Clinic
State of Montana
State of Montana was paid $73K by Medicaid between Feb 2018 and May 2023, across 2 billing codes. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 89% of everything it billed.
33Billing provider infoSTATE OF MONTANA
HELENA, MT 59620
HELENA, MT 59620
33aNPI1912120817assigned 04/10/2007
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$73K
24GClaims296
24DCodes billed2
24AFirst – last monthFeb 2018 – May 2023
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 | 119 | $26K | |
| 2019 | 84 | $16K | |
| 2020 | 31 | $2K | |
| 2021 | 31 | $3K | |
| 2022 | 18 | $17K | |
| 2023 | 13 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | 89% | 270 | 261 | $65K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | 11% | 26 | 18 | $8K |
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 officialO'DONNELL, MICHELE (BILLING AGENT)
Parent organizationSTATE OF MONTANA