NP / PA
Cogent Healthcare of Montana P C
Cogent Healthcare of Montana P C was paid $1.95M by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 48% of everything it billed.
33Billing provider infoCOGENT HEALTHCARE OF MONTANA P C
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1053569525assigned 09/08/2008
33bProvider typeClinical Nurse Specialist
28Total paid$1.95M
24GClaims27,601
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FALL, LAURA controls 20+ related entities in our dataset. Read more
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 | 4,607 | $257K | |
| 2019 | 5,931 | $348K | |
| 2020 | 4,521 | $292K | |
| 2021 | 4,141 | $365K | |
| 2022 | 3,207 | $270K | |
| 2023 | 5,099 | $410K | |
| 2024incomplete | 95 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 48% | 15,149 | 6,090 | $946K |
| 99223 | Prolong inpt eval add15 m | 33% | 4,892 | 4,164 | $637K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.1% | 3,862 | 1,411 | $159K |
| 99239 | Hospital discharge day management, more than 30 minutes | 7.4% | 2,225 | 1,863 | $144K |
| 99497 | 1.7% | 1,023 | 782 | $34K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 103 | 99 | $19K |
| 99220 | <1% | 212 | 127 | $12K | |
| 99217 | <1% | 49 | 37 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | 14 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 39 | 27 | $977.04 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 31 | 31 | $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 officialFALL, LAURA (MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.