Fallon Medical Complex INC
Fallon Medical Complex INC was paid $18K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 18% of everything it billed.
BAKER, MT 59313
Next to other Critical Access Hospital providers in Montana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 614 | $2K | |
| 2019 | 873 | $3K | |
| 2020 | 497 | $763.67 | |
| 2021 | 479 | $4K | |
| 2022 | 554 | $3K | |
| 2023 | 692 | $5K | |
| 2024incomplete | 261 | $748.80 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 18% | 112 | 37 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 17% | 131 | 128 | $3K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 72 | 64 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 11% | 842 | 650 | $2K |
| 80053 | Comprehensive metabolic panel | 8.7% | 445 | 341 | $2K |
| 36415 | Collection of venous blood by venipuncture | 8.1% | 2,032 | 1,560 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.8% | 91 | 85 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.7% | 45 | 43 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 85 | 77 | $592.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 70 | 68 | $480.60 |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.8% | 17 | 14 | $334.40 |
| A9270 | Non-covered item or service | 0% | 12 | 12 | $0.00 |
1 more codes
| 71046 | Radiologic examination, chest; 2 views | 0% | 16 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Fallon Medical Complex INC | Baker, MT | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.