Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDENCE HEALTH & SERVICES MT

NPI: 1063653897 · MISSOULA, MT 59802 · Pain Clinic/Center · NPI assigned 03/06/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$250K
Total Medicaid Paid
3,977
Total Claims
3,578
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
Parent OrganizationPROVIDENCE HEALTH & SERVICES
NPI Enumeration Date03/06/2009

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 550 $41K
2019 828 $56K
2020 388 $26K
2021 495 $25K
2022 803 $47K
2023 704 $39K
2024 209 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,597 1,430 $129K
64483 305 296 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 689 625 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 396 360 $12K
76942 343 299 $11K
90791 Psychiatric diagnostic evaluation 129 125 $8K
20553 233 200 $8K
96156 147 129 $6K
90837 Psychotherapy, 53 minutes with patient 32 14 $2K
99205 Prolong outpt/office vis 12 12 $1K
62321 13 12 $1K
99442 16 16 $834.68
96132 14 12 $663.88
96116 12 12 $627.48
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $182.32
J3490 Unclassified drugs 27 24 $22.34