Sleep Medicine in Montana
Individual Sleep Medicine providers billing Original Medicare Part B in Montana: 5 in 2024.
See available data · View sample report · What a Market Comparison contains
Available data
- individual providers, 2024
- 5
- data years
- 5
- groups listed
- 6
Specialty, geography, providers by year and peer group
- Specialty
- Sleep Medicine (the provider type on the Medicare claims record; individuals only)
- Geography
- Montana.
- Data years
- 2020, 2021, 2022, 2023, 2024
- Providers by year
- 2020: 2 · 2021: 4 · 2022: 5 · 2023: 5 · 2024: 5
- Peer group for ranks
- Fewer than 20 providers in Montana with a value of a ranked measure (payment or work RVUs) in the latest year, so each clinician's rank of that measure uses national peers; positions in the ranked list are still among the providers in Montana.
Fee schedule change for Sleep Medicine, 2026 to 2027 (proposed rule)
At the 2027 proposed rule rates, the median change in calculated Medicare allowed for Sleep Medicine clinicians nationally is −3.5%, on the same services as in 2024 (middle half −4.1% to −2.9%, 839 clinicians).
calculated at each clinician's published code mix; volume held fixed; proposed rule.
Fewer than 20 Sleep Medicine clinicians in this state have a calculation, so the state is not shown; the national figure is.
By area, and what the calculation leaves out1 area
| Area | Clinicians | Median change | Middle half |
|---|---|---|---|
| United States | 839 | −3.5% | −4.1% to −2.9% |
Codes this specialty billed in 2024 that have no 2027 rate in the proposed rule (deleted or not listed; left out of the calculation, never estimated): 95806, 95800.
104 codes are new in the 2027 proposed rule (not in any 2024 code mix); 53 codes move to a national rate from a 2026 status without one (carrier-priced and others); lines in those codes are left out of the calculation.
Each clinician’s own figure, with the codes behind it, is in the Physician Report. How this is calculated.
Telehealth-only services and setting, Sleep Medicine, 2020–2024
In 2024, 0.3% of Sleep Medicine Medicare work nationally was in telehealth-only services (3.6% in 2020), a floor of all telehealth work; 71% was billed at the office (non-facility) rate and 29% at the facility rate.
Share of work by setting, by year: table1 area
United States: share of calculated Medicare work RVUs by setting
| Year | Telehealth-only | Office rate | Facility rate | Clinicians | Share with any telehealth-only |
|---|---|---|---|---|---|
| 2020 | 3.6% | 66% | 30% | 615 | 44% |
| 2021 | 1.8% | 67% | 31% | 671 | 25% |
| 2022 | 0.9% | 69% | 30% | 730 | 12% |
| 2023 | 0.5% | 70% | 29% | 773 | 7% |
| 2024 | 0.3% | 71% | 29% | 846 | 5% |
Telehealth-only services are codes that exist only as remote services (telephone and online visits, virtual check-ins, telehealth consultations). The share is a floor, not total telehealth: CMS publishes the place of service only as facility or non-facility and does not publish telehealth modifiers, so a video visit billed with an ordinary visit code is counted in the setting CMS records. Every year is weighted at the 2024 work relative values, so a share moves only when the services billed move. Cells of at least 11 clinicians. How this is calculated.
Market Comparison
One specialty in one market (a metro area, a state's area outside metro areas, a whole state or the United States): each cohort member's figures and rank, the distribution, percentiles and trend, plus the full report of a selected physician who is in that market, for 12 months.
Reports are not on sale yet.
View sample reportWhat the Market Comparison contains
Show details2 known limitations
Included
- The cohort table: each clinician's exact Medicare payment, calculated work RVUs and rank in this specialty and market
- A ranked list of every clinician in this specialty and market by Medicare payment or work RVUs, opening at the selected physician with those just above and below
- Each listed clinician's codes for a data year: every code line with place of service, services, beneficiaries, Medicare payment and work RVUs
- Medians, percentiles, the distribution and the trend for this specialty and market
- Estimated figures and the offer calculator for this market
- The full Physician Report of the selected physician, when that physician is in this market
- A downloadable market report (PDF)
Not included
- Other specialties and other markets
- Multi-year history, peer comparisons and the printable report of clinicians other than the selected physician (each one's Physician Report)
- Peer comparison flags (professional subscription, not sold)
Known limitations
- Fewer than 20 providers in Montana with a value of a ranked measure (payment or work RVUs) in the latest year, so each clinician's rank of that measure uses national peers; positions in the ranked list are still among the providers in Montana.
- CMS suppresses code lines with fewer than 11 beneficiaries, so calculated work RVUs are a floor.
Sleep Medicine by metro area in Montana
Show details4 areas
A Market Comparison is also prepared for each metro area and for the area outside metro areas. Alphabetical; provider counts are for 2024.
- Billings, MT (2)
- Bozeman, MT (1)
- Kalispell, MT (1)
- Missoula, MT (1)
Groups with the most Sleep Medicine providers in Montana
Show details6 groups
- Providence Health And Services Mt (2 Sleep Medicine providers)
- Bozeman Health Deaconess Hospital (1 Sleep Medicine providers)
- Kalispell Regional Medical Center Inc (1 Sleep Medicine providers)
- Logan Health - Conrad (1 Sleep Medicine providers)
- Northern Montana Hospital (1 Sleep Medicine providers)
- Scl Health Medical Group - Billings LLC (1 Sleep Medicine providers)
Group affiliation: CMS Doctors and Clinicians file; data year 2024. Ordered by the count of providers of the specialty, then by name; groups tied at the end of the list are left out.
Original Medicare Part B fee-for-service only; payments go to the billing entity. How every figure is computed: methodology, including known limitations.
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service).