Hospital
Madison Valley Hospital INC
Madison Valley Hospital INC was paid $14K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 25% of everything it billed.
33Billing provider infoMADISON VALLEY HOSPITAL INC
ENNIS, MT 59729
ENNIS, MT 59729
33aNPI1740223882assigned 06/14/2006
33bProvider typeMedicare Defined Swing Bed Hospital Unit
28Total paid$14K
24GClaims7,745
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Medicare Defined Swing Bed Hospital Unit providers in Montana
Rank by total paid#5 of 8
Median peer was paid$14K
This provider vs. median1.0×
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.
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 | 922 | $3K | |
| 2019 | 1,025 | $2K | |
| 2020 | 716 | $2K | |
| 2021 | 1,487 | $4K | |
| 2022 | 1,250 | $2K | |
| 2023 | 1,463 | $1K | |
| 2024incomplete | 882 | $150.63 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 25% | 515 | 131 | $4K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 84 | 64 | $2K |
| 80053 | Comprehensive metabolic panel | 13% | 1,646 | 1,320 | $2K |
| 85027 | 10% | 1,294 | 1,030 | $1K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 7.7% | 69 | 63 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 7.1% | 82 | 57 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.4% | 151 | 74 | $927.62 |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.4% | 55 | 41 | $638.40 |
| 36415 | Collection of venous blood by venipuncture | 4.0% | 2,761 | 2,112 | $576.28 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.2% | 643 | 465 | $326.06 |
| 86140 | 1.1% | 260 | 197 | $165.35 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 15 | 13 | $110.90 |
2 more codes
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 officialNICHOLSON, ALICIA (CFO)