Physician
Providence Health & Services MT
Providence Health & Services MT was paid $53K by Medicaid between Jan 2018 and May 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 62% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES MT
MISSOULA, MT 59802
MISSOULA, MT 59802
33aNPI1336380161assigned 03/06/2009
33bProvider typeInfectious Disease Physician
28Total paid$53K
24GClaims559
24DCodes billed3
24AFirst – last monthJan 2018 – May 2024
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
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 | 75 | $4K | |
| 2019 | 78 | $5K | |
| 2020 | 93 | $6K | |
| 2021 | 122 | $14K | |
| 2022 | 105 | $14K | |
| 2023 | 71 | $8K | |
| 2024incomplete | 15 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 62% | 251 | 226 | $33K |
| 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 | 37% | 296 | 259 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 12 | 12 | $585.05 |
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 (ASSISTANT SECRETARY ENROLLMENTS)
Parent organizationPROVIDENCE HEALTH & SERVICES
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.