ST LUKES COMMUNITY HOSPITAL
NPI: 1548612096
· POLSON, MT 59860
· 225X00000X
$409K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,521 |
$140K |
| 2019 |
6,724 |
$52K |
| 2020 |
4,765 |
$40K |
| 2021 |
4,069 |
$50K |
| 2022 |
4,353 |
$41K |
| 2023 |
3,934 |
$49K |
| 2024 |
2,854 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
7,207 |
2,648 |
$238K |
| 97140 |
|
1,874 |
817 |
$50K |
| 99213 |
|
7,492 |
6,568 |
$48K |
| 99214 |
|
6,462 |
5,693 |
$35K |
| 97530 |
|
857 |
292 |
$19K |
| G0283 |
Elec stim other than wound |
1,425 |
627 |
$10K |
| 90471 |
|
134 |
131 |
$3K |
| 99391 |
|
493 |
458 |
$3K |
| 99212 |
|
67 |
57 |
$843.65 |
| 97161 |
|
13 |
13 |
$824.56 |
| 90472 |
|
34 |
31 |
$771.27 |
| 90686 |
|
113 |
108 |
$384.23 |
| 36415 |
|
2,123 |
1,923 |
$303.44 |
| 90670 |
|
15 |
12 |
$167.21 |
| 81003 |
|
1,131 |
880 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
883 |
780 |
$0.00 |
| 87880 |
|
25 |
25 |
$0.00 |
| 99393 |
|
575 |
558 |
$0.00 |
| 90832 |
|
52 |
40 |
$0.00 |
| 99392 |
|
765 |
743 |
$0.00 |
| 99394 |
|
507 |
489 |
$0.00 |
| 90837 |
|
512 |
300 |
$0.00 |
| 81025 |
|
29 |
26 |
$0.00 |
| 87804 |
|
160 |
75 |
$0.00 |
| 90682 |
|
23 |
20 |
$0.00 |
| 96127 |
|
191 |
181 |
$0.00 |
| 83036 |
|
24 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
20 |
16 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |