Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Benefis Hospitals INC

Benefis Hospitals INC was paid $38.15M by Medicaid between Jan 2018 and Dec 2024, across 231 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoBENEFIS HOSPITALS INC
GREAT FALLS, MT 59405
33aNPI1780968974assigned 10/06/2011
33bProvider typeSpecialist
28Total paid$38.15M
24GClaims593,425
24DCodes billed231
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Montana

Rank by total paid#1 of 22
Median peer was paid$67K
This provider vs. median573×

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$250K$500K$750K2018201920202021202220232024
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
201881,658$4.38M
201987,238$5.09M
202074,459$4.72M
202191,248$6.22M
202295,720$6.59M
202388,268$6.33M
2024incomplete74,834$4.84M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 98,504 88,891 $8.94M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 116,256 105,164 $8.47M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.0% 23,964 22,841 $2.67M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.8% 35,456 13,820 $1.84M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.2% 10,750 10,158 $1.60M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.1% 23,795 22,734 $1.55M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 7,869 7,366 $814K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 5,854 5,068 $663K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 5,420 5,180 $622K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.6% 15,224 10,286 $600K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 4,896 4,440 $528K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.4% 6,326 5,939 $522K
219 more codes
90460 Immunization administration through 18 years of age via any route, first or only component 1.4% 10,431 $518K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.4% 1,593 $517K
99223 Prolong inpt eval add15 m 1.1% 3,016 $437K
99204 Doctor's office visit, new patient (more involved) 1.1% 2,770 $405K
99222 Initial hospital care, per day, moderate complexity <1% 3,437 $368K
95811 <1% 1,079 $355K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,920 $334K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 5,686 $307K
99239 Hospital discharge day management, more than 30 minutes <1% 3,195 $277K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 408 $273K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,254 $260K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 35,352 $234K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,857 $228K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) <1% 1,636 $222K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,433 $200K
70450 Computed tomography, head or brain; without contrast material <1% 5,219 $183K
99308 Subsequent nursing facility care, per day, straightforward <1% 7,545 $175K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,654 $150K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,841 $132K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,615 $131K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,583 $129K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,057 $122K
71045 Radiologic examination, chest; single view <1% 15,704 $120K
94060 <1% 3,859 $119K
99238 Hospital discharge day management, 30 minutes or less <1% 1,359 $108K
71046 Radiologic examination, chest; 2 views <1% 10,437 $106K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,404 $105K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,104 $101K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,700 $95K
90847 Family psychotherapy with the patient present, 50 minutes <1% 717 $94K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,110 $94K
88342 <1% 3,320 $93K
00731 <1% 635 $86K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,286 $86K
90962 <1% 1,092 $84K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,176 $80K
99205 Prolong outpt/office vis <1% 361 $72K
99221 <1% 805 $69K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,297 $67K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,669 $63K
99220 <1% 707 $62K
11721 <1% 3,797 $60K
90792 Psychiatric diagnostic evaluation with medical services <1% 437 $59K
88307 <1% 723 $55K
90961 <1% 661 $51K
90670 <1% 2,675 $50K
64510 <1% 391 $49K
90461 <1% 4,751 $46K
96127 <1% 5,277 $45K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 334 $40K
90837 Psychotherapy session, about an hour <1% 417 $39K
92567 <1% 3,573 $37K
92557 <1% 1,520 $37K
73630 <1% 1,854 $34K
71275 Computed tomographic angiography, chest, with contrast material <1% 460 $33K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 36 $33K
20611 <1% 440 $30K
92587 <1% 2,009 $29K
99306 Prolong nursin fac eval 15m <1% 411 $27K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 784 $27K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 135 $26K
90686 <1% 6,437 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,791 $23K
99460 <1% 195 $22K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,636 $22K
90472 Immunization administration, each additional vaccine (list separately) <1% 831 $22K
76942 <1% 393 $22K
90791 Psychiatric diagnostic evaluation <1% 215 $21K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 139 $20K
92579 <1% 650 $20K
88304 <1% 1,544 $18K
90832 Psychotherapy session, about 30 minutes <1% 381 $18K
99310 Prolong nursin fac eval 15m <1% 368 $18K
27096 <1% 190 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 304 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,171 $17K
17110 <1% 178 $16K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 346 $16K
96132 <1% 138 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 198 $15K
99307 <1% 992 $14K
95886 <1% 172 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 636 $13K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 476 $13K
31575 <1% 132 $12K
99443 <1% 86 $12K
94726 <1% 414 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 767 $11K
11056 <1% 338 $11K
94729 <1% 400 $11K
95913 <1% 59 $11K
90846 Family psychotherapy without the patient present, 50 minutes <1% 84 $11K
99442 <1% 100 $10K
20610 <1% 316 $10K
90710 <1% 260 $9K
99480 Subsequent intensive care, per day, low birth weight infant <1% 63 $9K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 130 $9K
90723 <1% 1,405 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 32 $8K
29581 <1% 365 $8K
80305 <1% 663 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 59 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 38 $7K
90680 <1% 995 $7K
99152 <1% 605 $7K
99383 <1% 48 $7K
64615 <1% 58 $7K
90836 <1% 76 $7K
81002 <1% 2,248 $7K
72125 Computed tomography, cervical spine; without contrast material <1% 174 $7K
73610 <1% 744 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 607 $6K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 90 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 136 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 26 $5K
11750 <1% 31 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 39 $5K
77002 <1% 168 $5K
93018 <1% 521 $4K
99217 <1% 87 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 118 $4K
93350 <1% 82 $4K
73130 <1% 462 $4K
99173 <1% 1,210 $4K
90651 <1% 96 $4K
74018 <1% 486 $4K
76819 Fetal biophysical profile; without non-stress testing <1% 96 $4K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 72 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 88 $4K
00170 Anesthesia for intraoral procedures, including biopsy <1% 17 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 36 $4K
96156 <1% 73 $4K
99219 <1% 46 $4K
73030 <1% 335 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 224 $4K
11100 <1% 45 $4K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 15 $3K
95012 <1% 189 $3K
73110 <1% 377 $3K
88142 <1% 174 $3K
90647 <1% 1,306 $3K
99236 Prolong inpt eval add15 m <1% 15 $3K
76830 Ultrasound, transvaginal <1% 76 $3K
88112 <1% 142 $3K
72100 <1% 273 $3K
99382 <1% 19 $3K
82962 <1% 884 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 26 $3K
71250 <1% 70 $3K
90633 <1% 520 $3K
99218 <1% 26 $2K
73562 <1% 252 $2K
81025 <1% 270 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 29 $2K
93227 <1% 107 $2K
95911 <1% 14 $2K
11055 <1% 55 $2K
64635 <1% 14 $2K
64493 <1% 25 $2K
36415 Collection of venous blood by venipuncture <1% 346 $2K
87634 <1% 28 $2K
99417 Prolong home eval add 15m <1% 27 $2K
99497 <1% 46 $2K
81003 <1% 797 $2K
95806 <1% 12 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 223 $1K
64494 <1% 43 $1K
90935 Hemodialysis procedure with single evaluation by a physician <1% 31 $1K
90834 Psychotherapy session, about 45 minutes <1% 42 $1K
99381 <1% 12 $1K
62323 <1% 13 $1K
81001 <1% 397 $1K
99153 Mod sedat endo service >5yrs <1% 80 $1K
88341 <1% 27 $1K
72141 <1% 12 $1K
43235 <1% 15 $1K
90734 <1% 25 $974.00
76770 <1% 30 $966.10
76820 <1% 32 $957.95
95251 <1% 26 $843.73
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $833.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 170 $805.49
90656 <1% 253 $762.59
90688 <1% 90 $677.92
93971 <1% 25 $636.64
64636 <1% 15 $584.24
99406 <1% 40 $575.49
51798 <1% 42 $542.21
85060 <1% 25 $533.57
11102 <1% 13 $530.71
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 64 $476.28
93000 <1% 28 $405.02
11045 <1% 17 $397.81
76536 <1% 13 $376.85
97597 <1% 13 $371.92
17000 <1% 12 $340.47
80053 Comprehensive metabolic panel <1% 40 $307.94
92555 <1% 14 $278.64
90677 <1% 39 $251.02
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 183 $214.25
96161 <1% 92 $206.34
90700 <1% 31 $203.52
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $192.60
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 108 $191.79
72110 <1% 19 $172.15
88302 <1% 12 $160.74
90696 <1% 27 $154.05
88300 <1% 34 $153.00
99315 <1% 12 $138.34
73502 <1% 12 $127.17
93294 <1% 14 $116.88
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 18 $99.36
73140 <1% 12 $75.42
90685 <1% 83 $35.70
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 24 $24.68
99177 0% 12 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 12 $0.00
J3490 Unclassified drugs 0% 48 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 37 $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.

From NPPES

Who's on the registration

Authorized officialEHLINGER, FORREST (CFO FOR BENEFIS HEALTH SYSTEMS)
Same official

Other billing entities under EHLINGER, FORREST

Full network →
ProviderLocationPaid
Benefis Community Care, INC.Butte, MT$14.64M
Benefis Community Care, INC.Great Falls, MT$13.22M
Benefis Community Care, INC.Billings, MT$10.81M
Benefis Community Care, INC.Kalispell, MT$6.80M
Benefis Community Care, INC.Great Falls, MT$139K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.