Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BIGHORN VALLEY HEALTH CENTER INCORPORATED

NPI: 1255617130 · HARDIN, MT 59034 · Clinic/Center · NPI assigned 10/24/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more

$1K
Total Medicaid Paid
33,311
Total Claims
27,830
Beneficiaries
44
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMARK, DAVID (CEO)
NPI Enumeration Date10/24/2011

Related Entities

Other providers sharing the same authorized official: MARK, DAVID

ProviderCityStateTotal Paid
BIGHORN VALLEY HEALTH CENTER INCORPORATED POWELL WY $572K
BIGHORN VALLEY HEALTH CENTER, INCORPORATED SHERIDAN WY $216K
BIGHORN VALLEY HEALTH CENTER INCORPORATED POWELL WY $107K
BIGHORN VALLEY HEALTH CENTER INCORPORATED POWELL WY $46K
BIGHORN VALLEY HEALTH CENTER INCORPORATED MILES CITY MT $20K
BIGHORN VALLEY HEALTH CENTER INCORPORATED GREYBULL WY $4K
BIGHORN VALLEY HEALTH CENTER INCORPORATED LOVELL WY $4K
BIGHORN VALLEY HEALTH CENTER INCORPORATED HARLEM MT $258.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED BELGRADE MT $98.24
BIGHORN VALLEY HEALTH CENTER INCORPORATED LEWISTOWN MT $0.00
BIGHORN VALLEY HEALTH CENTER INCORPORATED ASHLAND MT $0.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED GLENDIVE MT $0.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED ASHLAND MT $0.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED BOZEMAN MT $0.00
BIGHORN VALLEY HEALTH CENTER INCORPORATED CHINOOK MT $0.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED LIVINGSTON MT $0.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED HARDIN MT $0.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED HARDIN MT $0.00
BIGHORN VALLEY HEALTH CENTER, INCORPORATED HARDIN MT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,101 $0.00
2019 7,515 $0.00
2020 7,137 $56.46
2021 9,009 $0.00
2022 1,433 $0.00
2023 116 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,215 2,060 $1K
90832 Psychotherapy, 30 minutes with patient 1,267 954 $56.46
90674 71 66 $12.00
90686 830 791 $4.00
81003 1,196 1,079 $0.00
90837 Psychotherapy, 53 minutes with patient 405 300 $0.00
80305 823 641 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,957 3,220 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 411 315 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 85 82 $0.00
90472 Immunization administration, each additional vaccine (list separately) 971 820 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 730 673 $0.00
81025 531 485 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 73 70 $0.00
90791 Psychiatric diagnostic evaluation 167 162 $0.00
99442 121 117 $0.00
81002 260 204 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 73 70 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 472 257 $0.00
98968 113 84 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 57 52 $0.00
86328 32 32 $0.00
90670 62 52 $0.00
90715 26 26 $0.00
90633 25 24 $0.00
90734 19 19 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,067 2,726 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,140 8,225 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 850 647 $0.00
83036 Hemoglobin; glycosylated (A1C) 93 91 $0.00
36415 Collection of venous blood by venipuncture 2,016 1,825 $0.00
90834 Psychotherapy, 45 minutes with patient 1,160 868 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 279 236 $0.00
90651 43 42 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 307 260 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 184 113 $0.00
96127 14 12 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 26 14 $0.00
90688 21 20 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 15 13 $0.00
90647 30 24 $0.00
99441 33 31 $0.00
98967 25 16 $0.00
90723 16 12 $0.00