Clinic
Lake County
Lake County was paid $24K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 43% of everything it billed.
33Billing provider infoLAKE COUNTY
POLSON, MT 59860
POLSON, MT 59860
33aNPI1699867051assigned 09/29/2006
33bProvider typeNon-Surgical Family Planning Clinic/Center
28Total paid$24K
24GClaims1,285
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
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 | 385 | $8K | |
| 2019 | 354 | $7K | |
| 2020 | 194 | $2K | |
| 2021 | 90 | $2K | |
| 2022 | 115 | $2K | |
| 2023 | 128 | $3K | |
| 2024incomplete | 19 | $378.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 43% | 638 | 565 | $10K |
| 90651 | 23% | 75 | 64 | $6K | |
| 90734 | 12% | 74 | 64 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.0% | 138 | 86 | $2K |
| 90715 | 6.5% | 111 | 99 | $2K | |
| 90686 | 5.4% | 223 | 198 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 26 | 24 | $533.36 |
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 officialCOLOMEDA, EMILY (HEALTH SERVICES DIRECTOR)