Deaconess Intercity Imaging LLC

Deaconess Intercity Imaging LLC was paid $77K by Medicaid between Mar 2019 and Oct 2024, across 5 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 66% of everything it billed.

33Billing provider infoDEACONESS INTERCITY IMAGING LLC
BOZEMAN, MT 59715

33aNPI1497704860assigned 05/10/2006

33bProvider typeRadiology Clinic/Center

28Total paid$77K

24GClaims926

24DCodes billed5

24AFirst – last monthMar 2019 – Oct 2024

Compared with peers

Next to other Radiology Clinic/Center providers in Montana

Rank by total paid#4 of 6

Median peer was paid$77K

This provider vs. median1.0×

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
2019	38	$3K
2020	40	$3K
2021	97	$6K
2022	28	$3K
2023	487	$43K
2024incomplete	236	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
77067	Screening mammography, bilateral, including computer-aided detection	66%	413	350	$51K
77063	Screening digital breast tomosynthesis, bilateral	28%	425	362	$21K
76642		6.1%	47	45	$5K
A9575	Injection, gadoterate meglumine, 0.1 ml	<1%	12	12	$31.16
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	0%	29	28	$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 officialDESLAURIERS, BRANDEE (BUSINESS MANAGER)