Clinic
Helena Ob/Gyn Associates PC
Helena Ob/Gyn Associates PC was paid $377K by Medicaid between Jan 2018 and Dec 2020, across 13 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 27% of everything it billed.
33Billing provider infoHELENA OB/GYN ASSOCIATES PC
HELENA, MT 59601
HELENA, MT 59601
33aNPI1265517890assigned 10/25/2006
33bProvider typeClinic/Center
28Total paid$377K
24GClaims5,481
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Clinic/Center providers in Montana
Rank by total paid#24 of 91
Median peer was paid$152K
This provider vs. median2.5×
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 | 1,243 | $75K | |
| 2019 | 1,826 | $132K | |
| 2020 | 2,412 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 27% | 953 | 504 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 982 | 731 | $60K |
| 76819 | Fetal biophysical profile; without non-stress testing | 14% | 663 | 291 | $55K |
| 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 | 8.8% | 361 | 286 | $33K |
| 76820 | 7.8% | 662 | 310 | $29K | |
| 76830 | Ultrasound, transvaginal | 7.8% | 312 | 263 | $29K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 7.1% | 332 | 280 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 231 | 174 | $19K |
| 76801 | 4.3% | 133 | 111 | $16K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 72 | 36 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 161 | 126 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 443 | 371 | $1K |
1 more codes
| 99024 | 0% | 176 | $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 officialLOPACH, DAWN (OFFICE MANAGER)