Providence ST Joseph Medical Center
Providence ST Joseph Medical Center was paid $51.16 by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 67% of everything it billed.
RONAN, MT 59864
Next to other Rural Health Clinic/Center 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 | 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 | |
| 2024incomplete | 915 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 67% | 1,083 | 1,065 | $34.11 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 33% | 2,483 | 2,430 | $17.05 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 2,779 | 2,585 | $0.00 |
| 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 | 0% | 4,056 | 3,694 | $0.00 |
| 96161 | 0% | 174 | 165 | $0.00 | |
| 99443 | 0% | 32 | 25 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 111 | 107 | $0.00 |
| 90474 | 0% | 125 | 121 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 207 | 202 | $0.00 |
| 90686 | 0% | 144 | 139 | $0.00 | |
| 96127 | 0% | 43 | 42 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 903 | 825 | $0.00 |
8 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 896 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 334 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 315 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 564 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 260 | $0.00 |
| 99173 | 0% | 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 | 0% | 17 | $0.00 |
| 99490 | Ccm add 20min | 0% | 31 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.