Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDENCE HEALTH & SERVICES MT

NPI: 1023032588 · MISSOULA, MT 59802 · General Acute Care Hospital · NPI assigned 07/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$2.42M
Total Medicaid Paid
887,721
Total Claims
720,496
Beneficiaries
304
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES
NPI Enumeration Date07/27/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 144,375 $401K
2019 146,853 $456K
2020 118,163 $325K
2021 143,930 $293K
2022 128,777 $336K
2023 122,063 $380K
2024 83,560 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 27,408 23,798 $335K
99284 Emergency department visit for the evaluation and management, high severity 23,297 20,184 $294K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,624 14,708 $254K
74177 Computed tomography, abdomen and pelvis; with contrast material 6,181 5,629 $116K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,704 4,768 $96K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,831 8,687 $68K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,137 7,816 $64K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,381 1,143 $62K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,559 1,341 $59K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,171 1,958 $53K
G0378 Hospital observation service, per hour 5,427 2,454 $50K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,149 4,766 $42K
70450 Computed tomography, head or brain; without contrast material 4,106 3,652 $39K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,166 12,080 $37K
80053 Comprehensive metabolic panel 53,662 44,705 $31K
96361 Intravenous infusion, hydration; each additional hour 9,294 7,788 $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 7,352 6,795 $27K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,775 1,678 $25K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,959 1,897 $21K
J2704 Injection, propofol, 10 mg 11,011 9,560 $20K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,761 1,674 $19K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,856 1,793 $19K
J2405 Injection, ondansetron hydrochloride, per 1 mg 15,222 12,101 $17K
70551 Magnetic resonance imaging, brain; without contrast material 1,227 1,094 $17K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,196 2,070 $16K
99233 Prolong inpt eval add15 m 241 78 $16K
76830 Ultrasound, transvaginal 3,302 3,148 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 53,735 43,396 $15K
87086 Culture, bacterial; quantitative colony count, urine 7,187 6,572 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,121 10,799 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,942 2,098 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,932 1,882 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,053 6,682 $14K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,077 3,373 $13K
95810 Polysomnography; sleep staging with 4 or more additional parameters 459 454 $13K
96375 Therapeutic injection; each additional sequential IV push 10,858 8,501 $13K
71046 Radiologic examination, chest; 2 views 6,249 5,836 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,198 2,010 $12K
71045 Radiologic examination, chest; single view 6,451 5,702 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,354 5,177 $10K
84443 Thyroid stimulating hormone (TSH) 20,442 19,174 $10K
A9585 Injection, gadobutrol, 0.1 ml 4,810 4,426 $9K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 12,450 8,938 $9K
88342 1,464 1,222 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,796 2,521 $9K
87070 3,095 2,802 $8K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 543 435 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,560 6,678 $8K
82728 4,190 3,942 $8K
73610 1,467 1,330 $7K
88304 1,009 878 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 11,383 8,385 $7K
71275 Computed tomographic angiography, chest, with contrast material 1,626 1,499 $7K
82077 3,959 3,513 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 845 788 $6K
81001 11,676 10,277 $6K
80143 2,717 2,449 $6K
96376 3,687 2,589 $6K
80179 2,711 2,450 $6K
73130 1,057 942 $6K
J7120 Ringers lactate infusion, up to 1000 cc 9,432 7,821 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,435 1,158 $5K
72141 1,096 1,050 $5K
80061 Lipid panel 9,965 9,694 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,838 3,692 $5K
87186 3,617 3,365 $5K
85027 13,043 10,881 $5K
87077 4,017 3,751 $5K
83690 8,413 7,356 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,829 3,685 $5K
84703 3,255 3,014 $5K
12001 459 430 $5K
81025 5,329 4,615 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,464 3,727 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,151 6,857 $4K
80048 Basic metabolic panel (calcium, ionized) 13,774 11,155 $4K
83540 1,986 1,901 $4K
93971 1,133 1,073 $4K
87040 1,244 656 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 397 308 $4K
73110 696 595 $4K
72125 Computed tomography, cervical spine; without contrast material 520 483 $4K
73630 1,309 1,186 $4K
87081 2,327 2,240 $4K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 750 290 $4K
36415 Collection of venous blood by venipuncture 24,958 20,229 $3K
76770 382 364 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,436 3,833 $3K
86140 4,521 3,819 $3K
J0690 Injection, cefazolin sodium, 500 mg 5,722 3,968 $3K
J1170 Injection, hydromorphone, up to 4 mg 8,397 5,452 $3K
73562 1,316 1,246 $3K
J7030 Infusion, normal saline solution , 1000 cc 7,171 6,037 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,388 1,154 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 83 78 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,582 1,240 $3K
83550 1,839 1,764 $3K
73030 1,453 1,262 $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 5,201 4,806 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18,146 11,259 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13,391 11,902 $3K
85652 3,372 2,845 $3K
74018 725 603 $3K
72040 1,217 1,172 $3K
87205 2,661 2,363 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,942 1,849 $2K
72100 1,509 1,441 $2K
74183 401 378 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,765 1,342 $2K
J2270 Injection, morphine sulfate, up to 10 mg 2,566 2,131 $2K
84439 3,633 3,449 $2K
84484 7,990 6,150 $2K
95811 674 659 $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 396 377 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 19 13 $2K
88307 952 610 $2K
76536 383 378 $2K
87075 1,097 945 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 13 13 $2K
83605 1,186 926 $2K
97161 1,482 1,281 $2K
93226 135 132 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml 2,277 1,951 $2K
97535 Self-care/home management training, each 15 minutes 2,592 1,681 $2K
83036 Hemoglobin; glycosylated (A1C) 4,466 4,338 $2K
82607 2,245 2,154 $1K
70498 421 393 $1K
J7050 Infusion, normal saline solution, 250 cc 9,045 3,663 $1K
J3490 Unclassified drugs 513 402 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,773 2,448 $1K
93225 135 132 $1K
70496 375 355 $1K
C1769 Guide wire 2,685 1,935 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 368 349 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 886 791 $1K
71250 960 938 $1K
99152 1,137 843 $1K
85379 2,107 2,008 $1K
95816 131 125 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,636 1,585 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 343 306 $1K
87210 1,682 1,613 $1K
73080 71 68 $946.28
12011 24 24 $938.37
J0696 Injection, ceftriaxone sodium, per 250 mg 1,650 1,195 $927.93
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 427 326 $890.06
76642 1,280 1,143 $883.67
87427 369 184 $871.20
80076 407 373 $868.11
83735 2,903 2,087 $836.44
94729 964 931 $803.74
94726 801 775 $782.85
J0780 Injection, prochlorperazine, up to 10 mg 951 856 $743.59
85610 11,923 6,894 $736.01
J2060 Injection, lorazepam, 2 mg 2,411 2,056 $709.79
90715 499 479 $702.73
82962 9,119 5,716 $656.40
82570 1,626 1,472 $653.07
99153 Mod sedat endo service >5yrs 646 458 $650.12
J2550 Injection, promethazine hcl, up to 50 mg 724 563 $649.96
0352U 317 305 $637.50
94060 416 408 $633.72
93017 1,818 1,610 $620.69
11043 19 13 $586.50
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,777 1,398 $575.39
86850 1,550 1,254 $562.16
87046 208 184 $556.49
87045 207 183 $528.15
76870 25 24 $483.65
86901 1,810 1,499 $475.42
86900 1,804 1,487 $455.77
93242 766 746 $455.49
86803 2,197 2,152 $437.71
88300 116 92 $423.29
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 519 452 $411.32
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 76 68 $407.97
85730 1,368 1,233 $391.16
73502 183 155 $387.60
87420 114 110 $377.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 761 695 $376.26
83880 1,579 1,422 $370.76
97116 2,099 981 $360.45
J1815 Injection, insulin, per 5 units 851 454 $356.83
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,038 614 $350.43
77080 312 309 $346.62
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 373 315 $339.71
59025 Fetal non-stress test 62 48 $337.67
0240U 52 51 $327.24
73620 283 171 $326.40
J2765 Injection, metoclopramide hcl, up to 10 mg 684 600 $313.91
82043 1,361 1,321 $307.09
Q9957 Injection, perflutren lipid microspheres, per ml 1,715 1,619 $292.90
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,589 1,735 $284.75
81003 738 672 $265.53
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 460 364 $261.43
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,400 1,037 $254.15
97162 918 853 $239.03
94010 97 95 $238.96
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 177 161 $231.02
87899 203 183 $227.25
72020 157 123 $208.03
82550 339 270 $207.12
L8699 Prosthetic implant, not otherwise specified 24 17 $206.60
J1790 Injection, droperidol, up to 5 mg 1,213 1,091 $202.48
0296T 133 127 $192.95
73140 25 24 $192.32
J1644 Injection, heparin sodium, per 1000 units 1,873 1,265 $182.23
12002 26 25 $172.66
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 425 355 $168.75
86706 71 69 $165.74
84100 919 648 $157.44
82565 2,702 2,400 $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) 291 210 $139.51
80047 133 121 $138.97
83615 1,121 837 $135.99
84702 128 107 $130.05
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,337 1,137 $127.58
J8540 Dexamethasone, oral, 0.25 mg 2,358 1,228 $126.71
80164 330 288 $122.40
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $101.99
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 52 50 $96.81
97542 498 376 $95.85
86592 106 96 $91.80
77067 Screening mammography, bilateral, including computer-aided detection 3,325 3,281 $82.29
C1887 Catheter, guiding (may include infusion/perfusion capability) 332 215 $75.78
J1650 Injection, enoxaparin sodium, 10 mg 545 295 $74.38
97165 55 48 $64.82
87340 367 351 $57.81
J1836 Injection, metronidazole, 10 mg 49 29 $48.40
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 13,430 10,895 $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 1,112 560 $33.53
73120 369 204 $32.48
93325 845 792 $25.77
85014 434 331 $25.36
77065 Tomosynthesis, mammo 132 117 $21.70
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 526 340 $21.22
J1596 Injection, glycopyrrolate, 0.1 mg 144 131 $17.90
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 331 260 $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 1,347 895 $14.06
A9270 Non-covered item or service 7,234 2,590 $12.04
80178 381 345 $10.21
J1630 Injection, haloperidol, up to 5 mg 136 127 $5.29
85055 86 66 $1.70
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 841 810 $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 151 116 $0.00
82274 60 57 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,053 2,038 $0.00
96417 241 126 $0.00
93350 168 163 $0.00
97167 84 79 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 32 28 $0.00
96367 322 188 $0.00
93798 509 100 $0.00
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 316 247 $0.00
J1171 Injection, hydromorphone, 0.1 mg 118 93 $0.00
97129 227 128 $0.00
71271 69 69 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 35 32 $0.00
84550 88 63 $0.00
77066 Tomosynthesis, mammo 173 164 $0.00
77077 36 26 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 124 99 $0.00
74178 16 12 $0.00
76882 51 40 $0.00
82140 46 39 $0.00
J3370 Injection, vancomycin hcl, 500 mg 29 27 $0.00
43235 36 24 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 15 12 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 18 16 $0.00
89051 13 12 $0.00
83970 14 12 $0.00
77063 Screening digital breast tomosynthesis, bilateral 3,323 3,279 $0.00
93320 424 404 $0.00
84153 768 725 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,486 1,178 $0.00
36591 1,070 533 $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) 1,381 919 $0.00
97130 207 116 $0.00
85018 85 62 $0.00
J1610 Injection, glucagon hydrochloride, per 1 mg 246 236 $0.00
97035 917 333 $0.00
96415 223 110 $0.00
82746 25 24 $0.00
93458 43 37 $0.00
J2785 Injection, regadenoson, 0.1 mg 168 160 $0.00
J7999 Compounded drug, not otherwise classified 176 136 $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 68 67 $0.00
93270 14 14 $0.00
J3411 Injection, thiamine hcl, 100 mg 25 24 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 17 12 $0.00
72170 16 13 $0.00
C1889 Implantable/insertable device, not otherwise classified 170 146 $0.00
70486 12 12 $0.00
94762 14 14 $0.00
73221 13 13 $0.00
C1781 Mesh (implantable) 13 12 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 40 25 $0.00
82378 14 12 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 45 25 $0.00
J3480 Injection, potassium chloride, per 2 meq 19 16 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 18 13 $0.00
82150 14 12 $0.00
72126 17 12 $0.00
72146 13 13 $0.00