RCHP Billings - Missoula LLC
RCHP Billings - Missoula LLC was paid $13.10M by Medicaid between Jan 2018 and Dec 2024, across 119 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoRCHP BILLINGS - MISSOULA LLC
MISSOULA, MT 59804
MISSOULA, MT 59804
33aNPI1376946913assigned 09/26/2014
33bProvider typeSpecialist
28Total paid$13.10M
24GClaims229,645
24DCodes billed119
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Montana
Rank by total paid#2 of 22
Median peer was paid$67K
This provider vs. median197×
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 DILLON, TERRANCE 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 | 48,640 | $2.14M | |
| 2019 | 54,994 | $2.65M | |
| 2020 | 34,189 | $1.71M | |
| 2021 | 30,259 | $1.88M | |
| 2022 | 25,628 | $1.82M | |
| 2023 | 22,146 | $1.69M | |
| 2024incomplete | 13,789 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 59,835 | 49,126 | $3.97M |
| 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% | 34,097 | 28,156 | $2.98M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 6,473 | 5,153 | $725K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 6,019 | 4,662 | $548K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.7% | 4,185 | 3,251 | $485K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 3,906 | 3,412 | $420K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 18,942 | 12,995 | $416K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 5,118 | 3,801 | $409K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.7% | 1,942 | 1,759 | $349K |
| 76818 | 2.3% | 2,354 | 1,399 | $307K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 2,438 | 2,102 | $243K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.7% | 1,519 | 294 | $219K |
107 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 4,116 | $172K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 3,438 | $142K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 1,311 | $138K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 862 | $124K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,997 | $112K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,428 | $103K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,812 | $101K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,178 | $97K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,186 | $95K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,219 | $75K |
| 76820 | <1% | 1,499 | $75K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,401 | $68K |
| 90670 | <1% | 4,101 | $61K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 11,203 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,432 | $48K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 360 | $46K |
| 99442 | <1% | 697 | $40K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,479 | $39K |
| 99205 | Prolong outpt/office vis | <1% | 256 | $38K |
| 90686 | <1% | 8,165 | $28K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,006 | $25K |
| 90461 | <1% | 2,059 | $23K | |
| 99152 | <1% | 2,737 | $22K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 52 | $21K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 109 | $20K |
| 95886 | <1% | 200 | $17K | |
| 20553 | <1% | 420 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,546 | $16K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 118 | $15K |
| 76825 | <1% | 56 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,417 | $11K |
| 76821 | <1% | 94 | $9K | |
| 59025 | Fetal non-stress test | <1% | 328 | $9K |
| 90651 | <1% | 166 | $9K | |
| 90698 | <1% | 1,712 | $9K | |
| 99443 | <1% | 92 | $8K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 531 | $7K |
| 90680 | <1% | 1,667 | $7K | |
| 96112 | <1% | 55 | $7K | |
| 62323 | <1% | 86 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 638 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 66 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 94 | $5K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 83 | $5K |
| 90734 | <1% | 129 | $4K | |
| 90723 | <1% | 534 | $4K | |
| 99460 | <1% | 53 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 295 | $4K |
| 93350 | <1% | 64 | $4K | |
| 90710 | <1% | 75 | $4K | |
| 76942 | <1% | 475 | $4K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 251 | $4K |
| 95251 | <1% | 118 | $3K | |
| 90633 | <1% | 835 | $3K | |
| 97802 | <1% | 121 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 31 | $3K |
| 94060 | <1% | 254 | $3K | |
| 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% | 134 | $3K |
| 99201 | <1% | 75 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 16 | $3K |
| 99335 | <1% | 192 | $2K | |
| 76827 | <1% | 28 | $2K | |
| 93018 | <1% | 163 | $2K | |
| 90647 | <1% | 571 | $2K | |
| 93000 | <1% | 92 | $2K | |
| 93352 | <1% | 50 | $2K | |
| 93325 | <1% | 81 | $2K | |
| 99307 | <1% | 196 | $1K | |
| 64483 | <1% | 13 | $1K | |
| 96111 | <1% | 13 | $1K | |
| 99334 | <1% | 83 | $1K | |
| 62321 | <1% | 12 | $1K | |
| 85610 | <1% | 536 | $1K | |
| 95874 | <1% | 61 | $1K | |
| 90685 | <1% | 102 | $993.03 | |
| 81002 | <1% | 405 | $990.34 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $965.04 |
| 90696 | <1% | 60 | $747.43 | |
| 90677 | <1% | 26 | $731.08 | |
| 90480 | <1% | 43 | $730.51 | |
| 90716 | <1% | 16 | $684.06 | |
| 99462 | <1% | 17 | $618.12 | |
| 90715 | <1% | 67 | $602.30 | |
| 90744 | <1% | 483 | $572.00 | |
| 94729 | <1% | 55 | $560.32 | |
| 90707 | <1% | 18 | $522.40 | |
| 64643 | <1% | 16 | $469.24 | |
| 99336 | <1% | 16 | $283.40 | |
| 94726 | <1% | 28 | $262.50 | |
| 97803 | <1% | 13 | $164.80 | |
| 85018 | <1% | 53 | $117.69 | |
| 90700 | <1% | 35 | $105.60 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $98.93 |
| 81003 | <1% | 38 | $81.17 | |
| 88720 | <1% | 13 | $69.08 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 17 | $42.55 |
| 81000 | <1% | 14 | $37.08 | |
| 36416 | <1% | 386 | $21.09 | |
| 90648 | <1% | 18 | $10.59 | |
| 90649 | 0% | 86 | $0.00 | |
| 90473 | 0% | 13 | $0.00 | |
| 99242 | 0% | 17 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 30 | $0.00 |
| 90656 | 0% | 51 | $0.00 | |
| 94760 | 0% | 307 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 282 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 41 | $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 officialDILLON, TERRANCE (ASSISTANT SECRETARY)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.