SCL Health Montana
SCL Health Montana was paid $387K by Medicaid between Jan 2018 and May 2021, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 94% of everything it billed.
BILLINGS, MT 59101
Next to other Clinic/Center providers in Montana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 857 | $95K | |
| 2019 | 623 | $81K | |
| 2020 | 980 | $169K | |
| 2021 | 244 | $42K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 94% | 2,257 | 921 | $362K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.0% | 383 | 180 | $23K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 23 | 14 | $1K |
| 36556 | <1% | 23 | 12 | $748.80 | |
| 6030F | 0% | 18 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| SCL Health Montana | Billings, MT | $2.70M |
| ST James Healthcare | Butte, MT | $1.70M |
| SCL Health Montana | Billings, MT | $865K |
| SCL Health Montana | Billings, MT | $448K |
| ST. James Healthcare | Butte, MT | $314K |
| SCL Health Montana | Billings, MT | $43K |
| SCL Health Montana | Billings, MT | $29K |
| ST. James Healthcare | Boulder, MT | $22K |
| SCL Health Montana | Billings, MT | $15K |
| SCL Health Montana | Billings, MT | $11K |
| SCL Health Montana | Billings, MT | $7K |
| SCL Health Montana | Billings, MT | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.