Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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County of Big Horn

County of Big Horn was paid $3.97M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is A0398, Als routine disposable supplies — 21% of everything it billed.

33Billing provider infoCOUNTY OF BIG HORN
HARDIN, MT 59034
33aNPI1780629139assigned 06/19/2006
33bProvider typeLand Ambulance
28Total paid$3.97M
24GClaims24,950
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Land Ambulance providers in Montana

Rank by total paid#5 of 36
Median peer was paid$81K
This provider vs. median49×

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$25K$50K$75K2018201920202021202220232024
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
20183,328$494K
20193,752$555K
20203,921$606K
20213,893$643K
20223,657$625K
20233,757$633K
2024incomplete2,642$416K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A0398 Als routine disposable supplies 21% 3,432 2,761 $848K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 20% 4,568 3,633 $807K
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 17% 3,098 2,572 $660K
A0382 Bls routine disposable supplies 13% 4,114 3,264 $520K
A0380 Bls mileage (per mile) 9.6% 4,076 3,231 $381K
A0390 Als mileage (per mile) 9.4% 3,236 2,630 $375K
A0394 Als specialized service disposable supplies; iv drug therapy 8.7% 1,442 1,265 $347K
A0425 Ground mileage, per statute mile <1% 482 363 $23K
A0434 Specialty care transport (sct) <1% 18 13 $6K
A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation <1% 484 404 $5K

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 officialMEDICINEHORSE, PATTI (DIRECTOR)