ST Lukes Community Hospital
ST Lukes Community Hospital was paid $409K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 58% of everything it billed.
33Billing provider infoST LUKES COMMUNITY HOSPITAL
POLSON, MT 59860
POLSON, MT 59860
33aNPI1548612096assigned 07/08/2016
33bProvider typeOccupational Therapist
28Total paid$409K
24GClaims33,220
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Montana
Rank by total paid#8 of 27
Median peer was paid$134K
This provider vs. median3.1×
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 | 6,521 | $140K | |
| 2019 | 6,724 | $52K | |
| 2020 | 4,765 | $40K | |
| 2021 | 4,069 | $50K | |
| 2022 | 4,353 | $41K | |
| 2023 | 3,934 | $49K | |
| 2024incomplete | 2,854 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 58% | 7,207 | 2,648 | $238K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 12% | 1,874 | 817 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 7,492 | 6,568 | $48K |
| 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 | 8.6% | 6,462 | 5,693 | $35K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4.7% | 857 | 292 | $19K |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 2.6% | 1,425 | 627 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 134 | 131 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 493 | 458 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 67 | 57 | $843.65 |
| 97161 | <1% | 13 | 13 | $824.56 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 34 | 31 | $771.27 |
| 90686 | <1% | 113 | 108 | $384.23 |
17 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,123 | $303.44 |
| 90670 | <1% | 15 | $167.21 | |
| 81003 | 0% | 1,131 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 883 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 25 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 575 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 52 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 765 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 507 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 512 | $0.00 |
| 81025 | 0% | 29 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 160 | $0.00 |
| 90682 | 0% | 23 | $0.00 | |
| 96127 | 0% | 191 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 24 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | $0.00 |
| 90619 | 0% | 14 | $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 officialTODD, STEVEN (CEO)