Montana Medicare Revenue Analysis

CMS Medicare Physician & Other Practitioners data

Montana has 5K Medicare providers who collectively received $250.7M in Medicare payments, averaging $54K per provider. With below-average per-provider Medicare revenue, Montana practices may have substantial untapped potential in care management programs and E&M coding optimization.

The most common specialty is Nurse Practitioner with 600 providers, followed by Physician Assistant (584) and Physical Therapist in Private Practice (544). Nurse Practitioner providers in Montana average $21K annually, with room to grow through CCM, RPM, and AWV program adoption.

The largest Medicare provider concentration is in Billings (936 providers), with Missoula and Bozeman also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.

Data: CMS Medicare Physician & Other Practitioners, 2024Coverage: 4,617 providers analyzedLast updated: January 2026

Total Providers

5K

in Montana

Total Medicare Payment

$250.7M

Avg Payment / Provider

$54K

Total Services

5.8M

Montana Performance 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

0.7%

-93.8% vs benchmark · national 11.3%

RPM Adoption

0.0%

-99.7% vs benchmark · national 6.5%

AWV Completion

8.1%

-53.6% vs benchmark · national 17.5%

Key Stats

5K
Total Providers(Montana)
$54K
Avg Medicare Payment(per provider)
$250.7M
Total Medicare Payments
Nurse Practitioner
Top Specialty(600 providers)

How This Compares

#44 of 62
National rank by avg Medicare payment
-32%vs national average
Montana Medicare Revenue

Top Opportunities

#1
Chronic Care Management (99490)
$5.8M potential
#2
Remote Patient Monitoring (99454)
$4.0M potential
#3
Annual Wellness Visits (G0438/G0439)
$2.6M potential
Peer group: 4,617 providers
Confidence: High
CMS Medicare Public Data 2024
Data year: 2024

How Montana Compares

#44
of 62 states
-32%
vs national avg

vs Neighboring States

Montana
$54K
Idaho
$76K
+40%
North Dakota
$49K
-10%
South Dakota
$54K
0%
Wyoming
$62K
+14%
Strongest Specialty
Nurse Practitioner
600 providers
Biggest Program Gap
CCM (99490)
0.7% adoption vs 11.3% national

Top Revenue Opportunities in Montana

#1

Chronic Care Management (99490)

$5.8M
estimated annual opportunity

Only 0.7% of providers bill CCM vs 11.3% national average. 488 additional providers could adopt CCM to close this gap.

Current: 0.7%Target: 11.3%
high confidence· 488 providers
#2

Remote Patient Monitoring (99454)

$4.0M
estimated annual opportunity

RPM adoption is 0.0% vs 6.5% nationally. 298 providers could implement RPM programs.

Current: 0.0%Target: 6.5%
high confidence· 298 providers
#3

Annual Wellness Visits (G0438/G0439)

$2.6M
estimated annual opportunity

AWV completion at 8.1% trails the 17.5% national average. 432 additional providers could offer AWV services.

Current: 8.1%Target: 17.5%
high confidence· 432 providers

Market Opportunities by Specialty

Top 50 Providers in Montana

ProviderPatientsMedicare $
Jacek KotowskiM.D.1,061$3.4M
Scott GuessM.D.938$2.7M
Thomas BerbosMD1,308$2.7M
David SwitzerM.D.713$2.7M
Ronald DeanDO14,888$2.3M
Missoula Bone & Joint Surgery Center, Llc158$2.2M
Rocky Mountain Eye Surgery Center Inc845$2.1M
American Medical Response Ambulance Service Inc2,940$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 Cooperative247$1.9M
West Bozeman Surgery Center, Llc771$1.9M
Providence Surgery Center403$1.6M
Horng-Chyi Lai244$1.4M
Rebecca BelsomM.D.352$1.4M
Christopher ParisMD236$1.4M
Glacier Surgical Inc.757$1.4M
Christopher BakerM.D.387$1.3M
Vance Thompson Vision Surgery Center Billings, Llc630$1.2M
Shc 2021 Llc159$1.2M
Marc ComarattaM.D.849$1.2M
Mark OzogMD611$1.1M
Eric MarandaM.D.679$1.1M
Tyler OfstadM.D., PHD495$1.1M
Missoula Emergency Services Inc1,765$1.1M
David BoesMD1,024$1.1M
Yellowstone Surgery Center Llc84$1.0M
Helena Surgicenter, Llc387$1.0M
Great Falls Emergency Services Inc1,371$843K
Big Sky Surgery Center, Llc96$812K
Yellowstone Pathology Institute, Inc.2,772$777K
Jeffry GoldesMD885$770K
Thomas MatskoMD512$684K
Aaron BruceD.O.632$683K
American Medical Response Ambulance Service Inc769$677K
Montana Endoscopy Center, Pllc706$675K
Western Montana Clinic Pc6,630$669K
Mark RemingtonM.D.860$666K
Ann CorsiMD250$657K
Andrew ShorsMD979$655K
Yellowstone Surgery Center, Llc203$629K
Logan Health Emergency Medical Services657$620K
Russell SwanM.D.651$560K
Jefferson Berryman918$556K
Kristen TownleyMD420$547K
Erika HagstromMD373$511K
Pharm406 Inc1,627$508K
Montana Medical Transport, Llc68$499K
Shannon SetzerM.D.386$487K

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