Physician
ST. Lukes Community Hospital
ST. Lukes Community Hospital was paid $130K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoST. LUKES COMMUNITY HOSPITAL
RONAN, MT 59864
RONAN, MT 59864
33aNPI1093876344assigned 12/12/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$130K
24GClaims34,926
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Montana
Rank by total paid#5 of 8
Median peer was paid$130K
This provider vs. median1.0×
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 | 5,189 | $117K | |
| 2019 | 5,830 | $2K | |
| 2020 | 5,199 | $2K | |
| 2021 | 5,153 | $0.00 | |
| 2022 | 5,391 | $6K | |
| 2023 | 4,980 | $4K | |
| 2024incomplete | 3,184 | $0.00 |
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 | 58% | 11,040 | 9,744 | $76K |
| 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 | 24% | 10,257 | 9,047 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.7% | 98 | 81 | $9K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 4.4% | 1,366 | 1,366 | $6K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.4% | 1,108 | 700 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 517 | 509 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | 51 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 81 | 69 | $797.21 |
| 96127 | <1% | 1,022 | 919 | $572.03 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 14 | 14 | $568.92 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 18 | 18 | $446.49 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,375 | 3,126 | $39.09 |
24 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 592 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 1,143 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 1,071 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 501 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 346 | $0.00 |
| 3288F | 0% | 171 | $0.00 | |
| 81003 | 0% | 932 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 12 | $0.00 |
| 90682 | 0% | 13 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 66 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 52 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 42 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 26 | $0.00 |
| 81025 | 0% | 14 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 539 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 244 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 14 | $0.00 |
| 99024 | 0% | 28 | $0.00 | |
| 1101F | 0% | 74 | $0.00 | |
| 90686 | 0% | 23 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 40 | $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 officialCLAIRMONT, LIANE (EXECUTIVE ASSISTANT)
| Provider | Location | Paid |
|---|---|---|
| ST Lukes Community Hospital | Ronan, MT | $1.24M |
| ST. Lukes Community Hospital | Polson, MT | $9K |
| ST. Lukes Community Hospital | St. Ignatius, MT | $81.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.