Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Marcus Daly Memorial Hospital Corporation

Marcus Daly Memorial Hospital Corporation was paid $4.41M by Medicaid between Jan 2018 and Dec 2024, across 187 billing codes. Its largest line is 99284, emergency room visit (serious) — 28% of everything it billed.

33Billing provider infoMARCUS DALY MEMORIAL HOSPITAL CORPORATION
HAMILTON, MT 59840
33aNPI1659475846assigned 09/11/2006
33bProvider typeCritical Access Hospital
28Total paid$4.41M
24GClaims449,943
24DCodes billed187
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Montana

Rank by total paid#1 of 25
Median peer was paid$185K
This provider vs. median24×

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 BISHOP, JOHN controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201861,161$605K
201962,259$594K
202056,637$501K
202172,073$681K
202274,589$772K
202372,299$731K
2024incomplete50,925$524K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 28% 21,118 17,258 $1.24M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 23,342 20,617 $975K
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 5.9% 2,498 1,839 $260K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5.5% 18,578 5,747 $242K
74177 Computed tomography, abdomen and pelvis; with contrast material 5.3% 3,925 3,510 $235K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.8% 17,856 5,187 $167K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.7% 6,495 4,688 $162K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 3.2% 1,993 1,411 $143K
A0390 Als mileage (per mile) 2.9% 1,403 1,124 $126K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.8% 4,139 3,744 $81K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 3,767 3,419 $74K
70450 Computed tomography, head or brain; without contrast material 1.3% 2,587 2,298 $56K
175 more codes
G0378 Hospital observation service, per hour <1% 1,739 $37K
80053 Comprehensive metabolic panel <1% 25,952 $33K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 15,896 $33K
71046 Radiologic examination, chest; 2 views <1% 3,445 $30K
96361 Intravenous infusion, hydration; each additional hour <1% 7,758 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,386 $25K
71045 Radiologic examination, chest; single view <1% 6,139 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29,691 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 510 $20K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,394 $19K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 172 $16K
A0380 Bls mileage (per mile) <1% 196 $14K
73110 <1% 1,254 $14K
72125 Computed tomography, cervical spine; without contrast material <1% 503 $14K
A0425 Ground mileage, per statute mile <1% 2,914 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,532 $13K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,906 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 9,429 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,670 $11K
99213 Doctor's office visit, returning patient (routine) <1% 2,746 $11K
73630 <1% 1,357 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,354 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,137 $9K
73610 <1% 1,104 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,100 $9K
81025 <1% 4,153 $8K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,134 $8K
36415 Collection of venous blood by venipuncture <1% 30,021 $7K
73130 <1% 1,004 $7K
80306 <1% 3,048 $7K
96375 Therapeutic injection; each additional sequential IV push <1% 5,591 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,926 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,560 $6K
81001 <1% 7,273 $6K
87040 <1% 2,698 $6K
83690 <1% 6,003 $6K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,433 $5K
73564 <1% 789 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 545 $5K
80143 <1% 863 $5K
81003 <1% 6,452 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 919 $4K
73030 <1% 1,156 $4K
86140 <1% 3,989 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 3,045 $4K
80179 <1% 800 $4K
87420 <1% 361 $4K
94760 <1% 3,100 $3K
87428 <1% 775 $3K
87186 <1% 2,985 $3K
84484 <1% 7,557 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 812 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,362 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 4,029 $2K
97161 <1% 719 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,186 $2K
85378 <1% 2,491 $2K
72100 <1% 784 $2K
87081 <1% 1,722 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,265 $2K
76830 Ultrasound, transvaginal <1% 902 $2K
84145 <1% 1,351 $2K
84443 Thyroid stimulating hormone (TSH) <1% 6,905 $2K
96376 <1% 2,396 $2K
97162 <1% 862 $2K
83605 <1% 2,833 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 983 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 980 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 734 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 56 $1K
73140 <1% 90 $1K
80061 Lipid panel <1% 5,128 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 135 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,655 $1K
82948 <1% 3,069 $1K
85651 <1% 1,879 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,151 $1K
72040 <1% 220 $1K
59025 Fetal non-stress test <1% 272 $967.85
87070 <1% 824 $952.31
83735 <1% 2,683 $859.04
84439 <1% 1,939 $840.26
87088 <1% 1,926 $824.72
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 53 $772.99
82728 <1% 1,110 $761.41
84703 <1% 576 $754.83
84702 <1% 543 $687.40
85610 <1% 3,624 $674.89
83036 Hemoglobin; glycosylated (A1C) <1% 4,092 $666.44
J7030 Infusion, normal saline solution , 1000 cc <1% 58 $646.38
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 392 $633.45
73502 <1% 78 $628.47
87147 <1% 663 $561.70
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 14 $553.40
J3010 Injection, fentanyl citrate, 0.1 mg <1% 129 $539.97
97113 <1% 584 $534.44
83880 <1% 1,854 $479.89
82607 <1% 1,284 $479.74
72141 <1% 124 $378.69
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 116 $358.61
85027 <1% 232 $354.83
Q3014 Telehealth originating site facility fee <1% 287 $346.45
82805 <1% 91 $346.07
86308 <1% 97 $312.67
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 763 $312.54
87077 <1% 329 $297.20
85007 <1% 122 $286.43
87210 <1% 368 $286.03
73080 <1% 47 $262.35
74018 <1% 33 $238.50
96367 <1% 82 $206.74
84100 <1% 534 $206.46
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 2,436 $188.39
86850 <1% 236 $160.28
86803 <1% 666 $152.09
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 380 $144.34
93320 <1% 77 $107.34
93350 <1% 77 $107.22
83540 <1% 632 $103.36
84466 <1% 451 $102.00
87493 <1% 32 $92.99
86901 <1% 313 $91.58
93325 <1% 77 $90.15
86900 <1% 295 $89.69
87045 <1% 100 $87.78
93017 <1% 65 $85.29
82272 <1% 92 $77.10
73562 <1% 15 $65.62
85730 <1% 787 $64.38
A9270 Non-covered item or service <1% 4,284 $53.95
86592 <1% 478 $45.39
99217 <1% 31 $42.96
99214 Doctor's office visit, returning patient (more involved) <1% 1,350 $23.98
99203 Doctor's office visit, new patient (routine) <1% 323 $15.92
82550 <1% 138 $12.91
86703 <1% 308 $9.59
12002 <1% 13 $0.01
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 13 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 0% 155 $0.00
82150 0% 24 $0.00
72148 Magnetic resonance imaging, lumbar spine; without contrast material 0% 442 $0.00
20610 0% 25 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 0% 1,956 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 675 $0.00
97166 0% 50 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 0% 49 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 35 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 13 $0.00
87340 0% 13 $0.00
80069 0% 14 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 12 $0.00
72170 0% 12 $0.00
70496 0% 26 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 54 $0.00
93971 0% 86 $0.00
12001 0% 14 $0.00
84153 0% 17 $0.00
80055 0% 15 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 31 $0.00
70498 0% 15 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 0% 861 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 566 $0.00
92015 Determination of refractive state 0% 66 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 944 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 33 $0.00
87328 0% 12 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 92 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 59 $0.00
80305 0% 31 $0.00
84481 0% 27 $0.00
71250 0% 13 $0.00
87329 0% 12 $0.00
80164 0% 13 $0.00
82570 0% 12 $0.00
83630 0% 13 $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 officialBISHOP, JOHN (CEO)
Same official

Other billing entities under BISHOP, JOHN

Full network →
ProviderLocationPaid
Marcus Daly Memorial Hospital CorporationHamilton, MT$209K
Marcus Daly Memorial Hospital CorpHamilton, MT$39K
Marcus Daly Memorial Hospital CorpHamilton, MT$38K
Marcus Daly Memorial Hospital CorporationDarby, MT$17K
Marcus Daly Memorial Hospital CorporationVictor, MT$15K
Marcus Daly Memorial Hospital CorporationHamilton, MT$14K
Marcus Daly Memorial Hospital CorporationHamilton, MT$9K
Marcus Daly Memorial Hospital CorpHamilton, MT$4K
Marcus Daly Memorial Hospital CorporationHamilton, MT$790.52
Marcus Daly Memorial Hospital CorporationStevensville, MT$267.83
Marcus Daly Memorial Hospital CorporationCorvallis, MT$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.