Clinic
SCL Health Montana
SCL Health Montana was paid $865K by Medicaid between Mar 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSCL HEALTH MONTANA
BILLINGS, MT 59101
BILLINGS, MT 59101
33aNPI1659706232assigned 09/13/2013
33bProvider typeEmergency Care Clinic/Center
28Total paid$865K
24GClaims9,863
24DCodes billed11
24AFirst – last monthMar 2018 – Nov 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PALAGI, PAM controls 12+ 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 | 528 | $32K | |
| 2019 | 1,870 | $127K | |
| 2020 | 1,788 | $123K | |
| 2021 | 1,587 | $139K | |
| 2022 | 1,356 | $129K | |
| 2023 | 1,602 | $167K | |
| 2024incomplete | 1,132 | $150K |
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 | 46% | 5,363 | 4,390 | $401K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 2,434 | 2,125 | $255K |
| 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 | 12% | 623 | 551 | $102K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 785 | 636 | $100K |
| 73100 | <1% | 268 | 231 | $2K | |
| 72081 | <1% | 103 | 89 | $1K | |
| 77077 | <1% | 70 | 62 | $1K | |
| 99221 | <1% | 12 | 12 | $1K | |
| 73610 | <1% | 105 | 92 | $941.74 | |
| 73521 | <1% | 74 | 63 | $833.00 | |
| 73090 | <1% | 26 | 25 | $271.70 |
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 officialPALAGI, PAM (VP FINANCE)
Parent organizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| SCL Health Montana | Billings, MT | $2.70M |
| ST James Healthcare | Butte, MT | $1.70M |
| SCL Health Montana | Billings, MT | $448K |
| SCL Health Montana | Billings, MT | $387K |
| ST. James Healthcare | Butte, MT | $314K |
| SCL Health Montana | Billings, MT | $43K |
| SCL Health Montana | Billings, MT | $29K |
| ST. James Healthcare | Boulder, MT | $22K |
| SCL Health Montana | Billings, MT | $15K |
| SCL Health Montana | Billings, MT | $11K |
| SCL Health Montana | Billings, MT | $7K |
| SCL Health Montana | Billings, MT | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.