Medicaid Provider Spending

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

PROVIDENCE ST JOSEPH MEDICAL CENTER

NPI: 1609104165 · POLSON, MT 59860 · Rural Health Clinic/Center · NPI assigned 11/20/2009

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

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

$123.70
Total Medicaid Paid
101,931
Total Claims
90,040
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES
NPI Enumeration Date11/20/2009

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 18,031 $0.00
2019 14,980 $0.00
2020 12,557 $0.00
2021 14,885 $68.90
2022 16,304 $54.80
2023 14,333 $0.00
2024 10,841 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 695 676 $68.90
99215 Prolong outpt/office vis 4,280 3,751 $54.80
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,539 2,251 $0.00
90472 Immunization administration, each additional vaccine (list separately) 3,186 3,089 $0.00
99490 Ccm add 20min 411 396 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,899 2,790 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,191 4,675 $0.00
90715 247 244 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,149 2,120 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,255 1,232 $0.00
90837 Psychotherapy, 53 minutes with patient 1,726 969 $0.00
11721 311 305 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 899 885 $0.00
11720 41 40 $0.00
99173 289 283 $0.00
99307 321 317 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 39 39 $0.00
90791 Psychiatric diagnostic evaluation 129 128 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 38 $0.00
99442 41 38 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 25 24 $0.00
98968 47 30 $0.00
90685 39 38 $0.00
96381 12 12 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 12 12 $0.00
96160 27 27 $0.00
17110 15 12 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,374 25,220 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,805 2,492 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 71 62 $0.00
99443 164 139 $0.00
96127 2,636 2,406 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 562 548 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,954 6,753 $0.00
90792 Psychiatric diagnostic evaluation with medical services 54 50 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,350 23,356 $0.00
90474 678 656 $0.00
H0038 Self-help/peer services, per 15 minutes 17 17 $0.00
90686 922 903 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 33 29 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 32 28 $0.00
90834 Psychotherapy, 45 minutes with patient 682 441 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 964 873 $0.00
0012A 119 119 $0.00
96161 986 890 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 42 41 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 13 $0.00
92551 13 13 $0.00
99406 74 70 $0.00
J3490 Unclassified drugs 96 92 $0.00
90732 28 28 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 78 77 $0.00
0011A 119 118 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 63 60 $0.00
90480 14 14 $0.00
90656 29 29 $0.00
99417 Prolong home eval add 15m 36 34 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 16 12 $0.00
99441 13 12 $0.00
20610 15 12 $0.00
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg 12 12 $0.00