Physician
Generations Family Medicine and Obstetrics
Generations Family Medicine and Obstetrics was paid $690K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoGENERATIONS FAMILY MEDICINE AND OBSTETRICS
MISSOULA, MT 59804
MISSOULA, MT 59804
33aNPI1306379037assigned 04/10/2017
33bProvider typeFamily Medicine Physician
28Total paid$690K
24GClaims9,273
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Montana
Rank by total paid#8 of 62
Median peer was paid$22K
This provider vs. median32×
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 | 1,774 | $122K | |
| 2019 | 1,628 | $100K | |
| 2020 | 1,084 | $69K | |
| 2021 | 1,366 | $108K | |
| 2022 | 1,298 | $118K | |
| 2023 | 1,350 | $109K | |
| 2024incomplete | 773 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 2,667 | 2,413 | $301K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 3,541 | 3,159 | $293K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 1,510 | 1,394 | $53K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 77 | 65 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 80 | 78 | $9K |
| 90686 | <1% | 745 | 722 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 46 | 39 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 136 | 133 | $3K |
| 96127 | <1% | 291 | 275 | $2K | |
| 90670 | <1% | 25 | 25 | $2K | |
| 90688 | <1% | 76 | 75 | $1K | |
| 90480 | <1% | 31 | 29 | $986.71 |
3 more codes
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 officialSHEPHERD, SANDRA (OWNER/PHYSICIAN)