Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MT › Missoula › NPI 1023032588
Hospital

Providence Health & Services MT

Providence Health & Services MT was paid $2.42M by Medicaid between Jan 2018 and Dec 2024, across 304 billing codes. Its largest line is 99283, emergency room visit (moderate) — 14% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES MT
MISSOULA, MT 59802
33aNPI1023032588assigned 07/27/2006
28Total paid$2.42M
24GClaims887,721
24DCodes billed304
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Montana

Rank by total paid#3 of 10
Median peer was paid$774K
This provider vs. median3.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018144,375$401K
2019146,853$456K
2020118,163$325K
2021143,930$293K
2022128,777$336K
2023122,063$380K
2024incomplete83,560$234K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 27,408 23,798 $335K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 23,297 20,184 $294K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 10% 16,624 14,708 $254K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.8% 6,181 5,629 $116K
88305 Level IV - Surgical pathology, gross and microscopic examination 4.0% 5,704 4,768 $96K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.8% 9,831 8,687 $68K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.6% 9,137 7,816 $64K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.6% 1,381 1,143 $62K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.4% 1,559 1,341 $59K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.2% 2,171 1,958 $53K
G0378 Hospital observation service, per hour 2.1% 5,427 2,454 $50K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 5,149 4,766 $42K
292 more codes
70450 Computed tomography, head or brain; without contrast material 1.6% 4,106 $39K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.5% 14,166 $37K
80053 Comprehensive metabolic panel 1.3% 53,662 $31K
96361 Intravenous infusion, hydration; each additional hour 1.1% 9,294 $28K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.1% 7,352 $27K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.0% 1,775 $25K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,959 $21K
J2704 Injection, propofol, 10 mg <1% 11,011 $20K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,761 $19K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,856 $19K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15,222 $17K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,227 $17K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,196 $16K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 241 $16K
76830 Ultrasound, transvaginal <1% 3,302 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 53,735 $15K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,187 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12,121 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,942 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,932 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,053 $14K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 5,077 $13K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 459 $13K
96375 Therapeutic injection; each additional sequential IV push <1% 10,858 $13K
71046 Radiologic examination, chest; 2 views <1% 6,249 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,198 $12K
71045 Radiologic examination, chest; single view <1% 6,451 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,354 $10K
84443 Thyroid stimulating hormone (TSH) <1% 20,442 $10K
A9585 Injection, gadobutrol, 0.1 ml <1% 4,810 $9K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 12,450 $9K
88342 <1% 1,464 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,796 $9K
87070 <1% 3,095 $8K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 543 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,560 $8K
82728 <1% 4,190 $8K
73610 <1% 1,467 $7K
88304 <1% 1,009 $7K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 11,383 $7K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,626 $7K
82077 <1% 3,959 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 845 $6K
81001 <1% 11,676 $6K
80143 <1% 2,717 $6K
96376 <1% 3,687 $6K
80179 <1% 2,711 $6K
73130 <1% 1,057 $6K
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,432 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 3,435 $5K
72141 <1% 1,096 $5K
80061 Lipid panel <1% 9,965 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,838 $5K
87186 <1% 3,617 $5K
85027 <1% 13,043 $5K
87077 <1% 4,017 $5K
83690 <1% 8,413 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,829 $5K
84703 <1% 3,255 $5K
12001 <1% 459 $5K
81025 <1% 5,329 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,464 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 8,151 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 13,774 $4K
83540 <1% 1,986 $4K
93971 <1% 1,133 $4K
87040 <1% 1,244 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 397 $4K
73110 <1% 696 $4K
72125 Computed tomography, cervical spine; without contrast material <1% 520 $4K
73630 <1% 1,309 $4K
87081 <1% 2,327 $4K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 750 $4K
36415 Collection of venous blood by venipuncture <1% 24,958 $3K
76770 <1% 382 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 10,436 $3K
86140 <1% 4,521 $3K
J0690 Injection, cefazolin sodium, 500 mg <1% 5,722 $3K
J1170 Injection, hydromorphone, up to 4 mg <1% 8,397 $3K
73562 <1% 1,316 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 7,171 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,388 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 83 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,582 $3K
83550 <1% 1,839 $3K
73030 <1% 1,453 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 5,201 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 18,146 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 13,391 $3K
85652 <1% 3,372 $3K
74018 <1% 725 $3K
72040 <1% 1,217 $3K
87205 <1% 2,661 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,942 $2K
72100 <1% 1,509 $2K
74183 <1% 401 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,765 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,566 $2K
84439 <1% 3,633 $2K
84484 <1% 7,990 $2K
95811 <1% 674 $2K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 396 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 19 $2K
88307 <1% 952 $2K
76536 <1% 383 $2K
87075 <1% 1,097 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 13 $2K
83605 <1% 1,186 $2K
97161 <1% 1,482 $2K
93226 <1% 135 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 2,277 $2K
97535 Self-care/home management training, each 15 minutes <1% 2,592 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 4,466 $2K
82607 <1% 2,245 $1K
70498 <1% 421 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 9,045 $1K
J3490 Unclassified drugs <1% 513 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,773 $1K
93225 <1% 135 $1K
70496 <1% 375 $1K
C1769 Guide wire <1% 2,685 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 368 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 886 $1K
71250 <1% 960 $1K
99152 <1% 1,137 $1K
85379 <1% 2,107 $1K
95816 <1% 131 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,636 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 343 $1K
87210 <1% 1,682 $1K
73080 <1% 71 $946.28
12011 <1% 24 $938.37
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,650 $927.93
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 427 $890.06
76642 <1% 1,280 $883.67
87427 <1% 369 $871.20
80076 <1% 407 $868.11
83735 <1% 2,903 $836.44
94729 <1% 964 $803.74
94726 <1% 801 $782.85
J0780 Injection, prochlorperazine, up to 10 mg <1% 951 $743.59
85610 <1% 11,923 $736.01
J2060 Injection, lorazepam, 2 mg <1% 2,411 $709.79
90715 <1% 499 $702.73
82962 <1% 9,119 $656.40
82570 <1% 1,626 $653.07
99153 Mod sedat endo service >5yrs <1% 646 $650.12
J2550 Injection, promethazine hcl, up to 50 mg <1% 724 $649.96
0352U <1% 317 $637.50
94060 <1% 416 $633.72
93017 <1% 1,818 $620.69
11043 <1% 19 $586.50
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,777 $575.39
86850 <1% 1,550 $562.16
87046 <1% 208 $556.49
87045 <1% 207 $528.15
76870 <1% 25 $483.65
86901 <1% 1,810 $475.42
86900 <1% 1,804 $455.77
93242 <1% 766 $455.49
86803 <1% 2,197 $437.71
88300 <1% 116 $423.29
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 519 $411.32
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 76 $407.97
85730 <1% 1,368 $391.16
73502 <1% 183 $387.60
87420 <1% 114 $377.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 761 $376.26
83880 <1% 1,579 $370.76
97116 <1% 2,099 $360.45
J1815 Injection, insulin, per 5 units <1% 851 $356.83
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,038 $350.43
77080 <1% 312 $346.62
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 373 $339.71
59025 Fetal non-stress test <1% 62 $337.67
0240U <1% 52 $327.24
73620 <1% 283 $326.40
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 684 $313.91
82043 <1% 1,361 $307.09
Q9957 Injection, perflutren lipid microspheres, per ml <1% 1,715 $292.90
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,589 $284.75
81003 <1% 738 $265.53
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 460 $261.43
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,400 $254.15
97162 <1% 918 $239.03
94010 <1% 97 $238.96
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 177 $231.02
87899 <1% 203 $227.25
72020 <1% 157 $208.03
82550 <1% 339 $207.12
L8699 Prosthetic implant, not otherwise specified <1% 24 $206.60
J1790 Injection, droperidol, up to 5 mg <1% 1,213 $202.48
0296T <1% 133 $192.95
73140 <1% 25 $192.32
J1644 Injection, heparin sodium, per 1000 units <1% 1,873 $182.23
12002 <1% 26 $172.66
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 425 $168.75
86706 <1% 71 $165.74
84100 <1% 919 $157.44
82565 <1% 2,702 $151.04
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 291 $139.51
80047 <1% 133 $138.97
83615 <1% 1,121 $135.99
84702 <1% 128 $130.05
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,337 $127.58
J8540 Dexamethasone, oral, 0.25 mg <1% 2,358 $126.71
80164 <1% 330 $122.40
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 12 $101.99
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 52 $96.81
97542 <1% 498 $95.85
86592 <1% 106 $91.80
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,325 $82.29
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 332 $75.78
J1650 Injection, enoxaparin sodium, 10 mg <1% 545 $74.38
97165 <1% 55 $64.82
87340 <1% 367 $57.81
J1836 Injection, metronidazole, 10 mg <1% 49 $48.40
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 13,430 $38.19
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,112 $33.53
73120 <1% 369 $32.48
93325 <1% 845 $25.77
85014 <1% 434 $25.36
77065 Tomosynthesis, mammo <1% 132 $21.70
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 526 $21.22
J1596 Injection, glycopyrrolate, 0.1 mg <1% 144 $17.90
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 331 $16.16
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 1,347 $14.06
A9270 Non-covered item or service <1% 7,234 $12.04
80178 <1% 381 $10.21
J1630 Injection, haloperidol, up to 5 mg <1% 136 $5.29
85055 <1% 86 $1.70
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 0% 841 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 151 $0.00
82274 0% 60 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 0% 4,053 $0.00
96417 0% 241 $0.00
93350 0% 168 $0.00
97167 0% 84 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 32 $0.00
96367 0% 322 $0.00
93798 0% 509 $0.00
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 0% 316 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 118 $0.00
97129 0% 227 $0.00
71271 0% 69 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 35 $0.00
84550 0% 88 $0.00
77066 Tomosynthesis, mammo 0% 173 $0.00
77077 0% 36 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 124 $0.00
74178 0% 16 $0.00
76882 0% 51 $0.00
82140 0% 46 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 29 $0.00
43235 0% 36 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 15 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 18 $0.00
89051 0% 13 $0.00
83970 0% 14 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 3,323 $0.00
93320 0% 424 $0.00
84153 0% 768 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 2,486 $0.00
36591 0% 1,070 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 0% 1,381 $0.00
97130 0% 207 $0.00
85018 0% 85 $0.00
J1610 Injection, glucagon hydrochloride, per 1 mg 0% 246 $0.00
97035 0% 917 $0.00
96415 0% 223 $0.00
82746 0% 25 $0.00
93458 0% 43 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 168 $0.00
J7999 Compounded drug, not otherwise classified 0% 176 $0.00
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report 0% 68 $0.00
93270 0% 14 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 25 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 0% 17 $0.00
72170 0% 16 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 170 $0.00
70486 0% 12 $0.00
94762 0% 14 $0.00
73221 0% 13 $0.00
C1781 Mesh (implantable) 0% 13 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 40 $0.00
82378 0% 14 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 45 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 19 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 18 $0.00
82150 0% 14 $0.00
72126 0% 17 $0.00
72146 0% 13 $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 officialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent organizationPROVIDENCE HEALTH & SERVICES
Same official

Other billing entities under ANDERSON, DONALD

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.