Clinic
Confederated Salish and Kootenai Tribes of the Flathead Reservation
Confederated Salish and Kootenai Tribes of the Flathead Reservation was paid $161K by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 24% of everything it billed.
33Billing provider infoCONFEDERATED SALISH AND KOOTENAI TRIBES OF THE FLATHEAD RESERVATION
SAINT IGNATIUS, MT 59865
SAINT IGNATIUS, MT 59865
33aNPI1952402208assigned 09/26/2006
33bProvider typeDental Clinic/Center
28Total paid$161K
24GClaims65,283
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Montana
Rank by total paid#13 of 30
Median peer was paid$34K
This provider vs. median4.7×
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 | 11,030 | $30K | |
| 2019 | 11,576 | $37K | |
| 2020 | 8,241 | $21K | |
| 2021 | 9,101 | $19K | |
| 2022 | 10,099 | $19K | |
| 2023 | 10,329 | $14K | |
| 2024incomplete | 4,907 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 24% | 9,016 | 5,210 | $39K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 23% | 4,324 | 1,299 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 7,736 | 6,592 | $20K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.1% | 850 | 765 | $11K |
| 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 | 5.2% | 4,365 | 3,731 | $8K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.7% | 1,907 | 1,369 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 453 | 426 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.9% | 866 | 810 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 1,126 | 871 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 2,166 | 1,778 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 2,389 | 2,248 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 974 | 860 | $2K |
51 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 215 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 15,467 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 60 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 521 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,303 | $1K |
| D0190 | <1% | 134 | $835.55 | |
| D1120 | Dental cleaning, child | <1% | 54 | $711.45 |
| 92015 | Determination of refractive state | <1% | 30 | $682.76 |
| 0071A | <1% | 140 | $559.78 | |
| D1206 | Topical application of fluoride varnish | <1% | 130 | $557.60 |
| 0072A | <1% | 104 | $360.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 829 | $280.48 |
| 0001A | <1% | 71 | $240.00 | |
| 99443 | <1% | 278 | $233.18 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 115 | $192.20 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 297 | $186.89 |
| 99409 | <1% | 130 | $181.96 | |
| 0054A | <1% | 13 | $160.00 | |
| 0002A | <1% | 42 | $160.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $141.13 |
| 0004A | <1% | 218 | $120.00 | |
| 90461 | <1% | 22 | $67.54 | |
| 80305 | <1% | 1,818 | $54.44 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 45 | $54.40 |
| 81025 | <1% | 62 | $29.26 | |
| 86580 | <1% | 12 | $24.26 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 833 | $20.98 |
| 36415 | Collection of venous blood by venipuncture | <1% | 157 | $15.96 |
| 82962 | <1% | 100 | $3.54 | |
| D1110 | Prophylaxis - adult | 0% | 58 | $0.00 |
| 98968 | 0% | 2,562 | $0.00 | |
| 81003 | 0% | 179 | $0.00 | |
| 99442 | 0% | 147 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 23 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 32 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 17 | $0.00 |
| 91312 | 0% | 18 | $0.00 | |
| 97001 | 0% | 34 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 14 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 1,253 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 22 | $0.00 |
| D9920 | 0% | 13 | $0.00 | |
| 90686 | 0% | 1,194 | $0.00 | |
| 90674 | 0% | 137 | $0.00 | |
| D1330 | 0% | 80 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 24 | $0.00 |
| 91305 | 0% | 15 | $0.00 | |
| 85027 | 0% | 13 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 33 | $0.00 |
| D1310 | 0% | 12 | $0.00 | |
| 99384 | 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 officialDURGLO, JOSEPH (CHAIRMAN)