Physician
ST Peter's Medical Group North
ST Peter's Medical Group North was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoST PETER'S MEDICAL GROUP NORTH
HELENA, MT 59602
HELENA, MT 59602
33aNPI1477844744assigned 04/21/2011
33bProvider typeFamily Medicine Physician
28Total paid$1.49M
24GClaims22,428
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Montana
Rank by total paid#3 of 62
Median peer was paid$22K
This provider vs. median68×
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 | 4,784 | $229K | |
| 2019 | 4,337 | $238K | |
| 2020 | 2,324 | $140K | |
| 2021 | 2,731 | $188K | |
| 2022 | 2,239 | $180K | |
| 2023 | 3,823 | $317K | |
| 2024incomplete | 2,190 | $196K |
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 | 56% | 10,364 | 8,719 | $828K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 9,487 | 8,114 | $561K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.0% | 376 | 324 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 119 | 99 | $18K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 480 | 362 | $13K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 82 | 68 | $12K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 98 | 88 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 223 | 209 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 31 | 30 | $3K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 162 | 140 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | 53 | $2K |
4 more codes
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 officialGREEN, JOHN (VP FINANCE)
| Provider | Location | Paid |
|---|---|---|
| ST. Peter's Hospital | Helena, MT | $1.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.