Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Providence Health & Services MT

Providence Health & Services MT was paid $34K by Medicaid between Feb 2022 and Nov 2024, across 4 billing codes. Its largest line is 36415, Collection of venous blood by venipuncture — 45% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES MT
MISSOULA, MT 59808
33aNPI1316605637assigned 12/03/2021
28Total paid$34K
24GClaims5,852
24DCodes billed4
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Montana

Rank by total paid#13 of 18
Median peer was paid$125K
This provider vs. median0.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
20221,819$8K
20232,046$13K
2024incomplete1,987$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
36415 Collection of venous blood by venipuncture 45% 2,900 2,705 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 43% 2,385 2,255 $15K
83036 Hemoglobin; glycosylated (A1C) 11% 528 515 $4K
87210 <1% 39 37 $209.52

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 officialANDERSON, DONALD (DIR REIMB REG STRAT/ASST SEC ENROLL)
Same official

Other billing entities under ANDERSON, DONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.