Behavioral
Sawtooth Mountain Clinic, INC.
Sawtooth Mountain Clinic, INC. was paid $2.45M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoSAWTOOTH MOUNTAIN CLINIC, INC.
GRAND MARAIS, MN 55604
GRAND MARAIS, MN 55604
33aNPI1306832894assigned 09/21/2005
33bProvider typeClinical Social Worker
28Total paid$2.45M
24GClaims19,498
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Minnesota
Rank by total paid#6 of 140
Median peer was paid$62K
This provider vs. median40×
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 | 5,110 | $240K | |
| 2019 | 5,563 | $294K | |
| 2020 | 2,154 | $287K | |
| 2021 | 2,398 | $520K | |
| 2022 | 2,067 | $486K | |
| 2023 | 1,139 | $313K | |
| 2024incomplete | 1,067 | $312K |
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 | 56% | 8,843 | 7,153 | $1.37M |
| 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 | 16% | 2,994 | 2,393 | $400K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 1,614 | 813 | $331K |
| X5622 | 6.5% | 1,310 | 1,062 | $159K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 526 | 484 | $125K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.7% | 423 | 269 | $66K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 42 | 29 | $472.29 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 719 | 587 | $62.18 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 20 | 12 | $31.71 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 329 | 291 | $1.21 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,315 | 1,056 | $0.00 |
11 more codes
| 92551 | 0% | 411 | $0.00 | |
| 90686 | 0% | 230 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| 99173 | 0% | 149 | $0.00 | |
| 90682 | 0% | 29 | $0.00 | |
| 99188 | 0% | 239 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 222 | $0.00 |
| 90461 | 0% | 19 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $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 officialSTODDARD, JEFF (CFO)