Physician
Montana Neurology PLLC
Montana Neurology PLLC was paid $380K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 75% of everything it billed.
33Billing provider infoMONTANA NEUROLOGY PLLC
MISSOULA, MT 59804
MISSOULA, MT 59804
33aNPI1780810275assigned 06/10/2009
33bProvider typeNeurology Physician
28Total paid$380K
24GClaims3,374
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in Montana
Rank by total paid#2 of 6
Median peer was paid$60K
This provider vs. median6.3×
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 | 653 | $53K | |
| 2019 | 424 | $31K | |
| 2020 | 315 | $19K | |
| 2021 | 247 | $28K | |
| 2022 | 499 | $64K | |
| 2023 | 666 | $92K | |
| 2024incomplete | 570 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 75% | 2,203 | 1,895 | $284K |
| 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 | 17% | 979 | 868 | $66K |
| 95819 | 3.8% | 27 | 27 | $14K | |
| 95813 | 2.7% | 45 | 38 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 59 | 49 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | 60 | $2K |
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 officialSWANSON, THOMAS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Heights Home Health, INC. | Mapleton, IA | $91K |
| Idaho Neurology PLLC | Boise, ID | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.