Medicaid Provider Spending

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

BILLINGS CLINIC

NPI: 1376598714 · BILLINGS, MT 59101 · Allergy & Immunology Physician · NPI assigned 05/24/2006

$53.85M
Total Medicaid Paid
940,198
Total Claims
842,259
Beneficiaries
327
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialQUINONES, KATHLEEN (CFO)
Parent OrganizationBILLINGS CLINIC
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: QUINONES, KATHLEEN

ProviderCityStateTotal Paid
CITY HOSPITAL, INC MARTINSBURG WV $41.06M
JEFFERSON MEMORIAL HOSPITAL RANSON WV $21.65M
BILLINGS CLINIC BILLINGS MT $15.71M
BILLINGS CLINIC BILLINGS MT $3.32M
BILLINGS CLINIC BILLINGS MT $2.99M
BILLINGS CLINIC BILLINGS MT $2.40M
BILLINGS CLINIC CODY WY $110K
BILLINGS CLINIC BILLINGS MT $97K
BILLINGS CLINIC BILLINGS MT $20K
BILLINGS CLINIC LIVINGSTON MT $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 156,278 $7.51M
2019 139,515 $7.41M
2020 110,522 $5.90M
2021 135,249 $8.00M
2022 139,723 $9.02M
2023 151,591 $9.11M
2024 107,320 $6.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 155,531 148,216 $12.93M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113,642 107,021 $12.49M
99215 Prolong outpt/office vis 14,984 14,189 $2.51M
90792 Psychiatric diagnostic evaluation with medical services 10,779 10,255 $1.66M
90460 Immunization administration through 18 years of age via any route, first or only component 32,946 32,305 $1.61M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,512 10,315 $1.26M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,601 9,895 $1.16M
99232 Subsequent hospital care, per day, moderate complexity 16,309 7,688 $1.08M
99233 Prolong inpt eval add15 m 8,780 3,729 $960K
88305 Level IV - Surgical pathology, gross and microscopic examination 15,809 14,147 $918K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,861 6,553 $820K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,894 1,547 $764K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,453 7,156 $689K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,360 3,229 $550K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,382 4,326 $529K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,404 4,273 $500K
77067 Screening mammography, bilateral, including computer-aided detection 3,193 3,156 $448K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,055 3,883 $441K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,156 2,102 $407K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,068 2,980 $401K
99284 Emergency department visit for the evaluation and management, high severity 2,952 2,872 $385K
36415 Collection of venous blood by venipuncture 84,559 74,140 $332K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,134 1,921 $324K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,137 1,780 $318K
70450 Computed tomography, head or brain; without contrast material 7,698 7,062 $318K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,550 2,260 $310K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,511 2,422 $272K
99205 Prolong outpt/office vis 1,087 1,054 $249K
95810 Polysomnography; sleep staging with 4 or more additional parameters 395 385 $248K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 34,061 27,881 $248K
99238 Hospital discharge day management, 30 minutes or less 3,485 3,306 $240K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,553 2,849 $225K
99239 Hospital discharge day management, more than 30 minutes 1,963 1,886 $222K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,704 1,625 $209K
71046 Radiologic examination, chest; 2 views 9,704 9,350 $206K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,541 1,517 $205K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,809 2,740 $201K
92060 3,042 2,856 $199K
83036 Hemoglobin; glycosylated (A1C) 20,644 18,697 $180K
94060 3,126 3,060 $170K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 837 722 $167K
90837 Psychotherapy, 53 minutes with patient 2,258 1,164 $165K
99283 Emergency department visit for the evaluation and management, moderate severity 2,151 2,069 $165K
71045 Radiologic examination, chest; single view 19,731 15,585 $163K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,851 2,378 $154K
77063 Screening digital breast tomosynthesis, bilateral 2,622 2,597 $153K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 745 727 $147K
99217 2,058 1,962 $144K
92015 Determination of refractive state 7,736 7,495 $140K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,351 3,095 $139K
99223 Prolong inpt eval add15 m 747 713 $139K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,240 940 $124K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,323 727 $120K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,439 7,189 $118K
93000 6,648 5,923 $117K
80053 Comprehensive metabolic panel 10,308 8,766 $114K
90670 6,094 5,973 $106K
76830 Ultrasound, transvaginal 956 877 $102K
81025 13,411 11,897 $99K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,592 4,541 $97K
96131 423 401 $96K
90834 Psychotherapy, 45 minutes with patient 1,803 985 $95K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 7,215 6,840 $95K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,016 2,242 $94K
94010 2,706 2,582 $88K
90461 15,892 15,614 $84K
90686 16,936 16,694 $79K
73630 2,758 2,400 $77K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 494 482 $74K
84443 Thyroid stimulating hormone (TSH) 6,937 6,208 $74K
70551 Magnetic resonance imaging, brain; without contrast material 954 925 $70K
92134 2,481 2,322 $69K
67028 Intravitreal injection of a pharmacologic agent 926 872 $67K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,017 1,968 $66K
99460 655 619 $65K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,420 9,089 $63K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,645 2,455 $61K
90791 Psychiatric diagnostic evaluation 612 582 $61K
J0178 Injection, aflibercept, 1 mg 26 25 $60K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 774 754 $56K
99310 Prolong nursin fac eval 15m 1,353 1,134 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,107 967 $52K
99479 Subsequent intensive care, per day, very low birth weight infant 433 90 $51K
73610 1,624 1,495 $47K
90651 896 872 $45K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 286 231 $45K
85027 7,614 6,969 $44K
96130 413 395 $44K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 614 551 $42K
95117 3,380 1,409 $42K
90832 Psychotherapy, 30 minutes with patient 924 610 $42K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,776 1,447 $41K
99480 Subsequent intensive care, per day, low birth weight infant 355 104 $40K
93320 837 723 $40K
88307 434 365 $40K
99222 Initial hospital care, per day, moderate complexity 308 291 $40K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 506 476 $38K
11721 1,979 1,898 $37K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 8,976 8,976 $37K
92567 3,311 3,191 $37K
95811 59 56 $37K
96137 229 216 $36K
76642 450 358 $35K
80061 Lipid panel 3,487 3,173 $35K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 411 301 $31K
71275 Computed tomographic angiography, chest, with contrast material 352 345 $31K
90847 Family psychotherapy with the patient present, 50 minutes 447 253 $31K
76700 Ultrasound, abdominal, real time with image documentation; complete 329 323 $30K
87492 1,002 918 $30K
97803 663 572 $30K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 287 249 $30K
87592 996 914 $29K
93325 1,343 1,161 $28K
85610 7,114 4,308 $26K
96139 171 147 $24K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 298 240 $24K
90723 3,752 3,685 $22K
51784 425 410 $22K
72141 307 299 $22K
97802 355 344 $22K
76801 174 169 $22K
80047 1,813 1,655 $22K
73110 608 565 $21K
92557 807 789 $21K
73130 777 651 $21K
99443 211 197 $21K
99218 234 226 $21K
99220 120 115 $21K
94729 449 439 $21K
90961 266 228 $20K
87210 3,901 3,587 $20K
90680 2,601 2,555 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material 310 303 $18K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 41 40 $17K
87400 1,091 542 $17K
81003 8,754 7,472 $17K
95886 179 157 $16K
72125 Computed tomography, cervical spine; without contrast material 331 321 $16K
83655 1,166 1,112 $15K
73030 587 543 $15K
96136 369 351 $15K
J0585 Injection, onabotulinumtoxina, 1 unit 21 12 $14K
87081 1,846 1,791 $14K
88342 396 326 $14K
96101 41 39 $13K
96133 45 39 $13K
81001 4,780 4,215 $13K
92250 353 312 $13K
92587 807 780 $13K
99462 267 207 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material 142 137 $12K
87086 Culture, bacterial; quantitative colony count, urine 1,934 1,755 $12K
88141 399 373 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 516 464 $11K
73562 384 348 $11K
95812 41 38 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 766 724 $10K
95251 339 337 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 449 437 $10K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 28 28 $10K
81002 3,257 2,937 $10K
96127 1,027 988 $10K
90633 2,015 1,984 $9K
84439 1,230 1,121 $9K
42820 Tonsillectomy and adenoidectomy; younger than age 12 28 28 $9K
81514 43 41 $9K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 185 116 $9K
99221 114 113 $8K
93296 299 293 $8K
76857 202 179 $8K
85060 418 313 $8K
17110 69 67 $8K
G0008 Administration of influenza virus vaccine 378 372 $8K
90734 256 253 $8K
85018 3,306 2,952 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 40 38 $7K
82728 609 568 $7K
71250 144 135 $7K
90647 3,238 3,169 $7K
73564 188 168 $7K
93295 236 233 $7K
96375 Therapeutic injection; each additional sequential IV push 159 117 $7K
0002A 270 198 $6K
88304 460 401 $6K
95806 123 78 $6K
86703 457 445 $6K
95813 12 12 $6K
99219 48 41 $6K
74018 328 288 $5K
87070 686 633 $5K
94726 116 113 $5K
76819 Fetal biophysical profile; without non-stress testing 41 25 $5K
99358 Prolong nursin fac eval 15m 41 40 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 38 37 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $4K
99442 68 63 $4K
92342 154 151 $4K
87077 548 461 $4K
96132 48 39 $4K
S0315 Disease management program; initial assessment and initiation of the program 522 522 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 96 83 $4K
90710 181 178 $4K
92523 26 26 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 80 80 $4K
0071A 100 93 $4K
64615 24 24 $4K
51798 615 595 $3K
0001A 211 210 $3K
99349 123 100 $3K
51741 342 329 $3K
97165 147 79 $3K
94664 162 155 $3K
87510 186 165 $3K
96138 139 134 $3K
90677 210 210 $3K
87660 185 164 $3K
93971 63 61 $3K
87480 186 165 $3K
86140 656 601 $3K
80048 Basic metabolic panel (calcium, ionized) 403 372 $3K
90480 72 72 $3K
91321 19 19 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 52 52 $3K
76818 21 13 $3K
92588 100 99 $3K
87186 308 273 $2K
93294 152 148 $2K
0072A 61 61 $2K
90962 35 25 $2K
90707 139 136 $2K
D1206 Topical application of fluoride varnish 109 107 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 30 29 $2K
59025 Fetal non-stress test 49 38 $2K
85651 526 489 $2K
92083 39 36 $2K
69210 44 40 $2K
92579 82 69 $2K
99354 12 12 $2K
99201 49 49 $2K
96121 15 15 $2K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 437 380 $2K
83516 155 135 $2K
76775 31 30 $2K
82950 350 344 $2K
93970 12 12 $2K
73140 47 41 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 90 82 $2K
99336 47 43 $2K
90656 575 574 $2K
20610 30 28 $1K
93976 14 14 $1K
93308 15 15 $1K
73100 38 32 $1K
90715 123 119 $1K
99406 96 93 $1K
73502 41 37 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 23 23 $1K
82570 301 274 $1K
77065 Tomosynthesis, mammo 12 12 $1K
70498 16 16 $1K
82565 232 216 $1K
11100 14 13 $1K
0012A 42 42 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
93016 67 67 $1K
96161 382 372 $1K
96116 15 15 $1K
85652 620 536 $1K
90696 137 134 $1K
92611 13 13 $1K
84481 65 62 $1K
90716 25 25 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 88 81 $1K
11056 25 24 $1K
90472 Immunization administration, each additional vaccine (list separately) 38 38 $1K
72100 41 39 $981.49
92550 61 61 $980.90
83540 230 202 $959.14
70496 14 14 $894.59
84436 133 126 $891.49
92552 30 30 $827.49
73080 28 26 $792.63
82784 88 61 $789.60
90935 Hemodialysis procedure with single evaluation by a physician 21 12 $754.82
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 161 157 $749.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 37 37 $725.28
73221 12 12 $720.80
0011A 42 41 $677.60
95012 28 28 $651.80
78815 Positron emission tomography (PET) for limited area imaging 13 12 $626.35
S0316 Disease management program, follow-up/reassessment 40 40 $600.00
93321 24 24 $595.14
99499 68 66 $594.00
99359 Prolong nursin fac eval 15m 13 12 $591.34
82962 225 103 $520.70
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 40 25 $509.76
72110 12 12 $495.84
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 24 24 $435.15
87420 30 30 $406.72
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 12 12 $398.43
81015 239 226 $362.21
82043 65 64 $359.50
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $358.28
93018 27 26 $356.16
77072 14 14 $346.75
73590 12 12 $338.20
90700 87 84 $334.49
V5264 Ear mold/insert, not disposable, any type 12 12 $314.03
51702 12 12 $231.04
85007 89 57 $226.08
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 29 25 $224.62
86364 33 20 $211.82
87807 13 13 $208.16
87205 41 38 $197.99
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12 12 $193.52
80069 15 13 $152.66
V5299 Hearing service, miscellaneous 12 12 $119.10
92593 13 12 $109.36
88300 13 12 $84.68
83735 20 12 $84.58
82607 17 15 $79.18
83690 15 12 $75.79
J1030 Injection, methylprednisolone acetate, 40 mg 13 12 $75.66
83550 13 13 $55.94
84156 17 12 $40.17
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 13 12 $39.84
90685 115 113 $0.00