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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. Montana

Montana Medicare Spending

Medicare provider payments and utilization data for Montana (MT)

🔎 Data Analysis

Montana received $2.1B in total Medicare provider payments across 10 years of data.

The top specialty by spending is Ophthalmology, accounting for $30.6M in payments across 45 providers.

In 2023, 4.6K providers were actively billing Medicare in Montana.

Annual Medicare spending grew 48% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Total Payments (10yr)
$2.1B
+9.3% vs 2022
Active Providers (2023)
4.6K
5.8M services
Top Specialty
Ophthalmology
$30.6M total
Specialties
30
$54.3K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$169.7M3.9M3.5K—
2015$182.8M4.3M3.7K+7.7%
2016$190.3M4.5M3.8K+4.1%
2017$199.3M4.7M4.1K+4.7%
2018$215.5M4.9M4.2K+8.2%
2019$229.3M5.1M4.4K+6.4%
2020$204.1M4.7M4.3K-11.0%
2021$232.3M5.4M4.5K+13.8%
2022$229.5M5.3M4.5K-1.2%
2023$250.7M5.8M4.6K+9.3%

Top Providers in Montana

#ProviderSpecialtyPaymentsServices
1Jacek KotowskiOphthalmology$3.4M32.9K
2Scott GuessOphthalmology$2.7M20.9K
3Thomas BerbosOphthalmology$2.7M21.2K
4David SwitzerOphthalmology$2.7M12.7K
5Ronald DeanEmergency Medicine$2.3M163.2K
6Missoula Bone & Joint Surgery Center, LlcAmbulatory Surgical Center$2.2M23.9K
7Rocky Mountain Eye Surgery Center IncAmbulatory Surgical Center$2.1M2.8K
8American Medical Response Ambulance Service IncAmbulance Service Provider$2.1M33.1K
9Aaron AlmeOphthalmology$2.1M29.7K
10Melody NelsenRheumatology$2.0M175.2K
11Clay HolleyOphthalmology$1.9M12.5K
12Northeast Montana Stat Air Amublance CooperativeAmbulance Service Provider$1.9M59.1K
13West Bozeman Surgery Center, LlcAmbulatory Surgical Center$1.9M2.8K
14Providence Surgery CenterAmbulatory Surgical Center$1.6M20.0K
15Horng-Chyi LaiRheumatology$1.4M109.1K
16Rebecca BelsomRheumatology$1.4M159.9K
17Christopher ParisOphthalmology$1.4M33.0K
18Glacier Surgical Inc.Ambulatory Surgical Center$1.4M1.7K
19Christopher BakerRadiation Oncology$1.3M28.2K
20Vance Thompson Vision Surgery Center Billings, LlcAmbulatory Surgical Center$1.2M1.7K
21Shc 2021 LlcAmbulance Service Provider$1.2M42.7K
22Marc ComarattaOphthalmology$1.2M15.7K
23Mark OzogOphthalmology$1.1M20.1K
24Eric MarandaDermatology$1.1M11.1K
25Tyler OfstadOphthalmology$1.1M11.3K

Most Billed Procedures in Montana

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$22.5M321.0K1.8K
J0178Injection, aflibercept, 1 mg$12.6M18.4K19
99213Established patient office or other outpatient visit, 20-29 minutes$12.5M241.9K1.7K
66984Removal of cataract with insertion of prosthetic lens$9.5M19.6K122
99215Established patient office or other outpatient visit, 40-54 minutes$6.2M60.7K780
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$5.3M290.1K482
97530Therapy procedure using functional activities$5.0M213.2K398
27447Replacement of knee joint, both sides of knee$4.5M4.2K75
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$4.5M73.7K557
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$4.2M9.4K53
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$3.9M43.4K370
92014Established patient complete exam of visual system$3.9M50.3K170
A0429Ambulance service, basic life support, emergency transport (bls-emergency)$3.7M10.1K65
99204New patient office or other outpatient visit, 45-59 minutes$3.7M36.2K782
J2777Injection, faricimab-svoa, 0.1 mg$3.5M121.2K10
99285Emergency department visit with high level of medical decision making$3.4M25.7K154
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$3.2M35.6K365
98941Chiropractic manipulative treatment, 3-4 spinal regions$3.1M114.9K234
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$3.1M145.7K381
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$2.9M21.9K413

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Ophthalmology$30.6M45$679.1K
Ambulatory Surgical Center$17.0M21$810.3K
Physical Therapist in Private Practice$16.7M544$30.8K
Ambulance Service Provider$15.5M83$186.7K
Physician Assistant$13.8M584$23.7K
Family Practice$13.0M365$35.6K
Nurse Practitioner$12.4M600$20.7K
Internal Medicine$10.7M212$50.6K
Dermatology$10.0M40$250.5K
Orthopedic Surgery$9.5M88$107.8K
Diagnostic Radiology$8.0M81$98.5K
Emergency Medicine$7.7M130$58.9K
Optometry$6.2M156$39.7K
Rheumatology$6.1M12$512.3K
Cardiology$5.2M46$113.4K
Mass Immunizer Roster Biller$4.9M100$48.5K
Chiropractic$3.7M255$14.5K
Radiation Oncology$3.6M18$199.4K
Hospitalist$3.5M76$46.3K
Urology$3.5M34$103.3K
Podiatry$3.1M48$65.4K
General Surgery$2.6M73$36.0K
Anesthesiology$2.5M158$15.7K
Pathology$2.4M27$88.2K
Centralized Flu$2.2M17$131.0K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.