Supplier
Missoula Bone & Joint, LLC
Missoula Bone & Joint, LLC was paid $2.25M by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMISSOULA BONE & JOINT, LLC
MISSOULA, MT 59808
MISSOULA, MT 59808
33aNPI1447207212assigned 05/27/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.25M
24GClaims35,847
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Montana
Rank by total paid#5 of 117
Median peer was paid$24K
This provider vs. median94×
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 | 5,305 | $284K | |
| 2019 | 5,139 | $288K | |
| 2020 | 5,764 | $309K | |
| 2021 | 9,528 | $525K | |
| 2022 | 5,746 | $458K | |
| 2023 | 2,922 | $251K | |
| 2024incomplete | 1,443 | $131K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 10,894 | 9,753 | $802K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 13% | 5,863 | 2,770 | $295K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.5% | 2,127 | 1,958 | $214K |
| 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 | 8.9% | 2,002 | 1,792 | $201K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | 7.1% | 1,099 | 1,045 | $159K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 5.0% | 2,163 | 1,173 | $112K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.8% | 2,633 | 1,303 | $84K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 3.0% | 587 | 526 | $67K |
| 99072 | 1.8% | 2,425 | 1,846 | $40K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 1.3% | 626 | 545 | $30K |
| 97161 | 1.3% | 360 | 340 | $30K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.2% | 599 | 342 | $28K |
25 more codes
| 73630 | 1.2% | 989 | $27K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 1.1% | 375 | $25K |
| 62323 | <1% | 104 | $22K | |
| 73610 | <1% | 626 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 107 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 503 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 195 | $14K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 871 | $6K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | <1% | 55 | $6K |
| 20611 | <1% | 52 | $5K | |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 98 | $5K |
| 62321 | <1% | 13 | $3K | |
| 64483 | <1% | 13 | $3K | |
| 64493 | <1% | 19 | $3K | |
| 73110 | <1% | 47 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 164 | $2K |
| 20610 | <1% | 44 | $2K | |
| 73564 | <1% | 50 | $2K | |
| 97165 | <1% | 13 | $980.98 | |
| L3030 | Foot, insert, removable, formed to patient foot, each | <1% | 12 | $864.00 |
| 72082 | <1% | 15 | $760.80 | |
| 72100 | <1% | 14 | $631.54 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 63 | $384.48 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 13 | $1.43 |
| 99024 | 0% | 14 | $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 officialSPENCER, SAMANTHA (ADMINISTRATOR)