Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDENCE ST JOSEPH MEDICAL CENTER

NPI: 1730417452 · RONAN, MT 59864 · Rural Health Clinic/Center · NPI assigned 11/19/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$51.16
Total Medicaid Paid
14,583
Total Claims
13,719
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationPROVIDENCE ST JOSEPH MEDICAL CENTER
NPI Enumeration Date11/19/2009

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,872 $0.00
2019 3,516 $51.16
2020 2,718 $0.00
2021 1,749 $0.00
2022 2,210 $0.00
2023 1,603 $0.00
2024 915 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90472 Immunization administration, each additional vaccine (list separately) 1,083 1,065 $34.11
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,483 2,430 $17.05
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,779 2,585 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,056 3,694 $0.00
96161 174 165 $0.00
99443 32 25 $0.00
36415 Collection of venous blood by venipuncture 111 107 $0.00
90474 125 121 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 207 202 $0.00
90686 144 139 $0.00
96127 43 42 $0.00
99215 Prolong outpt/office vis 903 825 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 896 884 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 334 329 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 315 242 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 564 536 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 260 256 $0.00
99173 26 26 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 17 16 $0.00
99490 Ccm add 20min 31 30 $0.00