Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Western Montana Clinic PC

Western Montana Clinic PC was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 7.0% of everything it billed.

33Billing provider infoWESTERN MONTANA CLINIC PC
MISSOULA, MT 59802
33aNPI1740364017assigned 10/24/2006
28Total paid$1.70M
24GClaims142,980
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Montana

Rank by total paid#2 of 18
Median peer was paid$125K
This provider vs. median14×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201821,695$264K
201921,280$256K
202017,963$187K
202122,847$281K
202221,281$256K
202321,283$255K
2024incomplete16,631$199K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 7.0% 5,949 5,479 $119K
88305 Level IV - Surgical pathology, gross and microscopic examination 6.7% 3,908 2,932 $115K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6.6% 3,387 3,161 $111K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6.6% 3,390 3,160 $111K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6.3% 4,488 4,155 $107K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 6.0% 4,177 3,911 $102K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 5.6% 2,944 2,799 $95K
80053 Comprehensive metabolic panel 5.6% 13,688 12,402 $94K
36415 Collection of venous blood by venipuncture 5.4% 27,432 24,309 $91K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.4% 14,103 12,810 $74K
80050 General health panel 4.2% 1,346 1,264 $72K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3.1% 759 724 $52K
58 more codes
80061 Lipid panel 2.6% 4,456 $44K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.6% 1,958 $44K
86803 2.2% 2,941 $37K
87660 2.0% 1,958 $35K
87510 2.0% 1,952 $35K
87480 2.0% 1,970 $35K
82728 1.4% 2,223 $24K
83036 Hemoglobin; glycosylated (A1C) 1.4% 3,456 $24K
86140 1.4% 5,322 $23K
87340 1.1% 2,063 $19K
87581 <1% 422 $17K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 726 $17K
85027 <1% 2,784 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 428 $14K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 157 $13K
86780 <1% 1,057 $12K
81001 <1% 4,424 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 236 $11K
83550 <1% 1,424 $10K
84439 <1% 1,332 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 119 $9K
83540 <1% 1,657 $9K
80048 Basic metabolic panel (calcium, ionized) <1% 1,453 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 476 $8K
82607 <1% 690 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 449 $7K
85652 <1% 2,216 $5K
87653 <1% 141 $5K
86850 <1% 521 $4K
82570 <1% 1,129 $4K
80076 <1% 502 $4K
85651 <1% 1,099 $4K
86901 <1% 1,281 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 136 $3K
83690 <1% 370 $2K
86160 <1% 234 $2K
86431 <1% 390 $2K
82550 <1% 345 $2K
84403 <1% 87 $2K
82977 <1% 233 $2K
85610 <1% 469 $2K
84156 <1% 509 $2K
87081 <1% 217 $1K
86592 <1% 253 $1K
82950 <1% 246 $1K
86900 <1% 355 $967.43
87420 <1% 41 $635.42
83735 <1% 141 $609.80
81025 <1% 83 $609.28
84436 <1% 91 $607.60
82670 <1% 13 $279.40
87070 <1% 27 $261.28
84702 <1% 17 $225.75
84153 <1% 12 $220.68
82043 <1% 42 $150.74
84100 <1% 49 $150.12
84703 <1% 14 $98.96
84460 <1% 13 $53.00

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 officialVANREGENMORTER, ADAM (LABORATORY DIRECTOR)