Providence ST Joseph Medical Center
Providence ST Joseph Medical Center was paid $1.07M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99283, emergency room visit (moderate) — 49% of everything it billed.
POLSON, MT 59860
Next to other Family Medicine Physician providers in Montana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,116 | $185K | |
| 2019 | 2,086 | $189K | |
| 2020 | 1,314 | $121K | |
| 2021 | 1,814 | $176K | |
| 2022 | 1,821 | $188K | |
| 2023 | 1,182 | $113K | |
| 2024incomplete | 992 | $97K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 49% | 6,865 | 6,663 | $522K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 49% | 4,104 | 3,921 | $520K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.1% | 123 | 117 | $22K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 161 | 156 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 18 | 16 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 12 | $818.64 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | 12 | $627.74 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 24 | 13 | $401.35 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.