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

ST. John's Lutheran Hospital, INC.

ST. John's Lutheran Hospital, INC. was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 172 billing codes. Its largest line is 99283, emergency room visit (moderate) — 21% of everything it billed.

33Billing provider infoST. JOHN'S LUTHERAN HOSPITAL, INC.
LIBBY, MT 59923
33aNPI1952312050assigned 08/11/2006
28Total paid$1.33M
24GClaims294,923
24DCodes billed172
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Montana

Rank by total paid#1 of 43
Median peer was paid$0.00
This provider vs. median0.0×

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
201852,127$205K
201947,430$256K
202037,506$160K
202148,332$142K
202240,750$175K
202341,219$257K
2024incomplete27,559$138K
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 21% 9,845 8,830 $274K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 17% 12,994 9,391 $222K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.6% 4,690 4,295 $102K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 7.5% 5,060 1,889 $100K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5.8% 2,627 2,418 $78K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 5,465 4,359 $70K
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 4.7% 3,496 2,735 $63K
G0378 Hospital observation service, per hour 3.4% 3,701 1,637 $46K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.4% 1,863 1,599 $46K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.3% 11,253 3,634 $30K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.1% 1,680 1,130 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.7% 4,539 3,596 $23K
160 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.5% 5,709 $20K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.4% 2,817 $18K
80053 Comprehensive metabolic panel 1.0% 14,550 $14K
70450 Computed tomography, head or brain; without contrast material <1% 1,943 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 5,546 $12K
96361 Intravenous infusion, hydration; each additional hour <1% 3,754 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 15,885 $10K
96375 Therapeutic injection; each additional sequential IV push <1% 6,400 $10K
71046 Radiologic examination, chest; 2 views <1% 2,850 $8K
99203 Doctor's office visit, new patient (routine) <1% 345 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,658 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,942 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,584 $7K
87040 <1% 2,598 $7K
84145 <1% 2,856 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 425 $5K
83605 <1% 5,657 $5K
86140 <1% 5,235 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,792 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,548 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,299 $3K
71045 Radiologic examination, chest; single view <1% 3,091 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 678 $3K
90837 Psychotherapy session, about an hour <1% 32 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 510 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,784 $3K
36415 Collection of venous blood by venipuncture <1% 10,090 $2K
81001 <1% 4,962 $2K
84703 <1% 1,999 $2K
73630 <1% 574 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 365 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 266 $2K
84484 <1% 5,276 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 239 $2K
83690 <1% 3,658 $2K
87186 <1% 1,116 $2K
96376 <1% 1,335 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,615 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 185 $1K
81003 <1% 2,931 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,731 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,719 $1K
72125 Computed tomography, cervical spine; without contrast material <1% 149 $1K
97161 <1% 1,045 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 2,263 $962.94
73030 <1% 291 $907.68
82150 <1% 2,629 $867.49
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 398 $852.77
99442 <1% 17 $845.40
83880 <1% 1,081 $840.71
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 682 $827.14
84443 Thyroid stimulating hormone (TSH) <1% 3,090 $800.85
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 421 $780.51
82550 <1% 3,664 $716.13
83735 <1% 3,473 $704.06
80050 General health panel <1% 256 $697.43
85610 <1% 4,119 $692.24
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,622 $631.84
74021 <1% 197 $627.87
94760 <1% 1,415 $618.82
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 229 $613.94
99441 <1% 21 $576.00
A9270 Non-covered item or service <1% 15,710 $520.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,147 $512.86
73610 <1% 264 $454.21
12001 <1% 39 $437.34
80061 Lipid panel <1% 1,076 $403.90
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,954 $400.11
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 875 $389.22
82553 <1% 721 $381.67
85651 <1% 760 $359.60
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,314 $356.73
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 136 $316.67
85027 <1% 755 $311.02
76830 Ultrasound, transvaginal <1% 42 $298.62
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 726 $293.54
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 71 $289.20
87503 <1% 71 $289.16
J7050 Infusion, normal saline solution, 250 cc <1% 2,430 $286.30
J2060 Injection, lorazepam, 2 mg <1% 1,487 $282.67
85378 <1% 588 $275.39
93225 <1% 26 $260.85
85730 <1% 898 $257.61
87592 <1% 25 $248.53
83036 Hemoglobin; glycosylated (A1C) <1% 1,296 $227.81
73502 <1% 60 $221.99
96367 <1% 104 $201.29
73130 <1% 87 $188.81
73564 <1% 199 $187.86
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% 1,436 $186.60
90715 <1% 42 $174.51
93000 <1% 216 $173.88
84439 <1% 173 $151.09
93226 <1% 26 $146.00
97162 <1% 136 $139.50
C9113 Injection, pantoprazole sodium, per vial <1% 550 $139.25
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,122 $137.07
96127 <1% 503 $135.86
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,568 $126.19
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 127 $125.97
J2550 Injection, promethazine hcl, up to 50 mg <1% 511 $124.09
84100 <1% 398 $122.99
87070 <1% 55 $94.45
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 132 $93.39
J2270 Injection, morphine sulfate, up to 10 mg <1% 383 $77.38
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 347 $74.45
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 211 $58.99
J3535 Drug administered through a metered dose inhaler <1% 39 $57.23
82248 <1% 136 $47.28
83550 <1% 30 $45.90
99217 <1% 19 $40.98
83540 <1% 29 $36.90
J3490 Unclassified drugs <1% 131 $36.67
J1170 Injection, hydromorphone, up to 4 mg <1% 1,228 $29.04
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 596 $24.89
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 45 $24.30
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 23 $24.30
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 352 $21.87
73110 <1% 61 $20.83
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,148 $20.76
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 78 $7.19
J3475 Injection, magnesium sulfate, per 500 mg <1% 26 $3.36
J2704 Injection, propofol, 10 mg <1% 1,095 $1.54
77063 Screening digital breast tomosynthesis, bilateral 0% 535 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 0% 90 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 92 $0.00
97113 0% 26 $0.00
86850 0% 65 $0.00
71275 Computed tomographic angiography, chest, with contrast material 0% 20 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 104 $0.00
92523 0% 20 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 13 $0.00
72148 Magnetic resonance imaging, lumbar spine; without contrast material 0% 69 $0.00
86901 0% 79 $0.00
82728 0% 40 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 12 $0.00
83615 0% 33 $0.00
88342 0% 18 $0.00
64483 0% 18 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 0% 16 $0.00
82010 0% 136 $0.00
0100U 0% 145 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 0% 696 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 0% 260 $0.00
76642 0% 13 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 129 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 74 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 25 $0.00
86900 0% 79 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 0% 63 $0.00
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 0% 22 $0.00
85007 0% 105 $0.00
87400 0% 37 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 74 $0.00
J2401 Injection, chloroprocaine hydrochloride, per 1 mg 0% 87 $0.00
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 0% 13 $0.00
72100 0% 12 $0.00
71250 0% 14 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 0% 20 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 0% 12 $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 officialLEONARD, JULIE (CFO)