Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MT › LIBBY › ST. JOHN'S LUTHERAN HOSPITAL, INC.

ST. JOHN'S LUTHERAN HOSPITAL, INC.

NPI: 1952312050 · LIBBY, MT 59923 · 261QR1300X

$1.33M
Total Medicaid Paid
294,923
Total Claims
206,195
Beneficiaries
172
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52,127 $205K
2019 47,430 $256K
2020 37,506 $160K
2021 48,332 $142K
2022 40,750 $175K
2023 41,219 $257K
2024 27,559 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 9,845 8,830 $274K
99284 12,994 9,391 $222K
99282 4,690 4,295 $102K
92507 5,060 1,889 $100K
87633 2,627 2,418 $78K
99213 5,465 4,359 $70K
99214 3,496 2,735 $63K
G0378 Hospital observation per hr 3,701 1,637 $46K
74177 1,863 1,599 $46K
97110 11,253 3,634 $30K
99285 1,680 1,130 $28K
93010 4,539 3,596 $23K
96374 5,709 4,474 $20K
97112 2,817 1,046 $18K
80053 14,550 10,926 $14K
70450 1,943 1,613 $12K
96365 5,546 2,766 $12K
96361 3,754 2,297 $11K
85025 15,885 11,453 $10K
96375 6,400 4,366 $10K
71046 2,850 2,592 $8K
99203 345 330 $8K
80307 2,658 2,164 $7K
96372 2,942 2,188 $7K
87651 1,584 1,506 $7K
87040 2,598 1,281 $7K
84145 2,856 2,241 $5K
93306 425 398 $5K
83605 5,657 4,174 $5K
86140 5,235 4,171 $4K
Q9967 Locm 300-399mg/ml iodine,1ml 2,792 1,860 $4K
87086 2,548 2,192 $3K
93005 5,299 4,053 $3K
71045 3,091 2,576 $3K
96366 678 404 $3K
90837 32 24 $3K
99281 510 444 $3K
94640 1,784 1,026 $3K
36415 10,090 7,223 $2K
81001 4,962 4,061 $2K
84703 1,999 1,702 $2K
73630 574 507 $2K
96360 365 286 $2K
99212 266 235 $2K
84484 5,276 3,303 $2K
87636 239 224 $2K
83690 3,658 2,938 $2K
87186 1,116 906 $2K
96376 1,335 835 $2K
J7030 Normal saline solution infus 5,615 3,505 $2K
76705 185 165 $1K
81003 2,931 2,533 $1K
97140 4,731 1,658 $1K
J2405 Ondansetron hcl injection 4,719 3,315 $1K
72125 149 138 $1K
97161 1,045 970 $1K
80048 2,263 1,680 $962.94
73030 291 248 $907.68
82150 2,629 2,133 $867.49
90471 398 357 $852.77
99442 17 15 $845.40
83880 1,081 842 $840.71
97530 682 321 $827.14
84443 3,090 2,802 $800.85
82306 421 413 $780.51
82550 3,664 2,248 $716.13
83735 3,473 2,631 $704.06
80050 256 227 $697.43
85610 4,119 3,251 $692.24
87426 1,622 1,410 $631.84
74021 197 159 $627.87
94760 1,415 749 $618.82
U0004 Cov-19 test non-cdc hgh thru 229 212 $613.94
99441 21 19 $576.00
A9270 Non-covered item or service 15,710 6,372 $520.97
J1100 Dexamethasone sodium phos 1,147 762 $512.86
73610 264 246 $454.21
12001 39 37 $437.34
80061 1,076 1,048 $403.90
J1885 Ketorolac tromethamine inj 2,954 2,408 $400.11
J0696 Ceftriaxone sodium injection 875 450 $389.22
82553 721 487 $381.67
85651 760 637 $359.60
J3010 Fentanyl citrate injection 2,314 1,737 $356.73
87880 136 130 $316.67
85027 755 627 $311.02
76830 42 41 $298.62
J2930 Methylprednisolone injection 726 458 $293.54
87502 71 65 $289.20
87503 71 65 $289.16
J7050 Normal saline solution infus 2,430 1,100 $286.30
J2060 Lorazepam injection 1,487 967 $282.67
85378 588 511 $275.39
93225 26 25 $260.85
85730 898 733 $257.61
87592 25 25 $248.53
83036 1,296 1,222 $227.81
73502 60 55 $221.99
96367 104 55 $201.29
73130 87 71 $188.81
73564 199 172 $187.86
G0480 Drug test def 1-7 classes 1,436 1,155 $186.60
90715 42 40 $174.51
93000 216 173 $173.88
84439 173 150 $151.09
93226 26 25 $146.00
97162 136 128 $139.50
C9113 Inj pantoprazole sodium, via 550 418 $139.25
J7120 Ringers lactate infusion 2,122 1,485 $137.07
96127 503 454 $135.86
J2250 Inj midazolam hydrochloride 1,568 1,284 $126.19
J7040 Normal saline solution infus 127 100 $125.97
J2550 Promethazine hcl injection 511 376 $124.09
84100 398 317 $122.99
87070 55 51 $94.45
74176 132 121 $93.39
J2270 Morphine sulfate injection 383 241 $77.38
J2001 Lidocaine injection 347 281 $74.45
88305 211 167 $58.99
J3535 Metered dose inhaler drug 39 32 $57.23
82248 136 97 $47.28
83550 30 29 $45.90
99217 19 13 $40.98
83540 29 28 $36.90
J3490 Drugs unclassified injection 131 113 $36.67
J1170 Hydromorphone injection 1,228 736 $29.04
J1200 Diphenhydramine hcl injectio 596 438 $24.89
S0020 Injection, bupivicaine hydro 45 39 $24.30
J2765 Metoclopramide hcl injection 23 14 $24.30
G0481 Drug test def 8-14 classes 352 257 $21.87
73110 61 51 $20.83
G0463 Hospital outpt clinic visit 1,148 858 $20.76
J7613 Albuterol non-comp unit 78 68 $7.19
J3475 Inj magnesium sulfate 26 24 $3.36
J2704 Inj, propofol, 10 mg 1,095 714 $1.54
77063 535 534 $0.00
71260 90 84 $0.00
J1642 Inj heparin sodium per 10 u 92 41 $0.00
97113 26 12 $0.00
86850 65 63 $0.00
71275 20 15 $0.00
J7620 Albuterol ipratrop non-comp 104 55 $0.00
92523 20 20 $0.00
99202 13 13 $0.00
72148 69 67 $0.00
86901 79 77 $0.00
82728 40 36 $0.00
J0690 Cefazolin sodium injection 12 12 $0.00
83615 33 28 $0.00
88342 18 13 $0.00
64483 18 12 $0.00
M0243 Casirivi and imdevi inj 16 16 $0.00
82010 136 124 $0.00
0100U 145 114 $0.00
77067 696 692 $0.00
0202U 260 198 $0.00
76642 13 12 $0.00
Q9966 Locm 200-299mg/ml iodine,1ml 129 117 $0.00
99204 74 72 $0.00
87491 25 25 $0.00
86900 79 77 $0.00
76856 63 63 $0.00
43239 22 12 $0.00
85007 105 82 $0.00
87400 37 33 $0.00
J2919 Inj, methylpred sod succ 5mg 74 47 $0.00
J2401 Chloroprocaine hcl injection 87 80 $0.00
45385 13 12 $0.00
72100 12 12 $0.00
71250 14 12 $0.00
73721 20 19 $0.00
G0279 Tomosynthesis, mammo 12 12 $0.00