NPI: 1609104165 · POLSON, MT 59860 · Rural Health Clinic/Center · NPI assigned 11/20/2009
Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
| Authorized Official | ANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS) |
| Parent Organization | PROVIDENCE HEALTH & SERVICES |
| NPI Enumeration Date | 11/20/2009 |
Other providers sharing the same authorized official: ANDERSON, DONALD
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |