Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Big Horn Hospital Association

Big Horn Hospital Association was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is 99283, emergency room visit (moderate) — 56% of everything it billed.

33Billing provider infoBIG HORN HOSPITAL ASSOCIATION
HARDIN, MT 59034
33aNPI1891713533assigned 07/18/2006
33bProvider typeCritical Access Hospital
28Total paid$1.07M
24GClaims178,609
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Montana

Rank by total paid#3 of 25
Median peer was paid$185K
This provider vs. median5.8×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201820,580$137K
201925,308$162K
202025,964$116K
202127,856$144K
202232,473$163K
202326,581$162K
2024incomplete19,847$183K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 56% 17,843 15,759 $599K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 4,830 4,049 $175K
99282 Emergency department visit for the evaluation and management, low to moderate severity 15% 10,539 9,631 $158K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.9% 2,295 1,797 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.4% 7,166 1,695 $15K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 716 525 $14K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 549 499 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,830 1,694 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,484 3,277 $8K
70450 Computed tomography, head or brain; without contrast material <1% 1,530 1,068 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,451 1,262 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 275 259 $3K
111 more codes
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,203 $3K
80053 Comprehensive metabolic panel <1% 11,908 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,289 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,143 $3K
87081 <1% 2,547 $2K
97161 <1% 544 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 10,946 $2K
71046 Radiologic examination, chest; 2 views <1% 1,086 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,221 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,062 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 753 $1K
87070 <1% 2,630 $1K
71045 Radiologic examination, chest; single view <1% 2,685 $1K
83605 <1% 3,352 $1K
72125 Computed tomography, cervical spine; without contrast material <1% 306 $948.74
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,555 $882.72
J3490 Unclassified drugs <1% 597 $874.01
87086 Culture, bacterial; quantitative colony count, urine <1% 4,304 $857.93
J0561 Injection, penicillin g benzathine, 100,000 units <1% 69 $819.83
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 2,089 $808.75
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,267 $736.36
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,260 $669.43
J7050 Infusion, normal saline solution, 250 cc <1% 2,357 $590.21
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,867 $586.38
87492 <1% 346 $577.46
J0558 Injection, penicillin g benzathine and penicillin g procaine, 100,000 units <1% 42 $546.48
87634 <1% 103 $540.62
87592 <1% 343 $462.65
87077 <1% 2,436 $460.62
87186 <1% 2,316 $402.30
36415 Collection of venous blood by venipuncture <1% 5,583 $387.81
80305 <1% 2,407 $380.33
84443 Thyroid stimulating hormone (TSH) <1% 2,454 $379.74
82077 <1% 835 $368.83
80074 <1% 471 $358.96
81025 <1% 1,346 $354.44
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 727 $349.93
85027 <1% 1,727 $341.19
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,727 $277.31
81015 <1% 2,934 $261.92
86140 <1% 1,063 $261.53
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 461 $249.03
80061 Lipid panel <1% 1,667 $230.45
73130 <1% 13 $219.58
76830 Ultrasound, transvaginal <1% 16 $175.15
83036 Hemoglobin; glycosylated (A1C) <1% 2,075 $172.25
84484 <1% 2,011 $171.79
83690 <1% 2,371 $164.26
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 723 $155.50
81003 <1% 2,598 $149.63
97162 <1% 15 $139.67
80050 General health panel <1% 437 $137.16
85610 <1% 2,791 $135.42
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 599 $129.14
81001 <1% 1,200 $101.85
86592 <1% 937 $88.64
87040 <1% 188 $84.18
86803 <1% 201 $76.52
82657 <1% 123 $73.56
J3535 Drug administered through a metered dose inhaler <1% 192 $67.51
87210 <1% 338 $62.44
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 738 $60.82
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 115 $56.42
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 115 $56.42
87807 <1% 30 $48.82
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 370 $44.43
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 307 $43.64
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 27 $36.98
87581 <1% 26 $36.98
87486 <1% 26 $36.98
85007 <1% 389 $32.80
82607 <1% 14 $32.38
80048 Basic metabolic panel (calcium, ionized) <1% 228 $31.00
85730 <1% 307 $30.88
84703 <1% 300 $30.65
83735 <1% 1,076 $27.36
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 204 $26.99
82150 <1% 660 $26.40
J3010 Injection, fentanyl citrate, 0.1 mg <1% 247 $22.50
83540 <1% 25 $20.80
85652 <1% 253 $19.74
83550 <1% 12 $14.05
85380 0% 31 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 58 $0.00
86703 0% 62 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 410 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 182 $0.00
G0390 Trauma response team associated with hospital critical care service 0% 21 $0.00
84439 0% 56 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 0% 169 $0.00
87338 0% 13 $0.00
82140 0% 30 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 17 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 19 $0.00
73610 0% 14 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 637 $0.00
J2060 Injection, lorazepam, 2 mg 0% 317 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 153 $0.00
83880 0% 102 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 0% 15 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 44 $0.00
H0049 Alcohol and/or drug screening 0% 156 $0.00
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 0% 19 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 13 $0.00
G0378 Hospital observation service, per hour 0% 98 $0.00
87147 0% 16 $0.00
87390 0% 47 $0.00
96361 Intravenous infusion, hydration; each additional hour 0% 33 $0.00
76700 Ultrasound, abdominal, real time with image documentation; complete 0% 13 $0.00
96375 Therapeutic injection; each additional sequential IV push 0% 16 $0.00
J2373 Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms 0% 15 $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 officialGATRELL, KRISTI (CEO)