Clinic
Providence Surgery Center
Providence Surgery Center was paid $3.52M by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 73% of everything it billed.
33Billing provider infoPROVIDENCE SURGERY CENTER
MISSOULA, MT 59802
MISSOULA, MT 59802
33aNPI1407860745assigned 07/29/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$3.52M
24GClaims3,682
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Montana
Rank by total paid#2 of 18
Median peer was paid$79K
This provider vs. median45×
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.
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 | 742 | $640K | |
| 2019 | 812 | $783K | |
| 2020 | 498 | $492K | |
| 2021 | 485 | $578K | |
| 2022 | 355 | $412K | |
| 2023 | 532 | $386K | |
| 2024incomplete | 258 | $228K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 73% | 1,344 | 1,291 | $2.58M |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room | 14% | 303 | 294 | $482K |
| 64483 | 11% | 1,415 | 1,123 | $378K | |
| 62321 | 1.1% | 188 | 173 | $40K | |
| 64493 | <1% | 236 | 113 | $35K | |
| 64484 | 0% | 12 | 12 | $0.00 | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 146 | 128 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 38 | 38 | $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 officialLONGGOOD, SHELLEY (ADMINISTRATOR)