Physician
Benefis Community Hospitals, INC.
Benefis Community Hospitals, INC. was paid $87K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 36% of everything it billed.
33Billing provider infoBENEFIS COMMUNITY HOSPITALS, INC.
CHOTEAU, MT 59422
CHOTEAU, MT 59422
33aNPI1083602205assigned 10/11/2005
33bProvider typeEmergency Medicine Physician
28Total paid$87K
24GClaims24,266
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Montana
Rank by total paid#9 of 14
Median peer was paid$171K
This provider vs. median0.5×
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 | 3,207 | $9K | |
| 2019 | 3,111 | $5K | |
| 2020 | 2,663 | $5K | |
| 2021 | 3,736 | $11K | |
| 2022 | 4,219 | $13K | |
| 2023 | 3,909 | $29K | |
| 2024incomplete | 3,421 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 36% | 3,398 | 888 | $32K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 1,336 | 995 | $19K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 13% | 708 | 631 | $11K |
| 80053 | Comprehensive metabolic panel | 6.8% | 2,817 | 2,437 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.2% | 3,002 | 2,558 | $4K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 5.1% | 1,373 | 446 | $4K |
| 36415 | Collection of venous blood by venipuncture | 2.6% | 4,634 | 3,846 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 307 | 272 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.6% | 955 | 901 | $1K |
| 97162 | 1.3% | 12 | 12 | $1K | |
| 87400 | <1% | 114 | 105 | $815.40 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 103 | 96 | $611.10 |
19 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 93 | $563.85 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 145 | $444.34 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 52 | $316.80 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 51 | $240.75 |
| 80061 | Lipid panel | <1% | 509 | $207.90 |
| 86140 | <1% | 31 | $72.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 87 | $51.70 |
| 81002 | <1% | 98 | $16.68 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 41 | $7.68 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 61 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 41 | $0.00 |
| 83605 | 0% | 30 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 3,601 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 554 | $0.00 |
| 81015 | 0% | 13 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 24 | $0.00 |
| 80050 | General health panel | 0% | 49 | $0.00 |
| 81001 | 0% | 14 | $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 officialHOULIHAN, BRUCE (SVP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Benefis Hospitals, INC. | Great Falls, MT | $5.23M |
| Benefis Hospitals, INC. | Great Falls, MT | $3.59M |
| Benefis Community Hospitals, INC. | Fort Benton, MT | $9K |
| Benefis Hospitals INC | Great Falls, MT | $5K |
| Benefis Hospitals INC | Helena, MT | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.