Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Providence Health & Services MT

Providence Health & Services MT was paid $394K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 65% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES MT
MISSOULA, MT 59802
33aNPI1427096585assigned 06/02/2006
28Total paid$394K
24GClaims17,194
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Montana

Rank by total paid#1 of 6
Median peer was paid$25K
This provider vs. median16×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,337$41K
20191,273$45K
2020933$43K
2021951$47K
20224,194$75K
20234,734$78K
2024incomplete3,772$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 65% 5,309 5,165 $255K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17% 9,613 8,179 $67K
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 13% 807 737 $50K
93000 1.4% 524 499 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 102 94 $4K
93248 <1% 169 165 $4K
93018 <1% 313 292 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 64 62 $2K
93299 <1% 71 64 $1K
93298 <1% 72 64 $1K
99152 <1% 99 86 $731.26
93320 <1% 12 12 $161.84
2 more codes
93325 <1% 26 $51.50
0298T 0% 13 $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 officialANDERSON, DONALD (ASST SECRETARY ENROLLMENT)
Parent organizationPROVIDENCE HEALTH & SERVICES
Same official

Other billing entities under ANDERSON, DONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.