Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDENCE HEALTH & SERVICES MT

NPI: 1790931517 · MISSOULA, MT 59808 · Family Medicine Physician · NPI assigned 08/12/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$4.93M
Total Medicaid Paid
70,622
Total Claims
64,903
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
Parent OrganizationPROVIDENCE HEALTH & SERVICES
NPI Enumeration Date08/12/2008

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,532 $752K
2019 13,050 $728K
2020 8,914 $535K
2021 10,439 $820K
2022 10,231 $850K
2023 8,680 $703K
2024 5,776 $545K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,443 25,387 $2.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,486 13,355 $1.48M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,420 4,184 $471K
90460 Immunization administration through 18 years of age via any route, first or only component 2,844 2,566 $123K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 950 908 $112K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,407 2,324 $109K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 656 641 $80K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 564 535 $60K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,580 1,288 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 293 269 $44K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,017 1,960 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,229 2,630 $38K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 663 440 $37K
90834 Psychotherapy, 45 minutes with patient 659 399 $37K
99215 Prolong outpt/office vis 144 133 $21K
71046 Radiologic examination, chest; 2 views 842 793 $17K
90686 2,267 2,220 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 172 170 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 128 118 $7K
90791 Psychiatric diagnostic evaluation 71 66 $6K
99205 Prolong outpt/office vis 32 26 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 134 119 $5K
99173 1,386 1,348 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 80 64 $5K
99384 20 18 $3K
90832 Psychotherapy, 30 minutes with patient 61 50 $3K
99385 21 13 $2K
99443 44 25 $2K
90837 Psychotherapy, 53 minutes with patient 12 12 $1K
91320 14 14 $1K
0124A 38 37 $1K
96161 225 196 $814.90
90461 1,039 1,000 $607.81
92552 18 16 $551.36
81002 155 151 $431.51
81003 250 231 $419.24
90682 15 14 $365.88
90480 16 16 $360.00
90670 353 336 $353.46
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19 15 $338.16
90472 Immunization administration, each additional vaccine (list separately) 13 13 $333.54
90656 90 90 $177.56
96160 48 48 $127.38
96127 13 12 $103.90
90647 152 141 $25.06
90685 157 152 $18.37
90723 84 81 $0.00
90680 44 41 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
90633 195 181 $0.00
90687 47 45 $0.00