Physician
Blue Mountain Clinic, INC.
Blue Mountain Clinic, INC. was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoBLUE MOUNTAIN CLINIC, INC.
MISSOULA, MT 59802
MISSOULA, MT 59802
33aNPI1407987548assigned 03/08/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.39M
24GClaims20,533
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Montana
Rank by total paid#4 of 62
Median peer was paid$22K
This provider vs. median64×
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 | 4,166 | $226K | |
| 2019 | 3,850 | $202K | |
| 2020 | 3,164 | $211K | |
| 2021 | 3,118 | $217K | |
| 2022 | 2,548 | $211K | |
| 2023 | 2,462 | $210K | |
| 2024incomplete | 1,225 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 7,008 | 6,484 | $687K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,632 | 3,344 | $254K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 15% | 2,805 | 1,467 | $203K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.7% | 867 | 772 | $93K |
| 59841 | 4.7% | 160 | 153 | $65K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 227 | 212 | $37K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,937 | 2,755 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 333 | 307 | $7K |
| 90686 | <1% | 609 | 583 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 258 | 249 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 124 | 114 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 197 | 114 | $3K |
16 more codes
| 80061 | Lipid panel | <1% | 313 | $2K |
| S0190 | Mifepristone, oral, 200 mg | <1% | 31 | $2K |
| 88300 | <1% | 98 | $2K | |
| 80050 | General health panel | <1% | 29 | $2K |
| 0012A | <1% | 63 | $1K | |
| 99443 | <1% | 25 | $1K | |
| 0011A | <1% | 74 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 281 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $1K |
| 58300 | <1% | 12 | $650.52 | |
| 86901 | <1% | 163 | $529.38 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 160 | $382.78 |
| 87210 | <1% | 67 | $311.58 | |
| 81025 | <1% | 14 | $114.67 | |
| 1036F | 0% | 16 | $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 officialHANSEN, ANNIE (EXECUTIVE DIRECTOR)