Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MT › Butte › NPI 1528037215
Hospital

ST James Healthcare

ST James Healthcare was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 255 billing codes. Its largest line is 99283, emergency room visit (moderate) — 29% of everything it billed.

33Billing provider infoST JAMES HEALTHCARE
BUTTE, MT 59701
33aNPI1528037215assigned 03/15/2006
28Total paid$1.70M
24GClaims569,437
24DCodes billed255
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Montana

Rank by total paid#4 of 10
Median peer was paid$774K
This provider vs. median2.2×

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 PALAGI, PAM controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
201875,061$222K
201969,377$261K
202067,729$207K
202188,372$253K
202298,557$281K
2023103,086$227K
2024incomplete67,255$254K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 29% 27,811 24,179 $490K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 14,608 12,672 $180K
70450 Computed tomography, head or brain; without contrast material 4.1% 3,670 3,171 $69K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.7% 4,609 4,037 $63K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.5% 3,096 2,834 $59K
0202U Oncology (prostate), multianalyte, gene expression profiling 3.2% 1,041 979 $54K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.9% 3,161 2,941 $49K
G0378 Hospital observation service, per hour 2.8% 3,982 2,115 $47K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.9% 1,569 1,451 $32K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.5% 6,337 5,143 $25K
72125 Computed tomography, cervical spine; without contrast material 1.4% 1,063 963 $24K
80053 Comprehensive metabolic panel 1.3% 28,058 23,065 $23K
243 more codes
J3490 Unclassified drugs 1.3% 42,237 $23K
71046 Radiologic examination, chest; 2 views 1.3% 4,165 $22K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 10,293 $19K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.1% 1,675 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 34,660 $18K
87081 1.0% 4,568 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,665 $17K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,319 $16K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,647 $16K
96361 Intravenous infusion, hydration; each additional hour <1% 4,357 $16K
87070 <1% 3,782 $14K
71045 Radiologic examination, chest; single view <1% 6,082 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,256 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 7,128 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 8,614 $11K
81001 <1% 13,582 $10K
96375 Therapeutic injection; each additional sequential IV push <1% 8,618 $10K
87088 <1% 3,232 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,053 $9K
73610 <1% 942 $9K
74018 <1% 613 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,597 $9K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,668 $8K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,212 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,201 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,650 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 10,486 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 511 $7K
86140 <1% 3,850 $7K
73562 <1% 1,256 $6K
87186 <1% 3,242 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 157 $6K
87400 <1% 484 $6K
73130 <1% 916 $6K
87631 <1% 428 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 704 $6K
73110 <1% 521 $5K
12001 <1% 355 $5K
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,119 $5K
84703 <1% 3,975 $5K
84443 Thyroid stimulating hormone (TSH) <1% 5,372 $5K
83605 <1% 8,265 $5K
80061 Lipid panel <1% 3,096 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 108 $4K
36415 Collection of venous blood by venipuncture <1% 19,075 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 832 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,032 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,259 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 6,820 $4K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,003 $4K
84439 <1% 1,759 $4K
83690 <1% 6,178 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 607 $4K
73630 <1% 977 $3K
73030 <1% 795 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 899 $3K
J7050 Infusion, normal saline solution, 250 cc <1% 7,498 $3K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 1,146 $3K
87040 <1% 3,019 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 985 $3K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 780 $3K
C1769 Guide wire <1% 554 $3K
J2704 Injection, propofol, 10 mg <1% 4,852 $3K
0352U <1% 514 $3K
81025 <1% 2,821 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 6,231 $2K
90715 <1% 518 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 446 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 3,869 $2K
93325 <1% 82 $2K
87660 <1% 1,398 $2K
87510 <1% 1,398 $2K
82805 <1% 935 $2K
87480 <1% 1,398 $2K
87806 <1% 1,263 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,859 $2K
96376 <1% 2,015 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,660 $2K
84145 <1% 867 $1K
74019 <1% 207 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,278 $1K
76830 Ultrasound, transvaginal <1% 842 $1K
83655 <1% 369 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 498 $1K
86900 <1% 2,479 $1K
70486 <1% 59 $1K
90791 Psychiatric diagnostic evaluation <1% 193 $1K
87077 <1% 1,312 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,703 $1K
84484 <1% 6,438 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,958 $1K
86850 <1% 2,441 $1K
85379 <1% 3,102 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,519 $1K
83735 <1% 4,018 $1K
82728 <1% 592 $976.41
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,845 $970.05
73502 <1% 234 $947.89
86901 <1% 2,527 $869.80
86780 <1% 1,341 $848.50
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 3,095 $816.11
85652 <1% 807 $799.98
87205 <1% 2,210 $783.28
85027 <1% 1,367 $776.55
12011 <1% 14 $771.83
83540 <1% 736 $752.25
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,346 $752.10
93971 <1% 299 $730.11
84702 <1% 884 $702.28
82565 <1% 866 $689.50
84481 <1% 244 $629.65
83880 <1% 2,244 $622.95
85610 <1% 4,202 $620.61
87340 <1% 1,074 $606.41
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,126 $584.04
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 700 $583.17
83550 <1% 636 $500.41
G0379 Direct admission of patient for hospital observation care <1% 278 $455.17
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,828 $438.84
J0690 Injection, cefazolin sodium, 500 mg <1% 1,624 $435.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 510 $415.58
85651 <1% 252 $392.04
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 904 $362.78
82607 <1% 458 $359.44
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 3,502 $356.91
82570 <1% 517 $309.12
82947 <1% 2,176 $295.78
82803 <1% 216 $293.22
85018 <1% 239 $288.02
97161 <1% 499 $280.87
85014 <1% 185 $270.61
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 76 $258.92
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,170 $254.07
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,747 $236.75
72100 <1% 280 $234.04
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,155 $220.35
85730 <1% 881 $205.89
77065 Tomosynthesis, mammo <1% 84 $205.75
86003 <1% 25 $191.35
J0780 Injection, prochlorperazine, up to 10 mg <1% 347 $180.83
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 26 $175.94
82962 <1% 2,044 $173.25
73140 <1% 65 $155.34
J1170 Injection, hydromorphone, up to 4 mg <1% 1,632 $149.26
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 6,556 $134.75
87075 <1% 256 $119.93
87430 <1% 24 $114.32
80178 <1% 15 $112.78
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,889 $111.14
86803 <1% 252 $98.13
86762 <1% 206 $97.47
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 125 $90.26
96367 <1% 429 $88.35
97035 <1% 387 $80.96
82550 <1% 60 $75.60
86038 <1% 26 $74.18
93017 <1% 158 $73.51
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 427 $70.79
81003 <1% 13 $67.22
80076 <1% 91 $56.88
84156 <1% 105 $47.51
84100 <1% 908 $32.99
J2060 Injection, lorazepam, 2 mg <1% 864 $32.50
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 123 $29.75
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 531 $25.50
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 609 $15.17
J2550 Injection, promethazine hcl, up to 50 mg <1% 350 $9.52
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 94 $5.43
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 176 $2.13
J1630 Injection, haloperidol, up to 5 mg <1% 15 $1.72
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 783 $0.33
77067 Screening mammography, bilateral, including computer-aided detection 0% 1,696 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 826 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 94 $0.00
73080 0% 26 $0.00
99152 0% 145 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 345 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 36 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 97 $0.00
71271 0% 65 $0.00
72131 0% 12 $0.00
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 0% 40 $0.00
84550 0% 26 $0.00
72110 0% 119 $0.00
76642 0% 103 $0.00
70030 0% 27 $0.00
82140 0% 118 $0.00
C1758 Catheter, ureteral 0% 71 $0.00
82248 0% 31 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 42 $0.00
94729 0% 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 24 $0.00
94726 0% 12 $0.00
29125 0% 14 $0.00
85007 0% 26 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 58 $0.00
84146 0% 14 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 0% 30 $0.00
84403 0% 15 $0.00
83516 0% 16 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 0% 52 $0.00
70551 Magnetic resonance imaging, brain; without contrast material 0% 14 $0.00
76770 0% 13 $0.00
72050 0% 17 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 2,255 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 0% 688 $0.00
A9270 Non-covered item or service 0% 3,286 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 210 $0.00
88142 0% 1,249 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 1,692 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 0% 66 $0.00
88304 0% 45 $0.00
80050 General health panel 0% 2,447 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 95 $0.00
71101 0% 82 $0.00
82746 0% 14 $0.00
82043 0% 142 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 0% 18 $0.00
82950 0% 79 $0.00
94762 0% 36 $0.00
15271 0% 16 $0.00
97165 0% 49 $0.00
87449 0% 44 $0.00
97535 Self-care/home management training, each 15 minutes 0% 92 $0.00
70496 0% 13 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 14 $0.00
99234 0% 205 $0.00
87486 0% 29 $0.00
64493 0% 25 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 32 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 0% 24 $0.00
64483 0% 64 $0.00
86706 0% 13 $0.00
86364 0% 12 $0.00
97597 0% 32 $0.00
87522 Neg quan hep c or qual rna 0% 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 20 $0.00
83001 0% 14 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 0% 13 $0.00
82150 0% 14 $0.00
87581 0% 29 $0.00
72072 0% 12 $0.00
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 0% 12 $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 officialPALAGI, PAM (VP FINANCE)
Parent organizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM
Same official

Other billing entities under PALAGI, PAM

Full network →
ProviderLocationPaid
SCL Health MontanaBillings, MT$2.70M
SCL Health MontanaBillings, MT$865K
SCL Health MontanaBillings, MT$448K
SCL Health MontanaBillings, MT$387K
ST. James HealthcareButte, MT$314K
SCL Health MontanaBillings, MT$43K
SCL Health MontanaBillings, MT$29K
ST. James HealthcareBoulder, MT$22K
SCL Health MontanaBillings, MT$15K
SCL Health MontanaBillings, MT$11K
SCL Health MontanaBillings, MT$7K
SCL Health MontanaBillings, MT$1K

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