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MT#21 of 49 states

Montana Medicaid Spending

Montana's Medicaid program paid $2.64B across 3 providers from 2018–2024. 1 provider in Montana are flagged on our risk watchlist. The top procedure code is S5126 (Attendant care services, per diem) at $1.77B.

Total Spending

$2.64B

Total Claims

24.7M

Top Providers

3

Beneficiaries

1.2M

Top Procedure

S5126

$1.77B

Flagged Providers

1

on risk watchlist

Avg Per Provider

$879.6M

across 3 providers

Yearly Spending Trend

Spending by Top Procedures

S5126Attendant care services, per diem$1.77B
T1019Personal care services, per 15 min$392.6M
S5150Unskilled respite care, per 15 min$230.5M
S5136Companion care, adult, per 15 minutes$93.9M
T2017Habilitation, residential, waiver; 15 min$32.3M

Top Procedures in Montana

CodeTotal Paid
S5126

Attendant care services, per diem

$1.77B
T1019

Personal care services, per 15 min

$392.6M
S5150

Unskilled respite care, per 15 min

$230.5M
S5136

Companion care, adult, per 15 minutes

$93.9M
T2017

Habilitation, residential, waiver; 15 min

$32.3M
S5145

Foster care, therapeutic, child, per diem

$28.1M
T2013

Habilitation, residential, waiver, per hour

$20.6M
G2021

Health care common procedure coding system HCPCS lvl II

$15.6M
T2021

Day habilitation, waiver; per 15 min

$9.6M
H2020

Day habilitation, waiver, per 15 minutes

$9.1M
T2016

Habilitation, residential, waiver; per diem

$8.1M
H0032

Mental health service plan development

$6.6M
H0040

Assertive community treatment, face-to-face, per 15 minutes

$5.1M
T1016

Case management, each 15 min

$3.9M
S5102

Day care services, adult; per 15 min

$3.7M