Clinic
ST Peters Community Hospital
ST Peters Community Hospital was paid $2.61M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoST PETERS COMMUNITY HOSPITAL
HELENA, MT 59601
HELENA, MT 59601
33aNPI1033354683assigned 12/11/2008
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.61M
24GClaims34,027
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Montana
Rank by total paid#3 of 23
Median peer was paid$299K
This provider vs. median8.8×
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 | 7,295 | $500K | |
| 2019 | 7,317 | $504K | |
| 2020 | 4,172 | $286K | |
| 2021 | 4,394 | $367K | |
| 2022 | 5,193 | $471K | |
| 2023 | 4,106 | $352K | |
| 2024incomplete | 1,550 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 70% | 24,886 | 22,961 | $1.84M |
| 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 | 27% | 8,063 | 7,300 | $713K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 464 | 419 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 270 | 245 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 158 | 134 | $5K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 99 | 86 | $1K |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 87 | 75 | $8.55 |
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 officialMILLER, ELIZABETH (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Pic Wisconsin SC | Brookfield, WI | $891K |
| Breathitt County Health Department | Jackson, KY | $818K |
| Hear to You | Vancouver, WA | $363K |
| Miller Counseling LLC | Wilmington, OH | $3K |
| Healthy Smiles Shine, LLC | Parker, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.