Clinic
Providence ST Joseph Medical Center
Providence ST Joseph Medical Center was paid $123.70 by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 56% of everything it billed.
33Billing provider infoPROVIDENCE ST JOSEPH MEDICAL CENTER
POLSON, MT 59860
POLSON, MT 59860
33aNPI1609104165assigned 11/20/2009
33bProvider typeRural Health Clinic/Center
28Total paid$123.70
24GClaims101,931
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Montana
Rank by total paid#18 of 43
Median peer was paid$0.00
This provider vs. median0.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 10,841 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 56% | 695 | 676 | $68.90 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 44% | 4,280 | 3,751 | $54.80 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,539 | 2,251 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 3,186 | 3,089 | $0.00 |
| 99490 | Ccm add 20min | 0% | 411 | 396 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 2,899 | 2,790 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 6,191 | 4,675 | $0.00 |
| 90715 | 0% | 247 | 244 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,149 | 2,120 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,255 | 1,232 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 1,726 | 969 | $0.00 |
| 11721 | 0% | 311 | 305 | $0.00 |
49 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 899 | $0.00 |
| 11720 | 0% | 41 | $0.00 | |
| 99173 | 0% | 289 | $0.00 | |
| 99307 | 0% | 321 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 39 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 129 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 39 | $0.00 |
| 99442 | 0% | 41 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 25 | $0.00 |
| 98968 | 0% | 47 | $0.00 | |
| 90685 | 0% | 39 | $0.00 | |
| 96381 | 0% | 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 | 0% | 12 | $0.00 |
| 96160 | 0% | 27 | $0.00 | |
| 17110 | 0% | 15 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 29,374 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 2,805 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 71 | $0.00 |
| 99443 | 0% | 164 | $0.00 | |
| 96127 | 0% | 2,636 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 562 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 6,954 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 54 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 26,350 | $0.00 |
| 90474 | 0% | 678 | $0.00 | |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 17 | $0.00 |
| 90686 | 0% | 922 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 33 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 32 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 682 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 964 | $0.00 |
| 0012A | 0% | 119 | $0.00 | |
| 96161 | 0% | 986 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 42 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 16 | $0.00 |
| 92551 | 0% | 13 | $0.00 | |
| 99406 | 0% | 74 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 96 | $0.00 |
| 90732 | 0% | 28 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 78 | $0.00 |
| 0011A | 0% | 119 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 63 | $0.00 |
| 90480 | 0% | 14 | $0.00 | |
| 90656 | 0% | 29 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 36 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 16 | $0.00 |
| 99441 | 0% | 13 | $0.00 | |
| 20610 | 0% | 15 | $0.00 | |
| J2002 | Injection, lidocaine hcl in 5% dextrose, 1 mg | 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 officialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent organizationPROVIDENCE HEALTH & SERVICES
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.