Medicaid Provider Spending

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

MONTANA CHILDREN'S HOME & HOSPITAL

NPI: 1811056898 · HELENA, MT 59601 · Case Management Agency · NPI assigned 12/06/2006

$8.69M
Total Medicaid Paid
99,212
Total Claims
36,417
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAFANADOR, NELSON (RCM DIRECTOR)
NPI Enumeration Date12/06/2006

Related Entities

Other providers sharing the same authorized official: AFANADOR, NELSON

ProviderCityStateTotal Paid
MONTANA CHILDREN'S HOME & HOSPITAL HELENA MT $1.08M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,887 $679K
2019 14,594 $1.38M
2020 13,712 $1.34M
2021 14,697 $1.37M
2022 20,147 $1.74M
2023 17,283 $1.23M
2024 11,892 $953K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 15,079 5,061 $1.26M
99233 Prolong inpt eval add15 m 10,406 4,257 $1.25M
S5145 Foster care, therapeutic, child; per diem 7,537 245 $1.25M
T1016 Case management, each 15 minutes 15,471 1,874 $828K
H2012 Behavioral health day treatment, per hour 11,922 805 $711K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,207 4,272 $706K
99215 Prolong outpt/office vis 2,594 2,117 $526K
90837 Psychotherapy, 53 minutes with patient 4,825 2,503 $437K
90834 Psychotherapy, 45 minutes with patient 4,594 2,538 $274K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,561 3,010 $252K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,416 1,392 $201K
99223 Prolong inpt eval add15 m 694 670 $148K
90791 Psychiatric diagnostic evaluation 910 887 $125K
99205 Prolong outpt/office vis 589 561 $116K
99222 Initial hospital care, per day, moderate complexity 693 684 $101K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,263 740 $98K
81229 768 746 $87K
99239 Hospital discharge day management, more than 30 minutes 699 676 $82K
90832 Psychotherapy, 30 minutes with patient 1,306 853 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 502 441 $43K
90792 Psychiatric diagnostic evaluation with medical services 188 175 $36K
99221 282 279 $31K
99417 Prolong home eval add 15m 513 446 $27K
90847 Family psychotherapy with the patient present, 50 minutes 426 243 $26K
90853 Group psychotherapy (other than of a multiple-family group) 911 217 $13K
97803 118 81 $3K
99356 168 114 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 443 427 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 14 $916.96
97802 12 12 $458.28
96137 16 12 $431.43
96136 16 12 $309.98
99418 Prolong nursin fac eval 15m 36 26 $285.23
81243 17 15 $261.00
88280 12 12 $117.00