PROVIDENCE SURGERY CENTER
NPI: 1407860745
· MISSOULA, MT 59802
· 261QA1903X
$3.52M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
742 |
$640K |
| 2019 |
812 |
$783K |
| 2020 |
498 |
$492K |
| 2021 |
485 |
$578K |
| 2022 |
355 |
$412K |
| 2023 |
532 |
$386K |
| 2024 |
258 |
$228K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
|
1,344 |
1,291 |
$2.58M |
| G0330 |
Facility svs dental rehab |
303 |
294 |
$482K |
| 64483 |
|
1,415 |
1,123 |
$378K |
| 62321 |
|
188 |
173 |
$40K |
| 64493 |
|
236 |
113 |
$35K |
| 64484 |
|
12 |
12 |
$0.00 |
| G8907 |
Pt doc no events on discharg |
146 |
128 |
$0.00 |
| G8918 |
Pt w/o preop order iv ab pro |
38 |
38 |
$0.00 |