Medicare provider payments and utilization data for Montana (MT)
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.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $169.7M | 3.9M | 3.5K | — |
| 2015 | $182.8M | 4.3M | 3.7K | +7.7% |
| 2016 | $190.3M | 4.5M | 3.8K | +4.1% |
| 2017 | $199.3M | 4.7M | 4.1K | +4.7% |
| 2018 | $215.5M | 4.9M | 4.2K | +8.2% |
| 2019 | $229.3M | 5.1M | 4.4K | +6.4% |
| 2020 | $204.1M | 4.7M | 4.3K | -11.0% |
| 2021 | $232.3M | 5.4M | 4.5K | +13.8% |
| 2022 | $229.5M | 5.3M | 4.5K | -1.2% |
| 2023 | $250.7M | 5.8M | 4.6K | +9.3% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $22.5M | 321.0K | 1.8K |
| J0178 | Injection, aflibercept, 1 mg | $12.6M | 18.4K | 19 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $12.5M | 241.9K | 1.7K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $9.5M | 19.6K | 122 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $6.2M | 60.7K | 780 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $5.3M | 290.1K | 482 |
| 97530 | Therapy procedure using functional activities | $5.0M | 213.2K | 398 |
| 27447 | Replacement of knee joint, both sides of knee | $4.5M | 4.2K | 75 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $4.5M | 73.7K | 557 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $4.2M | 9.4K | 53 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $3.9M | 43.4K | 370 |
| 92014 | Established patient complete exam of visual system | $3.9M | 50.3K | 170 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $3.7M | 10.1K | 65 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $3.7M | 36.2K | 782 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $3.5M | 121.2K | 10 |
| 99285 | Emergency department visit with high level of medical decision making | $3.4M | 25.7K | 154 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $3.2M | 35.6K | 365 |
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | $3.1M | 114.9K | 234 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $3.1M | 145.7K | 381 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $2.9M | 21.9K | 413 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $30.6M | 45 | $679.1K |
| Ambulatory Surgical Center | $17.0M | 21 | $810.3K |
| Physical Therapist in Private Practice | $16.7M | 544 | $30.8K |
| Ambulance Service Provider | $15.5M | 83 | $186.7K |
| Physician Assistant | $13.8M | 584 | $23.7K |
| Family Practice | $13.0M | 365 | $35.6K |
| Nurse Practitioner | $12.4M | 600 | $20.7K |
| Internal Medicine | $10.7M | 212 | $50.6K |
| Dermatology | $10.0M | 40 | $250.5K |
| Orthopedic Surgery | $9.5M | 88 | $107.8K |
| Diagnostic Radiology | $8.0M | 81 | $98.5K |
| Emergency Medicine | $7.7M | 130 | $58.9K |
| Optometry | $6.2M | 156 | $39.7K |
| Rheumatology | $6.1M | 12 | $512.3K |
| Cardiology | $5.2M | 46 | $113.4K |
| Mass Immunizer Roster Biller | $4.9M | 100 | $48.5K |
| Chiropractic | $3.7M | 255 | $14.5K |
| Radiation Oncology | $3.6M | 18 | $199.4K |
| Hospitalist | $3.5M | 76 | $46.3K |
| Urology | $3.5M | 34 | $103.3K |
| Podiatry | $3.1M | 48 | $65.4K |
| General Surgery | $2.6M | 73 | $36.0K |
| Anesthesiology | $2.5M | 158 | $15.7K |
| Pathology | $2.4M | 27 | $88.2K |
| Centralized Flu | $2.2M | 17 | $131.0K |
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.