Western Montana Mental Health Center

Western Montana Mental Health Center was paid $87.86M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 27% of everything it billed.

33Billing provider infoWESTERN MONTANA MENTAL HEALTH CENTER
MISSOULA, MT 59801

33aNPI1912079328assigned 11/14/2006

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$87.86M

24GClaims492,089

24DCodes billed52

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Montana

Rank by total paid#1 of 118

Median peer was paid$82K

This provider vs. median1,071×

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	118,909	$13.80M
2019	98,359	$12.95M
2020	84,627	$13.26M
2021	63,992	$12.94M
2022	49,512	$11.82M
2023	41,029	$11.52M
2024incomplete	35,661	$11.57M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0040	Assertive community treatment program, per diem	27%	54,849	17,421	$23.91M
S5102	Adult day care, billed per dayDay care services, adult; per diem	21%	14,688	4,918	$18.88M
S9485	Crisis intervention mental health services, per diem	11%	10,252	6,620	$9.83M
T2016	A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem	5.1%	2,992	656	$4.48M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	4.9%	53,429	26,502	$4.27M
H0037	Community psychiatric supportive treatment program, per diem	4.5%	15,255	3,716	$3.97M
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	4.2%	40,086	34,574	$3.70M
T1016	Case management, each 15 minutes	3.8%	69,652	13,441	$3.31M
H2012	Behavioral health day treatment, per hour	3.5%	85,186	9,026	$3.08M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3.4%	2,134	1,024	$3.02M
S5140	Foster care, adult; per diem	1.7%	1,086	594	$1.52M
H2034	Alcohol and/or drug abuse halfway house services, per diem	1.4%	1,729	411	$1.26M

40 more codes

90791	Psychiatric diagnostic evaluation	1.0%	10,367	$910K
90832	Psychotherapy session, about 30 minutes	1.0%	24,055	$907K
90839		<1%	9,950	$707K
99215	Doctor's office visit, returning patient (complex)	<1%	4,197	$591K
90834	Psychotherapy session, about 45 minutes	<1%	10,262	$538K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	24,537	$421K
H2019	Therapeutic behavioral services, billed per 15 minutes	<1%	18,246	$376K
99205	Prolong outpt/office vis	<1%	1,830	$321K
99213	Doctor's office visit, returning patient (routine)	<1%	5,485	$299K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	<1%	608	$172K
H2020	Therapeutic behavioral services, per diem	<1%	374	$161K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	2,145	$154K
99223	Prolong inpt eval add15 m	<1%	983	$140K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	10,081	$122K
H0038	Self-help/peer services, per 15 minutes	<1%	3,165	$118K
H2035	Alcohol and/or other drug treatment program, per hour	<1%	1,430	$77K
99232	Hospital visit by a doctor, follow-up day	<1%	1,143	$71K
H2036	Alcohol and/or other drug treatment program, per diem	<1%	324	$70K
H2017	Psychosocial rehabilitation, billed per 15 minutes	<1%	2,571	$56K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	739	$49K
90792	Psychiatric diagnostic evaluation with medical services	<1%	361	$49K
99204	Doctor's office visit, new patient (more involved)	<1%	343	$48K
99222	Initial hospital care, per day, moderate complexity	<1%	373	$44K
S9484	Crisis intervention mental health services, per hour	<1%	1,571	$38K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	754	$37K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	503	$35K
H0001	Alcohol and/or drug assessment	<1%	98	$26K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	464	$23K
90840		<1%	410	$20K
98968		<1%	826	$19K
H0012	Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)	<1%	67	$8K
Q3014	Telehealth originating site facility fee	<1%	329	$5K
99443		<1%	274	$5K
99221		<1%	85	$4K
98967		<1%	85	$2K
98966		<1%	41	$372.80
90899		0%	407	$0.00
H0036	Community psychiatric support and treatment, per 15 minutes	0%	1,158	$0.00
H2011	Crisis intervention service, per 15 minutes	0%	93	$0.00
H2016	Community support for mental illness or disability, billed per day	0%	17	$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 officialDESTEIN, CORY (CHIEF ADMINISTRATIVE OFFICER)