Physician
The Childrens Clinic of Billings, PC
The Childrens Clinic of Billings, PC was paid $10.92M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoTHE CHILDRENS CLINIC OF BILLINGS, PC
BILLINGS, MT 59102
BILLINGS, MT 59102
33aNPI1295837250assigned 09/01/2006
33bProvider typePediatrics Physician
28Total paid$10.92M
24GClaims222,372
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Montana
Rank by total paid#1 of 16
Median peer was paid$371K
This provider vs. median29×
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 | 45,516 | $1.89M | |
| 2019 | 39,579 | $1.85M | |
| 2020 | 26,238 | $1.16M | |
| 2021 | 32,390 | $1.34M | |
| 2022 | 28,044 | $1.53M | |
| 2023 | 28,683 | $1.71M | |
| 2024incomplete | 21,922 | $1.44M |
Box 24 · Service lines
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 | 40% | 47,216 | 45,161 | $4.38M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 14,892 | 14,530 | $1.72M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 9,755 | 9,697 | $1.21M |
| 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 | 6.5% | 5,054 | 4,759 | $712K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.9% | 30,114 | 29,631 | $642K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.6% | 17,310 | 17,075 | $499K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 2,323 | 2,303 | $287K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.7% | 1,749 | 1,721 | $183K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 1,362 | 1,338 | $181K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 842 | 797 | $153K |
| 90670 | 1.3% | 7,484 | 7,397 | $144K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,847 | 1,779 | $101K |
56 more codes
| 99460 | <1% | 651 | $73K | |
| 96127 | <1% | 9,960 | $73K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 825 | $70K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,123 | $60K |
| 99072 | <1% | 8,579 | $49K | |
| 90723 | <1% | 5,578 | $40K | |
| 90686 | <1% | 9,723 | $34K | |
| 90474 | <1% | 1,745 | $25K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 5,538 | $23K |
| 90651 | <1% | 345 | $22K | |
| 96161 | <1% | 6,022 | $20K | |
| 99205 | Prolong outpt/office vis | <1% | 76 | $20K |
| 90681 | <1% | 1,789 | $19K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 534 | $18K |
| 90710 | <1% | 233 | $15K | |
| 90677 | <1% | 1,275 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 854 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 409 | $13K |
| 90633 | <1% | 1,905 | $11K | |
| 85013 | <1% | 1,539 | $10K | |
| 90648 | <1% | 8,436 | $10K | |
| 90734 | <1% | 223 | $9K | |
| 83655 | <1% | 742 | $9K | |
| 90716 | <1% | 132 | $6K | |
| 99173 | <1% | 1,851 | $6K | |
| 90620 | <1% | 56 | $4K | |
| 92551 | <1% | 293 | $4K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 160 | $3K |
| 90696 | <1% | 158 | $3K | |
| S0315 | Disease management program; initial assessment and initiation of the program | <1% | 334 | $3K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 34 | $2K |
| 96160 | <1% | 702 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 508 | $2K |
| 90715 | <1% | 161 | $2K | |
| 90656 | <1% | 597 | $1K | |
| 0002A | <1% | 34 | $1K | |
| 90700 | <1% | 160 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 61 | $1K |
| 96381 | <1% | 48 | $1K | |
| 0071A | <1% | 30 | $1K | |
| 99417 | Prolong home eval add 15m | <1% | 77 | $1K |
| 85014 | <1% | 453 | $1K | |
| 90707 | <1% | 44 | $948.08 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 25 | $820.97 |
| 0072A | <1% | 20 | $720.00 | |
| 0001A | <1% | 12 | $440.00 | |
| 90381 | <1% | 29 | $407.88 | |
| 81002 | <1% | 154 | $338.08 | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 14 | $115.86 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 39 | $34.90 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 17 | $18.64 |
| 99174 | <1% | 4,807 | $7.33 | |
| 91307 | 0% | 128 | $0.00 | |
| 36416 | 0% | 55 | $0.00 | |
| 94760 | 0% | 13 | $0.00 | |
| 91300 | 0% | 114 | $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 officialZIMMERMAN, DANNY (CLINIC ADMINISTRATOR)