Medicaid Provider Spending

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

PROVIDENCE ST JOSEPH MEDICAL CENTER

NPI: 1821184888 · POLSON, MT 59860 · Critical Access Hospital · NPI assigned 10/05/2006

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

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

$652K
Total Medicaid Paid
227,079
Total Claims
187,388
Beneficiaries
148
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES
NPI Enumeration Date10/05/2006

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 39,653 $71K
2019 34,099 $120K
2020 29,080 $78K
2021 38,159 $100K
2022 34,484 $123K
2023 29,386 $69K
2024 22,218 $92K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 8,078 6,737 $96K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,386 4,031 $76K
99284 Emergency department visit for the evaluation and management, high severity 7,162 5,707 $69K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,410 1,285 $65K
87631 2,122 2,022 $30K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,673 1,903 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,746 1,664 $23K
70450 Computed tomography, head or brain; without contrast material 1,391 1,248 $21K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,107 1,047 $18K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,149 1,035 $13K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,733 1,661 $12K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,710 4,060 $12K
80053 Comprehensive metabolic panel 16,259 13,643 $11K
71046 Radiologic examination, chest; 2 views 1,670 1,546 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,165 3,068 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,064 1,824 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 554 439 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,016 13,175 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,646 2,479 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity 978 891 $7K
96361 Intravenous infusion, hydration; each additional hour 3,487 2,928 $6K
71045 Radiologic examination, chest; single view 2,649 2,324 $6K
80306 1,503 1,297 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,205 1,026 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,853 3,197 $4K
72125 Computed tomography, cervical spine; without contrast material 200 190 $4K
87081 2,661 2,553 $4K
96375 Therapeutic injection; each additional sequential IV push 3,786 3,076 $3K
81001 4,570 4,026 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,055 1,968 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,053 1,966 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,388 2,930 $3K
73110 507 383 $3K
81025 2,932 2,739 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,443 1,981 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 99 95 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 439 384 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,439 589 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,275 1,027 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 2,071 1,575 $2K
87420 527 498 $2K
83690 2,778 2,433 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,623 1,582 $2K
G0378 Hospital observation service, per hour 237 99 $2K
84443 Thyroid stimulating hormone (TSH) 5,065 4,789 $2K
36415 Collection of venous blood by venipuncture 13,885 11,866 $2K
73630 666 587 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,319 2,904 $2K
87086 Culture, bacterial; quantitative colony count, urine 3,592 3,279 $2K
73610 726 650 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,373 1,324 $2K
80048 Basic metabolic panel (calcium, ionized) 2,200 1,895 $2K
J2704 Injection, propofol, 10 mg 1,352 1,125 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 334 324 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,573 1,381 $2K
J7030 Infusion, normal saline solution , 1000 cc 3,293 2,677 $1K
80061 Lipid panel 2,607 2,549 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,434 2,241 $1K
85027 3,383 3,031 $951.53
87077 2,041 1,885 $896.62
87186 1,704 1,556 $874.07
82077 1,127 980 $812.94
81003 2,315 2,144 $810.83
J7120 Ringers lactate infusion, up to 1000 cc 1,652 1,330 $799.15
87070 736 686 $773.10
83036 Hemoglobin; glycosylated (A1C) 3,157 3,050 $766.29
J2270 Injection, morphine sulfate, up to 10 mg 348 285 $762.79
86140 1,458 1,277 $691.96
83605 1,051 720 $685.98
73030 339 297 $666.60
73130 384 321 $630.27
87040 629 300 $628.57
82728 457 443 $616.96
84484 2,280 1,746 $609.14
80305 458 379 $605.95
81002 3,663 3,158 $582.72
85652 873 792 $480.98
96376 342 276 $423.59
84703 699 631 $422.44
97161 175 164 $422.00
84439 1,006 960 $387.55
88305 Level IV - Surgical pathology, gross and microscopic examination 637 542 $361.94
J7050 Infusion, normal saline solution, 250 cc 2,609 1,024 $352.36
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 38 38 $316.78
J2250 Injection, midazolam hydrochloride, per 1 mg 736 561 $301.17
85651 747 657 $295.61
73562 156 150 $277.61
J0696 Injection, ceftriaxone sodium, per 250 mg 414 267 $231.33
84145 129 91 $205.50
84702 271 198 $200.69
85610 2,051 1,506 $194.93
86900 248 229 $183.29
97162 137 129 $180.00
87205 648 572 $158.42
80143 158 150 $150.83
80179 146 137 $141.65
J2765 Injection, metoclopramide hcl, up to 10 mg 139 116 $138.00
86901 235 217 $137.46
J1200 Injection, diphenhydramine hcl, up to 50 mg 26 25 $136.34
83550 86 84 $132.16
83880 140 122 $127.79
J1170 Injection, hydromorphone, up to 4 mg 924 652 $120.30
85018 230 219 $117.25
87210 472 446 $104.20
83540 91 89 $97.76
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 35 25 $74.16
82962 1,340 777 $64.66
86803 791 777 $62.70
73080 27 24 $61.24
73560 44 43 $52.53
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 44 39 $51.25
87147 13 13 $38.94
J2060 Injection, lorazepam, 2 mg 418 345 $30.38
83735 568 445 $29.46
82607 31 27 $28.50
82805 42 37 $11.72
A9270 Non-covered item or service 529 235 $2.21
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 305 299 $0.00
77063 Screening digital breast tomosynthesis, bilateral 298 297 $0.00
86850 88 84 $0.00
87430 13 13 $0.00
87340 65 65 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 23 13 $0.00
73502 13 12 $0.00
84478 25 25 $0.00
86762 13 13 $0.00
85379 14 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 65 47 $0.00
76830 Ultrasound, transvaginal 14 12 $0.00
86592 27 24 $0.00
A9585 Injection, gadobutrol, 0.1 ml 14 13 $0.00
80055 14 14 $0.00
88342 18 12 $0.00
82043 13 12 $0.00
J3490 Unclassified drugs 18 12 $0.00
J1790 Injection, droperidol, up to 5 mg 15 12 $0.00
87806 84 81 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 361 360 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 124 100 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 176 151 $0.00
82570 102 90 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 18 17 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 88 60 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 149 136 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 27 24 $0.00
87653 13 12 $0.00
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $0.00
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 12 $0.00