SCL Health Montana
SCL Health Montana was paid $2.70M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 25% of everything it billed.
BILLINGS, MT 59101
Next to other Durable Medical Equipment & Medical Supplies 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 | 9,913 | $204K | |
| 2019 | 11,409 | $241K | |
| 2020 | 12,723 | $367K | |
| 2021 | 15,815 | $530K | |
| 2022 | 14,199 | $546K | |
| 2023 | 16,430 | $530K | |
| 2024incomplete | 10,315 | $281K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 25% | 14,181 | 12,545 | $673K |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 21% | 748 | 663 | $569K |
| E0601 | Continuous positive airway pressure (cpap) device | 5.7% | 4,929 | 4,424 | $152K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 5.5% | 3,385 | 3,097 | $147K |
| A7030 | Full face mask used with positive airway pressure device, each | 5.2% | 2,126 | 1,934 | $140K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 5.1% | 4,857 | 4,413 | $139K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | 3.4% | 1,169 | 993 | $92K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.2% | 7,768 | 6,950 | $85K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 2.4% | 5,770 | 5,228 | $64K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 2.3% | 2,795 | 2,376 | $61K |
| A7031 | Face mask interface, replacement for full face mask, each | 1.9% | 2,077 | 1,805 | $52K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | 1.8% | 1,903 | 1,775 | $48K |
35 more codes
| A4927 | Gloves, non-sterile, per 100 | 1.8% | 1,950 | $48K |
| A7035 | Headgear used with positive airway pressure device | 1.6% | 3,042 | $43K |
| K0001 | Standard wheelchair | 1.5% | 2,230 | $40K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | 1.4% | 903 | $39K |
| E1392 | Portable oxygen concentrator, rental | 1.3% | 2,572 | $35K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.2% | 8,465 | $32K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.1% | 712 | $28K |
| E0570 | Nebulizer, with compressor | <1% | 4,638 | $27K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 321 | $21K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 2,069 | $18K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 370 | $17K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 126 | $16K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 297 | $13K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 2,718 | $13K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | <1% | 2,262 | $11K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 156 | $11K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 69 | $9K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 2,418 | $8K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 336 | $7K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 689 | $6K |
| K0007 | Extra heavy duty wheelchair | <1% | 93 | $6K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 85 | $5K |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 559 | $4K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 52 | $4K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 466 | $4K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 361 | $3K |
| A7002 | Tubing, used with suction pump, each | <1% | 223 | $2K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 26 | $2K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 13 | $1K |
| E1020 | Residual limb support system for wheelchair, any type | <1% | 61 | $1K |
| E0156 | Seat attachment, walker | <1% | 442 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 261 | $657.50 |
| A7037 | Tubing used with positive airway pressure device | <1% | 43 | $621.82 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 25 | $227.34 |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 43 | $159.28 |
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
| Provider | Location | Paid |
|---|---|---|
| ST James Healthcare | Butte, MT | $1.70M |
| SCL Health Montana | Billings, MT | $865K |
| 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.