PROVIDENCE HEALTH & SERVICES MT
NPI: 1730325440
· MISSOULA, MT 59808
· 207R00000X
$204K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,866 |
$117K |
| 2019 |
1,153 |
$62K |
| 2020 |
424 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,050 |
1,737 |
$132K |
| 99213 |
|
1,370 |
1,225 |
$60K |
| S0281 |
Medical home, maintenance |
1,894 |
1,894 |
$8K |
| 99204 |
|
13 |
12 |
$2K |
| 90471 |
|
45 |
40 |
$831.48 |
| 90686 |
|
35 |
34 |
$425.75 |
| S0315 |
Disease management program |
36 |
36 |
$270.00 |