ST. James Healthcare
ST. James Healthcare was paid $314K by Medicaid between Jan 2018 and Dec 2020, across 30 billing codes. Its largest line is 87880, Infectious agent antigen detection by immunoassay; Streptococcus, group A — 17% of everything it billed.
BUTTE, MT 59701
Next to other Clinical Medical Laboratory 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 | 12,705 | $105K | |
| 2019 | 12,439 | $114K | |
| 2020 | 11,547 | $95K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 17% | 3,417 | 3,239 | $52K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 15% | 3,264 | 1,546 | $48K |
| 80050 | General health panel | 13% | 907 | 855 | $41K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.1% | 3,838 | 3,439 | $25K |
| 84443 | Thyroid stimulating hormone (TSH) | 6.8% | 1,733 | 1,614 | $22K |
| 80053 | Comprehensive metabolic panel | 6.5% | 2,374 | 2,175 | $20K |
| 87480 | 6.5% | 1,084 | 1,022 | $20K | |
| 36415 | Collection of venous blood by venipuncture | 5.7% | 9,279 | 7,884 | $18K |
| 80061 | Lipid panel | 5.1% | 1,540 | 1,404 | $16K |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.9% | 1,415 | 1,287 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.8% | 1,267 | 1,169 | $9K |
| 86703 | 2.1% | 527 | 486 | $7K |
18 more codes
| 84439 | 1.9% | 834 | $6K | |
| 85027 | 1.3% | 678 | $4K | |
| 81001 | 1.1% | 1,328 | $3K | |
| 81003 | <1% | 1,436 | $2K | |
| 81025 | <1% | 305 | $2K | |
| 86140 | <1% | 352 | $2K | |
| 82607 | <1% | 110 | $1K | |
| 85007 | <1% | 357 | $1K | |
| 84702 | <1% | 61 | $874.45 | |
| 87420 | <1% | 60 | $703.78 | |
| 85652 | <1% | 289 | $685.98 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 14 | $613.48 |
| 82728 | <1% | 58 | $597.84 | |
| 83540 | <1% | 59 | $362.07 | |
| 84153 | <1% | 12 | $161.48 | |
| 80178 | <1% | 27 | $157.64 | |
| 85610 | <1% | 42 | $112.90 | |
| 82950 | <1% | 24 | $109.25 |
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 |
| SCL Health Montana | Billings, MT | $387K |
| 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.