Great Falls Clinic LLC
Great Falls Clinic LLC was paid $11.19M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoGREAT FALLS CLINIC LLC
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1801897780assigned 08/02/2005
33bProvider typeOptician
28Total paid$11.19M
24GClaims323,518
24DCodes billed107
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optician providers in Montana
Rank by total paid#1 of 11
Median peer was paid$130K
This provider vs. median86×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BALDOCK, JENNIFER controls 20+ related entities in our dataset. Read more
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 | 34,074 | $1.71M | |
| 2019 | 29,329 | $1.68M | |
| 2020 | 26,198 | $1.19M | |
| 2021 | 24,347 | $1.67M | |
| 2022 | 68,144 | $1.85M | |
| 2023 | 92,471 | $1.76M | |
| 2024incomplete | 48,955 | $1.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 57,539 | 48,637 | $4.11M |
| 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 | 31% | 36,270 | 30,372 | $3.47M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 4,055 | 3,664 | $449K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 3,414 | 3,007 | $355K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.7% | 1,054 | 674 | $302K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 2,178 | 1,831 | $302K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 2,638 | 2,459 | $301K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 2,861 | 2,478 | $278K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 1,537 | 1,322 | $267K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 12,041 | 10,696 | $226K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 1,476 | 1,343 | $160K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 6,113 | 5,389 | $138K |
95 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 825 | $80K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,539 | $77K |
| 95117 | <1% | 7,013 | $63K | |
| 95886 | <1% | 372 | $56K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 906 | $52K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 753 | $39K |
| 92567 | <1% | 3,690 | $32K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 661 | $29K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 134 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 716 | $28K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 397 | $27K |
| 90670 | <1% | 1,846 | $22K | |
| 93000 | <1% | 2,487 | $21K | |
| 92558 | <1% | 710 | $21K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 260 | $18K |
| 90651 | <1% | 428 | $18K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 147 | $17K |
| 92015 | Determination of refractive state | <1% | 1,256 | $16K |
| 94060 | <1% | 578 | $15K | |
| 92557 | <1% | 826 | $15K | |
| 69210 | <1% | 601 | $14K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 401 | $10K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 2,268 | $9K |
| 96127 | <1% | 2,358 | $9K | |
| 90686 | <1% | 3,764 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 113 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 55 | $6K |
| 62323 | <1% | 70 | $6K | |
| 94010 | <1% | 384 | $6K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 151 | $6K |
| 90734 | <1% | 212 | $6K | |
| 90961 | <1% | 77 | $5K | |
| 90723 | <1% | 930 | $5K | |
| 90461 | <1% | 1,067 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 66 | $4K |
| 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% | 242 | $3K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 21 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 250 | $3K |
| 95911 | <1% | 13 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $3K |
| 92504 | <1% | 816 | $2K | |
| 99383 | <1% | 16 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 453 | $2K |
| 99384 | <1% | 15 | $2K | |
| 90677 | <1% | 100 | $2K | |
| 90680 | <1% | 484 | $2K | |
| 95811 | <1% | 13 | $2K | |
| 92134 | <1% | 102 | $2K | |
| 90647 | <1% | 883 | $2K | |
| 96160 | <1% | 604 | $2K | |
| 99381 | <1% | 12 | $1K | |
| 90966 | <1% | 14 | $1K | |
| 90633 | <1% | 320 | $1K | |
| 90962 | <1% | 15 | $1K | |
| 90710 | <1% | 43 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 107 | $1K |
| 11721 | <1% | 87 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 189 | $972.14 |
| 82962 | <1% | 725 | $951.70 | |
| 90715 | <1% | 125 | $828.95 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $645.14 |
| 96161 | <1% | 152 | $473.78 | |
| 90656 | <1% | 90 | $333.00 | |
| 90696 | <1% | 24 | $294.74 | |
| S0315 | Disease management program; initial assessment and initiation of the program | <1% | 38 | $285.00 |
| 95012 | <1% | 12 | $248.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $216.67 |
| 90474 | <1% | 14 | $191.52 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 14 | $91.00 |
| 99173 | <1% | 364 | $61.60 | |
| 51798 | <1% | 12 | $59.80 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 149 | $5.09 |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | <1% | 23 | $0.28 |
| 3078F | 0% | 18,855 | $0.00 | |
| 1159F | 0% | 29,125 | $0.00 | |
| 1160F | 0% | 29,134 | $0.00 | |
| 3725F | 0% | 2,300 | $0.00 | |
| 99499 | 0% | 121 | $0.00 | |
| 90473 | 0% | 62 | $0.00 | |
| 3077F | 0% | 96 | $0.00 | |
| 90685 | 0% | 32 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 3008F | 0% | 25,648 | $0.00 | |
| 3074F | 0% | 23,071 | $0.00 | |
| 1036F | 0% | 14,216 | $0.00 | |
| 3079F | 0% | 3,523 | $0.00 | |
| 3075F | 0% | 401 | $0.00 | |
| 1034F | 0% | 268 | $0.00 | |
| 1126F | 0% | 225 | $0.00 | |
| 99024 | 0% | 409 | $0.00 | |
| 3080F | 0% | 72 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 28 | $0.00 |
| 1125F | 0% | 54 | $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 officialBALDOCK, JENNIFER (OFFICER AND AUTHORIZED OFFICIAL)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.