Clinic
Montana Children's Home & Hospital
Montana Children's Home & Hospital was paid $1.08M by Medicaid between May 2023 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoMONTANA CHILDREN'S HOME & HOSPITAL
HELENA, MT 59601
HELENA, MT 59601
33aNPI1972205284assigned 03/20/2023
33bProvider typeClinic/Center
28Total paid$1.08M
24GClaims9,420
24DCodes billed13
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Montana
Rank by total paid#6 of 91
Median peer was paid$152K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2023 | 4,341 | $500K | |
| 2024incomplete | 5,079 | $584K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 2,629 | 2,324 | $400K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 24% | 1,293 | 1,174 | $266K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 1,596 | 795 | $130K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 9.9% | 1,448 | 691 | $107K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.5% | 1,595 | 914 | $92K |
| 99205 | Prolong outpt/office vis | 4.8% | 208 | 202 | $52K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.2% | 270 | 109 | $13K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 66 | 64 | $6K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 129 | 97 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | 15 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 55 | 40 | $4K |
| 99417 | Prolong home eval add 15m | <1% | 66 | 60 | $3K |
1 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | $3K |
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 officialAFANADOR, NELSON (DIRECTOR OF BUSINESS OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Montana Children's Home & Hospital | Helena, MT | $8.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.