Agency
Montana Children's Home & Hospital
Montana Children's Home & Hospital was paid $8.69M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 14% of everything it billed.
33Billing provider infoMONTANA CHILDREN'S HOME & HOSPITAL
HELENA, MT 59601
HELENA, MT 59601
33aNPI1811056898assigned 12/06/2006
33bProvider typeCase Management Agency
28Total paid$8.69M
24GClaims99,212
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Montana
Rank by total paid#7 of 29
Median peer was paid$1.23M
This provider vs. median7.0×
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 | 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 | |
| 2024incomplete | 11,892 | $953K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 15,079 | 5,061 | $1.26M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 10,406 | 4,257 | $1.25M |
| S5145 | Foster care, therapeutic, child; per diem | 14% | 7,537 | 245 | $1.25M |
| T1016 | Case management, each 15 minutes | 9.5% | 15,471 | 1,874 | $828K |
| H2012 | Behavioral health day treatment, per hour | 8.2% | 11,922 | 805 | $711K |
| 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 | 8.1% | 5,207 | 4,272 | $706K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 2,594 | 2,117 | $526K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.0% | 4,825 | 2,503 | $437K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 4,594 | 2,538 | $274K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.9% | 5,561 | 3,010 | $252K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.3% | 4,416 | 1,392 | $201K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 694 | 670 | $148K |
23 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.4% | 910 | $125K |
| 99205 | Prolong outpt/office vis | 1.3% | 589 | $116K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 693 | $101K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.1% | 2,263 | $98K |
| 81229 | <1% | 768 | $87K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 699 | $82K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,306 | $60K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 502 | $43K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 188 | $36K |
| 99221 | <1% | 282 | $31K | |
| 99417 | Prolong home eval add 15m | <1% | 513 | $27K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 426 | $26K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 911 | $13K |
| 97803 | <1% | 118 | $3K | |
| 99356 | <1% | 168 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 443 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $916.96 |
| 97802 | <1% | 12 | $458.28 | |
| 96137 | <1% | 16 | $431.43 | |
| 96136 | <1% | 16 | $309.98 | |
| 99418 | Prolong nursin fac eval 15m | <1% | 36 | $285.23 |
| 81243 | <1% | 17 | $261.00 | |
| 88280 | <1% | 12 | $117.00 |
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 officialAFANADOR, NELSON (RCM DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Montana Children's Home & Hospital | Helena, MT | $1.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.