Clinic
Sapphire Community Health INC
Sapphire Community Health INC was paid $15K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoSAPPHIRE COMMUNITY HEALTH INC
HAMILTON, MT 59840
HAMILTON, MT 59840
33aNPI1003146812assigned 12/30/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15K
24GClaims43,768
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Montana
Rank by total paid#4 of 26
Median peer was paid$0.00
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,156 | $0.00 | |
| 2019 | 4,920 | $0.00 | |
| 2020 | 5,171 | $0.00 | |
| 2021 | 6,115 | $0.00 | |
| 2022 | 8,490 | $110.52 | |
| 2023 | 7,922 | $15K | |
| 2024incomplete | 5,994 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 67% | 10,656 | 8,708 | $10K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 18% | 5,657 | 3,296 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 6,011 | 5,171 | $2K |
| Q3014 | Telehealth originating site facility fee | 2.7% | 16 | 15 | $400.96 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | 18 | $80.52 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,657 | 1,513 | $30.00 |
| 98968 | 0% | 396 | 292 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 253 | 232 | $0.00 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 0% | 895 | 818 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 72 | 67 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 2,487 | 1,550 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 426 | 356 | $0.00 |
13 more codes
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 659 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 7,869 | $0.00 |
| 99442 | 0% | 446 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 125 | $0.00 |
| 98966 | 0% | 81 | $0.00 | |
| 99080 | 0% | 38 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 4,103 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 946 | $0.00 |
| 99443 | 0% | 604 | $0.00 | |
| 98967 | 0% | 242 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 47 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 13 | $0.00 |
| 99441 | 0% | 50 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPEER, PATRICK (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Community Health Center of Northeast Oklahoma, INC. | Afton, OK | $800K |
| Community Health Center of Northeast Oklahoma | Welch, OK | $521K |
| Community Health Center of Northeast Oklahoma | Vinita, OK | $385K |
| Community Health Center of Northeast Oklahoma | Grove, OK | $115K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.