Medicaid Provider Spending

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

BLUE MOUNTAIN CLINIC, INC.

NPI: 1407987548 · MISSOULA, MT 59802 · Family Medicine Physician · NPI assigned 03/08/2007

$1.39M
Total Medicaid Paid
20,533
Total Claims
17,825
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANSEN, ANNIE (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,166 $226K
2019 3,850 $202K
2020 3,164 $211K
2021 3,118 $217K
2022 2,548 $211K
2023 2,462 $210K
2024 1,225 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,008 6,484 $687K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,632 3,344 $254K
90837 Psychotherapy, 53 minutes with patient 2,805 1,467 $203K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 867 772 $93K
59841 160 153 $65K
99215 Prolong outpt/office vis 227 212 $37K
36415 Collection of venous blood by venipuncture 2,937 2,755 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 333 307 $7K
90686 609 583 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 258 249 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 124 114 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 197 114 $3K
80061 Lipid panel 313 286 $2K
S0190 Mifepristone, oral, 200 mg 31 27 $2K
88300 98 96 $2K
80050 General health panel 29 29 $2K
0012A 63 63 $1K
99443 25 25 $1K
0011A 74 74 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 15 $1K
80053 Comprehensive metabolic panel 281 250 $1K
90791 Psychiatric diagnostic evaluation 12 12 $1K
58300 12 12 $650.52
86901 163 156 $529.38
85025 Blood count; complete (CBC), automated, and automated differential WBC count 160 139 $382.78
87210 67 59 $311.58
81025 14 13 $114.67
1036F 16 15 $0.00