Clinic
Providence Health & Services MT
Providence Health & Services MT was paid $250K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES MT
MISSOULA, MT 59802
MISSOULA, MT 59802
33aNPI1063653897assigned 03/06/2009
33bProvider typePain Clinic/Center
28Total paid$250K
24GClaims3,977
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ANDERSON, DONALD 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 | 550 | $41K | |
| 2019 | 828 | $56K | |
| 2020 | 388 | $26K | |
| 2021 | 495 | $25K | |
| 2022 | 803 | $47K | |
| 2023 | 704 | $39K | |
| 2024incomplete | 209 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 1,597 | 1,430 | $129K |
| 64483 | 14% | 305 | 296 | $34K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 689 | 625 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.0% | 396 | 360 | $12K |
| 76942 | 4.5% | 343 | 299 | $11K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.3% | 129 | 125 | $8K |
| 20553 | 3.2% | 233 | 200 | $8K | |
| 96156 | 2.6% | 147 | 129 | $6K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 32 | 14 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $1K |
| 62321 | <1% | 13 | 12 | $1K | |
| 99442 | <1% | 16 | 16 | $834.68 |
4 more codes
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 officialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
Parent organizationPROVIDENCE HEALTH & SERVICES
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.