Physician
Five Valleys Urology
Five Valleys Urology was paid $135K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoFIVE VALLEYS UROLOGY
MISSOULA, MT 59808
MISSOULA, MT 59808
33aNPI1720067705assigned 01/10/2006
33bProvider typeUrology Physician
28Total paid$135K
24GClaims22,078
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 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 | 2,893 | $17K | |
| 2019 | 3,894 | $32K | |
| 2020 | 2,504 | $13K | |
| 2021 | 3,003 | $19K | |
| 2022 | 2,936 | $30K | |
| 2023 | 3,944 | $13K | |
| 2024incomplete | 2,904 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 794 | 759 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 446 | 413 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 633 | 604 | $27K |
| 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 | 9.7% | 110 | 101 | $13K |
| 51798 | 2.2% | 379 | 338 | $3K | |
| 81001 | 1.8% | 1,242 | 1,119 | $2K | |
| 81003 | <1% | 89 | 82 | $135.00 | |
| 81000 | <1% | 16 | 14 | $56.28 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 3,078 | 2,858 | $3.85 |
| 1036F | 0% | 3,643 | 3,363 | $0.00 | |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 1,554 | 1,433 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 208 | 196 | $0.00 |
10 more codes
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 135 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 1,488 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 566 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,116 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,356 | $0.00 |
| 4004F | 0% | 97 | $0.00 | |
| 4040F | 0% | 13 | $0.00 | |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 26 | $0.00 |
| 1124F | 0% | 46 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 43 | $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 officialO'CONNOR, JOHN (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Forestville Central School | Forestville, NY | $11K |
| Bethpage Fire District | Bethpage, NY | $92.41 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.