Clinic
Montana Arthritis Center LLC
Montana Arthritis Center LLC was paid $484K by Medicaid between Dec 2020 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoMONTANA ARTHRITIS CENTER LLC
BILLINGS, MT 59102
BILLINGS, MT 59102
33aNPI1114550829assigned 02/20/2020
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$484K
24GClaims4,229
24DCodes billed8
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Montana
Rank by total paid#10 of 23
Median peer was paid$299K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 18 | $0.00 | |
| 2021 | 714 | $57K | |
| 2022 | 1,082 | $101K | |
| 2023 | 1,260 | $247K | |
| 2024incomplete | 1,155 | $79K |
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 | 58% | 2,963 | 2,657 | $281K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 32% | 172 | 80 | $154K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 4.5% | 221 | 177 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 135 | 121 | $11K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 1.9% | 544 | 521 | $9K |
| 96415 | <1% | 135 | 116 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 39 | 29 | $3K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 20 | 14 | $929.92 |
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 officialFRAGA, RACHEL (CONTRACTING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pure Infusion Suites of Montana LLC | Billings, MT | $620K |
| Pure Healthcare of Colorado LLC | Colorado Springs, CO | $90K |
| Pure Healthcare of Idaho LLC | Boise, ID | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.