BLUE MOUNTAIN CLINIC, INC.
NPI: 1407987548
· MISSOULA, MT 59802
· 207Q00000X
$1.39M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,008 |
6,484 |
$687K |
| 99213 |
|
3,632 |
3,344 |
$254K |
| 90837 |
|
2,805 |
1,467 |
$203K |
| 76817 |
|
867 |
772 |
$93K |
| 59841 |
|
160 |
153 |
$65K |
| 99215 |
Prolong outpt/office vis |
227 |
212 |
$37K |
| 36415 |
|
2,937 |
2,755 |
$9K |
| 99211 |
|
333 |
307 |
$7K |
| 90686 |
|
609 |
583 |
$7K |
| 90471 |
|
258 |
249 |
$5K |
| 90460 |
|
124 |
114 |
$4K |
| 96372 |
|
197 |
114 |
$3K |
| 80061 |
|
313 |
286 |
$2K |
| S0190 |
Mifepristone, oral, 200 mg |
31 |
27 |
$2K |
| 88300 |
|
98 |
96 |
$2K |
| 80050 |
|
29 |
29 |
$2K |
| 0012A |
|
63 |
63 |
$1K |
| 99443 |
|
25 |
25 |
$1K |
| 0011A |
|
74 |
74 |
$1K |
| 99202 |
|
18 |
15 |
$1K |
| 80053 |
|
281 |
250 |
$1K |
| 90791 |
|
12 |
12 |
$1K |
| 58300 |
|
12 |
12 |
$650.52 |
| 86901 |
|
163 |
156 |
$529.38 |
| 85025 |
|
160 |
139 |
$382.78 |
| 87210 |
|
67 |
59 |
$311.58 |
| 81025 |
|
14 |
13 |
$114.67 |
| 1036F |
|
16 |
15 |
$0.00 |