Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Billings Clinic

Billings Clinic was paid $53.85M by Medicaid between Jan 2018 and Dec 2024, across 327 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoBILLINGS CLINIC
BILLINGS, MT 59101
33aNPI1376598714assigned 05/24/2006
28Total paid$53.85M
24GClaims940,198
24DCodes billed327
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2018156,278$7.51M
2019139,515$7.41M
2020110,522$5.90M
2021135,249$8.00M
2022139,723$9.02M
2023151,591$9.11M
2024incomplete107,320$6.91M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 155,531 148,216 $12.93M
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 23% 113,642 107,021 $12.49M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.7% 14,984 14,189 $2.51M
90792 Psychiatric diagnostic evaluation with medical services 3.1% 10,779 10,255 $1.66M
90460 Immunization administration through 18 years of age via any route, first or only component 3.0% 32,946 32,305 $1.61M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 10,512 10,315 $1.26M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 10,601 9,895 $1.16M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.0% 16,309 7,688 $1.08M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.8% 8,780 3,729 $960K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.7% 15,809 14,147 $918K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.5% 6,861 6,553 $820K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 3,894 1,547 $764K
315 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 7,453 $689K
99204 Doctor's office visit, new patient (more involved) 1.0% 3,360 $550K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 4,382 $529K
99203 Doctor's office visit, new patient (routine) <1% 4,404 $500K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,193 $448K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 4,055 $441K
99285 Emergency room visit (most serious) <1% 2,156 $407K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 3,068 $401K
99284 Emergency room visit (serious) <1% 2,952 $385K
36415 Collection of venous blood by venipuncture <1% 84,559 $332K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,134 $324K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,137 $318K
70450 Computed tomography, head or brain; without contrast material <1% 7,698 $318K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,550 $310K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,511 $272K
99205 Prolong outpt/office vis <1% 1,087 $249K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 395 $248K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 34,061 $248K
99238 Hospital discharge day management, 30 minutes or less <1% 3,485 $240K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 3,553 $225K
99239 Hospital discharge day management, more than 30 minutes <1% 1,963 $222K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,704 $209K
71046 Radiologic examination, chest; 2 views <1% 9,704 $206K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,541 $205K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,809 $201K
92060 <1% 3,042 $199K
83036 Hemoglobin; glycosylated (A1C) <1% 20,644 $180K
94060 <1% 3,126 $170K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 837 $167K
90837 Psychotherapy session, about an hour <1% 2,258 $165K
99283 Emergency room visit (moderate) <1% 2,151 $165K
71045 Radiologic examination, chest; single view <1% 19,731 $163K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,851 $154K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,622 $153K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 745 $147K
99217 <1% 2,058 $144K
92015 Determination of refractive state <1% 7,736 $140K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,351 $139K
99223 Prolong inpt eval add15 m <1% 747 $139K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 2,240 $124K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,323 $120K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,439 $118K
93000 <1% 6,648 $117K
80053 Comprehensive metabolic panel <1% 10,308 $114K
90670 <1% 6,094 $106K
76830 Ultrasound, transvaginal <1% 956 $102K
81025 <1% 13,411 $99K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,592 $97K
96131 <1% 423 $96K
90834 Psychotherapy session, about 45 minutes <1% 1,803 $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) <1% 7,215 $95K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,016 $94K
94010 <1% 2,706 $88K
90461 <1% 15,892 $84K
90686 <1% 16,936 $79K
73630 <1% 2,758 $77K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 494 $74K
84443 Thyroid stimulating hormone (TSH) <1% 6,937 $74K
70551 Magnetic resonance imaging, brain; without contrast material <1% 954 $70K
92134 <1% 2,481 $69K
67028 Intravitreal injection of a pharmacologic agent <1% 926 $67K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,017 $66K
99460 <1% 655 $65K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 10,420 $63K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,645 $61K
90791 Psychiatric diagnostic evaluation <1% 612 $61K
J0178 Injection, aflibercept, 1 mg <1% 26 $60K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 774 $56K
99310 Prolong nursin fac eval 15m <1% 1,353 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,107 $52K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 433 $51K
73610 <1% 1,624 $47K
90651 <1% 896 $45K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 286 $45K
85027 <1% 7,614 $44K
96130 <1% 413 $44K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 614 $42K
95117 <1% 3,380 $42K
90832 Psychotherapy session, about 30 minutes <1% 924 $42K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,776 $41K
99480 Subsequent intensive care, per day, low birth weight infant <1% 355 $40K
93320 <1% 837 $40K
88307 <1% 434 $40K
99222 Initial hospital care, per day, moderate complexity <1% 308 $40K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 506 $38K
11721 <1% 1,979 $37K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 8,976 $37K
92567 <1% 3,311 $37K
95811 <1% 59 $37K
96137 <1% 229 $36K
76642 <1% 450 $35K
80061 Lipid panel <1% 3,487 $35K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 411 $31K
71275 Computed tomographic angiography, chest, with contrast material <1% 352 $31K
90847 Family psychotherapy with the patient present, 50 minutes <1% 447 $31K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 329 $30K
87492 <1% 1,002 $30K
97803 <1% 663 $30K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 287 $30K
87592 <1% 996 $29K
93325 <1% 1,343 $28K
85610 <1% 7,114 $26K
96139 <1% 171 $24K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 298 $24K
90723 <1% 3,752 $22K
51784 <1% 425 $22K
72141 <1% 307 $22K
97802 <1% 355 $22K
76801 <1% 174 $22K
80047 <1% 1,813 $22K
73110 <1% 608 $21K
92557 <1% 807 $21K
73130 <1% 777 $21K
99443 <1% 211 $21K
99218 <1% 234 $21K
99220 <1% 120 $21K
94729 <1% 449 $21K
90961 <1% 266 $20K
87210 <1% 3,901 $20K
90680 <1% 2,601 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 310 $18K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 41 $17K
87400 <1% 1,091 $17K
81003 <1% 8,754 $17K
95886 <1% 179 $16K
72125 Computed tomography, cervical spine; without contrast material <1% 331 $16K
83655 <1% 1,166 $15K
73030 <1% 587 $15K
96136 <1% 369 $15K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 21 $14K
87081 <1% 1,846 $14K
88342 <1% 396 $14K
96101 <1% 41 $13K
96133 <1% 45 $13K
81001 <1% 4,780 $13K
92250 <1% 353 $13K
92587 <1% 807 $13K
99462 <1% 267 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 142 $12K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,934 $12K
88141 <1% 399 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 516 $11K
73562 <1% 384 $11K
95812 <1% 41 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 766 $10K
95251 <1% 339 $10K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 449 $10K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 28 $10K
81002 <1% 3,257 $10K
96127 <1% 1,027 $10K
90633 <1% 2,015 $9K
84439 <1% 1,230 $9K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 28 $9K
81514 <1% 43 $9K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 185 $9K
99221 <1% 114 $8K
93296 <1% 299 $8K
76857 <1% 202 $8K
85060 <1% 418 $8K
17110 <1% 69 $8K
G0008 Administration of influenza virus vaccine <1% 378 $8K
90734 <1% 256 $8K
85018 <1% 3,306 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 40 $7K
82728 <1% 609 $7K
71250 <1% 144 $7K
90647 <1% 3,238 $7K
73564 <1% 188 $7K
93295 <1% 236 $7K
96375 Therapeutic injection; each additional sequential IV push <1% 159 $7K
0002A <1% 270 $6K
88304 <1% 460 $6K
95806 <1% 123 $6K
86703 <1% 457 $6K
95813 <1% 12 $6K
99219 <1% 48 $6K
74018 <1% 328 $5K
87070 <1% 686 $5K
94726 <1% 116 $5K
76819 Fetal biophysical profile; without non-stress testing <1% 41 $5K
99358 Prolong nursin fac eval 15m <1% 41 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 38 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $4K
99442 <1% 68 $4K
92342 <1% 154 $4K
87077 <1% 548 $4K
96132 <1% 48 $4K
S0315 Disease management program; initial assessment and initiation of the program <1% 522 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 96 $4K
90710 <1% 181 $4K
92523 <1% 26 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 80 $4K
0071A <1% 100 $4K
64615 <1% 24 $4K
51798 <1% 615 $3K
0001A <1% 211 $3K
99349 <1% 123 $3K
51741 <1% 342 $3K
97165 <1% 147 $3K
94664 <1% 162 $3K
87510 <1% 186 $3K
96138 <1% 139 $3K
90677 <1% 210 $3K
87660 <1% 185 $3K
93971 <1% 63 $3K
87480 <1% 186 $3K
86140 <1% 656 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 403 $3K
90480 <1% 72 $3K
91321 <1% 19 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 52 $3K
76818 <1% 21 $3K
92588 <1% 100 $3K
87186 <1% 308 $2K
93294 <1% 152 $2K
0072A <1% 61 $2K
90962 <1% 35 $2K
90707 <1% 139 $2K
D1206 Topical application of fluoride varnish <1% 109 $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) <1% 30 $2K
59025 Fetal non-stress test <1% 49 $2K
85651 <1% 526 $2K
92083 <1% 39 $2K
69210 <1% 44 $2K
92579 <1% 82 $2K
99354 <1% 12 $2K
99201 <1% 49 $2K
96121 <1% 15 $2K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 437 $2K
83516 <1% 155 $2K
76775 <1% 31 $2K
82950 <1% 350 $2K
93970 <1% 12 $2K
73140 <1% 47 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 90 $2K
99336 <1% 47 $2K
90656 <1% 575 $2K
20610 <1% 30 $1K
93976 <1% 14 $1K
93308 <1% 15 $1K
73100 <1% 38 $1K
90715 <1% 123 $1K
99406 <1% 96 $1K
73502 <1% 41 $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 <1% 23 $1K
82570 <1% 301 $1K
77065 Tomosynthesis, mammo <1% 12 $1K
70498 <1% 16 $1K
82565 <1% 232 $1K
11100 <1% 14 $1K
0012A <1% 42 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 $1K
93016 <1% 67 $1K
96161 <1% 382 $1K
96116 <1% 15 $1K
85652 <1% 620 $1K
90696 <1% 137 $1K
92611 <1% 13 $1K
84481 <1% 65 $1K
90716 <1% 25 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 88 $1K
11056 <1% 25 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 38 $1K
72100 <1% 41 $981.49
92550 <1% 61 $980.90
83540 <1% 230 $959.14
70496 <1% 14 $894.59
84436 <1% 133 $891.49
92552 <1% 30 $827.49
73080 <1% 28 $792.63
82784 <1% 88 $789.60
90935 Hemodialysis procedure with single evaluation by a physician <1% 21 $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) <1% 161 $749.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 37 $725.28
73221 <1% 12 $720.80
0011A <1% 42 $677.60
95012 <1% 28 $651.80
78815 Positron emission tomography (PET) for limited area imaging <1% 13 $626.35
S0316 Disease management program, follow-up/reassessment <1% 40 $600.00
93321 <1% 24 $595.14
99499 <1% 68 $594.00
99359 Prolong nursin fac eval 15m <1% 13 $591.34
82962 <1% 225 $520.70
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 40 $509.76
72110 <1% 12 $495.84
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 24 $435.15
87420 <1% 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) <1% 12 $398.43
81015 <1% 239 $362.21
82043 <1% 65 $359.50
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 12 $358.28
93018 <1% 27 $356.16
77072 <1% 14 $346.75
73590 <1% 12 $338.20
90700 <1% 87 $334.49
V5264 Ear mold/insert, not disposable, any type <1% 12 $314.03
51702 <1% 12 $231.04
85007 <1% 89 $226.08
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 29 $224.62
86364 <1% 33 $211.82
87807 <1% 13 $208.16
87205 <1% 41 $197.99
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 12 $193.52
80069 <1% 15 $152.66
V5299 Hearing service, miscellaneous <1% 12 $119.10
92593 <1% 13 $109.36
88300 <1% 13 $84.68
83735 <1% 20 $84.58
82607 <1% 17 $79.18
83690 <1% 15 $75.79
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $75.66
83550 <1% 13 $55.94
84156 <1% 17 $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) <1% 13 $39.84
90685 0% 115 $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.

From NPPES

Who's on the registration

Authorized officialQUINONES, KATHLEEN (CFO)
Parent organizationBILLINGS CLINIC
Same official

Other billing entities under QUINONES, KATHLEEN

Full network →
ProviderLocationPaid
City Hospital, INCMartinsburg, WV$41.06M
Jefferson Memorial HospitalRanson, WV$21.65M
Billings ClinicBillings, MT$15.71M
Billings ClinicBillings, MT$3.32M
Billings ClinicBillings, MT$2.99M
Billings ClinicBillings, MT$2.40M
Billings ClinicCody, WY$110K
Billings ClinicBillings, MT$97K
Billings ClinicBillings, MT$20K
Billings ClinicLivingston, MT$2K

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