 | $31K |
| Family Practice | 365 | $36K |
| Chiropractic | 255 | $14K |
| Internal Medicine | 212 | $51K |
| Anesthesiology | 158 | $16K |
| Optometry | 156 | $40K |
| Emergency Medicine | 130 | $59K |
| Licensed Clinical Social Worker | 111 | $16K |
| Mass Immunizer Roster Biller | 100 | $49K |
| Orthopedic Surgery | 88 | $108K |
| Ambulance Service Provider | 83 | $187K |
| Diagnostic Radiology | 81 | $99K |
| Hospitalist | 76 | $46K |
| General Surgery | 73 | $36K |
| Podiatry | 48 | $65K |
| Obstetrics & Gynecology | 48 | $11K |
| Psychiatry | 46 | $22K |
| Cardiology | 46 | $113K |
City Report Cards in Montana
Billings
Missoula
Bozeman
Kalispell
Great Falls
Helena
Butte
Whitefish
Hamilton
Havre
Belgrade
Polson
Livingston
Miles City
Sidney
Libby
Dillon
Columbia Falls
Lewistown
Anaconda
Top 20 Providers in Montana
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Jacek KotowskiM.D. | 1,061 | $3.4M |
| Scott GuessM.D. | 938 | $2.7M |
| Thomas BerbosMD | 1,308 | $2.7M |
| David SwitzerM.D. | 713 | $2.7M |
| Ronald DeanDO | 14,888 | $2.3M |
| Missoula Bone & Joint Surgery Center, Llc | 158 | $2.2M |
| Rocky Mountain Eye Surgery Center Inc | 845 | $2.1M |
| American Medical Response Ambulance Service Inc | 2,940 | $2.1M |
| Aaron AlmeM.D. | 1,001 | $2.1M |
| Melody NelsenM.D. | 437 | $2.0M |
| Clay HolleyM.D. | 880 | $1.9M |
| Northeast Montana Stat Air Amublance Cooperative | 247 | $1.9M |
| West Bozeman Surgery Center, Llc | 771 | $1.9M |
| Providence Surgery Center | 403 | $1.6M |
| Horng-Chyi Lai | 244 | $1.4M |
| Rebecca BelsomM.D. | 352 | $1.4M |
| Christopher ParisMD | 236 | $1.4M |
| Glacier Surgical Inc. | 757 | $1.4M |
| Christopher BakerM.D. | 387 | $1.3M |
| Vance Thompson Vision Surgery Center Billings, Llc | 630 | $1.2M |
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