Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDENCE HEALTH & SERVICES MT

NPI: 1558530683 · MISSOULA, MT 59802 · Clinical Social Worker · NPI assigned 02/22/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$1.80M
Total Medicaid Paid
20,984
Total Claims
15,803
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
Parent OrganizationPROVIDENCE HEALTH & SERVICES MT
NPI Enumeration Date02/22/2008

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,098 $152K
2019 2,321 $160K
2020 1,687 $124K
2021 2,066 $168K
2022 3,534 $341K
2023 4,415 $408K
2024 4,863 $448K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 6,656 3,215 $552K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,872 4,441 $525K
99215 Prolong outpt/office vis 1,710 1,550 $284K
90839 3,396 3,243 $240K
90834 Psychotherapy, 45 minutes with patient 888 581 $43K
99232 Subsequent hospital care, per day, moderate complexity 508 265 $34K
90791 Psychiatric diagnostic evaluation 348 320 $25K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 229 207 $22K
99231 Subsequent hospital care, per day, straightforward or low complexity 312 93 $20K
90832 Psychotherapy, 30 minutes with patient 249 245 $10K
96127 1,466 1,339 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131 125 $9K
90792 Psychiatric diagnostic evaluation with medical services 39 39 $7K
99205 Prolong outpt/office vis 26 26 $7K
99443 70 39 $4K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 27 27 $4K
99223 Prolong inpt eval add15 m 13 12 $3K
90840 13 12 $592.54
98968 18 12 $370.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 12 $0.00