Medicaid Provider Spending

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

ROCKY MOUNTAIN EAR NOSE & THROAT CENTER PC

NPI: 1306857917 · MISSOULA, MT 59801 · Otolaryngic Allergy Physician · NPI assigned 08/10/2006

$227K
Total Medicaid Paid
5,829
Total Claims
5,359
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROE, CPC, CPPM, OCS, KIMBERLY (BILLING DIRECTOR)
NPI Enumeration Date08/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 597 $14K
2019 1,566 $25K
2020 421 $7K
2021 543 $9K
2022 779 $24K
2023 995 $69K
2024 928 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 442 343 $65K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 431 414 $50K
92557 1,716 1,631 $36K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 316 302 $28K
92567 1,799 1,695 $19K
31231 120 74 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71 58 $9K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 25 24 $6K
31575 14 13 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 13 $814.87
92504 13 13 $380.85
69210 14 14 $353.98
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 56 46 $0.00
G8482 Influenza immunization administered or previously received 141 125 $0.00
G8785 Blood pressure reading not documented, reason not given 41 36 $0.00
4040F 50 43 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 207 184 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 24 24 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 23 17 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 31 27 $0.00
G8756 No documentation of blood pressure measurement, reason not given 14 13 $0.00
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 188 176 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 66 62 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 12 12 $0.00