Physician
Missoula Family Medicine PLLC
Missoula Family Medicine PLLC was paid $513K by Medicaid between Nov 2019 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoMISSOULA FAMILY MEDICINE PLLC
MISSOULA, MT 59804
MISSOULA, MT 59804
33aNPI1992365951assigned 06/20/2019
33bProvider typeFamily Medicine Physician
28Total paid$513K
24GClaims7,725
24DCodes billed25
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Montana
Rank by total paid#11 of 62
Median peer was paid$22K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 590 | $14K | |
| 2020 | 1,718 | $109K | |
| 2021 | 1,703 | $108K | |
| 2022 | 1,670 | $118K | |
| 2023 | 1,210 | $92K | |
| 2024incomplete | 834 | $72K |
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 | 63% | 2,523 | 2,173 | $323K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 596 | 523 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 1,322 | 956 | $43K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 181 | 166 | $28K |
| 96127 | 3.9% | 2,032 | 1,649 | $20K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 120 | 106 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 128 | 90 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 38 | 38 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 60 | 52 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 15 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 39 | 37 | $2K |
| 90686 | <1% | 263 | 220 | $811.11 |
13 more codes
| 99382 | <1% | 17 | $729.31 | |
| 90682 | <1% | 13 | $727.81 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 38 | $595.45 |
| 90461 | <1% | 140 | $506.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $490.36 |
| 0031A | <1% | 36 | $480.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 26 | $213.62 |
| 80061 | Lipid panel | <1% | 13 | $147.29 |
| 90656 | <1% | 13 | $111.00 | |
| 36416 | 0% | 26 | $0.00 | |
| 91303 | 0% | 23 | $0.00 | |
| 99000 | 0% | 14 | $0.00 | |
| 90670 | 0% | 24 | $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 officialFRANDSEN, THOMAS (OWNER/PHYSICIAN)