Clinic
Rocky Boy Health Center
Rocky Boy Health Center was paid $77K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoROCKY BOY HEALTH CENTER
BOX ELDER, MT 59521
BOX ELDER, MT 59521
33aNPI1598802332assigned 01/31/2007
33bProvider typeDental Clinic/Center
28Total paid$77K
24GClaims117,362
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Montana
Rank by total paid#14 of 30
Median peer was paid$34K
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.
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 | 17,622 | $28K | |
| 2019 | 16,934 | $16K | |
| 2020 | 11,669 | $2K | |
| 2021 | 18,283 | $4K | |
| 2022 | 21,458 | $7K | |
| 2023 | 19,287 | $12K | |
| 2024incomplete | 12,109 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 624 | 550 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 30% | 43,201 | 33,080 | $23K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 7,052 | 4,072 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.9% | 5,708 | 5,232 | $5K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.9% | 8,215 | 2,947 | $3K |
| 87430 | <1% | 36 | 36 | $702.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 2,013 | 1,936 | $581.32 |
| 90480 | <1% | 19 | 19 | $512.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 20,242 | 17,114 | $491.63 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 428 | 420 | $441.68 |
| 0124A | <1% | 13 | 13 | $440.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 3,599 | 3,450 | $344.73 |
13 more codes
| 87081 | <1% | 24 | $227.76 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,498 | $120.99 |
| Q3014 | Telehealth originating site facility fee | <1% | 380 | $53.30 |
| D1110 | Prophylaxis - adult | 0% | 3,285 | $0.00 |
| 97161 | 0% | 181 | $0.00 | |
| 99442 | 0% | 1,430 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 1,236 | $0.00 |
| 90686 | 0% | 48 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 16,025 | $0.00 |
| 99441 | 0% | 418 | $0.00 | |
| 71020 | 0% | 260 | $0.00 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 415 | $0.00 |
| 1111F | 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 officialSTIFFARM-ROSETTE, MARTY (CREDENTIALING COORDINATOR)
Parent organizationROCKY BOY HEALTH CENTER