ST. James Healthcare
ST. James Healthcare was paid $22K by Medicaid between Jul 2018 and May 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.
BOULDER, MT 59632
Next to other Family Medicine Physician providers in Montana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 249 | $9K | |
| 2019 | 259 | $12K |
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 | 99% | 443 | 303 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 65 | 53 | $122.70 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| SCL Health Montana | Billings, MT | $2.70M |
| ST James Healthcare | Butte, MT | $1.70M |
| SCL Health Montana | Billings, MT | $865K |
| SCL Health Montana | Billings, MT | $448K |
| SCL Health Montana | Billings, MT | $387K |
| ST. James Healthcare | Butte, MT | $314K |
| SCL Health Montana | Billings, MT | $43K |
| SCL Health Montana | Billings, MT | $29K |
| SCL Health Montana | Billings, MT | $15K |
| SCL Health Montana | Billings, MT | $11K |
| SCL Health Montana | Billings, MT | $7K |
| SCL Health Montana | Billings, MT | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.