ST LUKES COMMUNITY HOSPITAL
NPI: 1154566271
· RONAN, MT 59864
· Urgent Care Clinic/Center
· NPI assigned 12/03/2008
$1.24M
Total Medicaid Paid
Provider Details
| Authorized Official | CLAIRMONT, LIANE (EXECUTIVE ASSISTANT) |
| NPI Enumeration Date | 12/03/2008 |
Related Entities
Other providers sharing the same authorized official: CLAIRMONT, LIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,887 |
$186K |
| 2019 |
2,364 |
$166K |
| 2020 |
1,819 |
$124K |
| 2021 |
2,085 |
$181K |
| 2022 |
2,805 |
$233K |
| 2023 |
1,903 |
$178K |
| 2024 |
1,775 |
$168K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,138 |
13,376 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
285 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
645 |
310 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
400 |
383 |
$6K |
| 81003 |
|
149 |
131 |
$324.31 |