Physician
Augustine, Teresa
Augustine, Teresa was paid $1.72M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoAUGUSTINE, TERESA
HELENA, MT 59601
HELENA, MT 59601
33aNPI1497721013assigned 02/23/2006
33bProvider typePediatrics Physician
28Total paid$1.72M
24GClaims29,864
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Montana
Rank by total paid#4 of 16
Median peer was paid$371K
This provider vs. median4.6×
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 | 5,551 | $273K | |
| 2019 | 5,763 | $280K | |
| 2020 | 3,363 | $179K | |
| 2021 | 4,694 | $246K | |
| 2022 | 4,388 | $304K | |
| 2023 | 3,704 | $247K | |
| 2024incomplete | 2,401 | $189K |
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 | 36% | 4,811 | 4,298 | $619K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 5,696 | 5,217 | $529K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 819 | 806 | $99K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 1,832 | 1,796 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 561 | 553 | $66K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2.9% | 374 | 355 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 410 | 393 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 297 | 296 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,279 | 1,233 | $26K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.4% | 265 | 258 | $25K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 228 | 203 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 1,655 | 1,513 | $19K |
41 more codes
| 92551 | 1.0% | 1,719 | $17K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 565 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 630 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 906 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 161 | $7K |
| 96127 | <1% | 1,000 | $7K | |
| 99072 | <1% | 1,076 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 134 | $2K |
| 99172 | <1% | 180 | $2K | |
| 85018 | <1% | 756 | $2K | |
| 80061 | Lipid panel | <1% | 129 | $2K |
| 0002A | <1% | 36 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 71 | $1K |
| 83655 | <1% | 68 | $945.60 | |
| 0001A | <1% | 36 | $900.00 | |
| 81003 | <1% | 373 | $864.84 | |
| 90480 | <1% | 21 | $840.00 | |
| 0053A | <1% | 13 | $520.00 | |
| 0071A | <1% | 19 | $475.00 | |
| 87807 | <1% | 18 | $266.40 | |
| 90473 | <1% | 12 | $248.16 | |
| 90474 | <1% | 12 | $165.96 | |
| 90620 | <1% | 12 | $165.75 | |
| 90686 | <1% | 1,425 | $147.56 | |
| 90656 | <1% | 79 | $18.98 | |
| 91300 | <1% | 88 | $0.88 | |
| 91307 | <1% | 19 | $0.19 | |
| 91305 | <1% | 16 | $0.16 | |
| 91321 | <1% | 13 | $0.13 | |
| 90670 | 0% | 265 | $0.00 | |
| 99177 | 0% | 1,196 | $0.00 | |
| 90734 | 0% | 66 | $0.00 | |
| 90633 | 0% | 75 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90723 | 0% | 93 | $0.00 | |
| 90647 | 0% | 115 | $0.00 | |
| 90680 | 0% | 38 | $0.00 | |
| 90651 | 0% | 85 | $0.00 | |
| 90696 | 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.