Clinic
Phillips County Hospital Assn
Phillips County Hospital Assn was paid $20K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99283, emergency room visit (moderate) — 85% of everything it billed.
33Billing provider infoPHILLIPS COUNTY HOSPITAL ASSN
MALTA, MT 59538
MALTA, MT 59538
33aNPI1205038379assigned 06/01/2007
33bProvider typeRural Health Clinic/Center
28Total paid$20K
24GClaims11,743
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Montana
Rank by total paid#4 of 43
Median peer was paid$0.00
This provider vs. median0.0×
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 | 2,458 | $4K | |
| 2019 | 1,979 | $0.00 | |
| 2020 | 1,486 | $0.00 | |
| 2021 | 1,748 | $4K | |
| 2022 | 1,609 | $8K | |
| 2023 | 1,346 | $3K | |
| 2024incomplete | 1,117 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 85% | 312 | 256 | $17K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 15% | 79 | 69 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 284 | 261 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 12 | 12 | $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% | 124 | 112 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 9,662 | 7,879 | $0.00 |
| 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 | 0% | 1,018 | 873 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 145 | 133 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 95 | 45 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | 12 | $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 officialDENHAM, STEPH (CFO)
| Provider | Location | Paid |
|---|---|---|
| Phillips County Hospital Assn | Malta, MT | $95K |
| Phillips County Hospital Lab Xray | Malta, MT | $904.68 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.