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    OpenPayerNPI Medicare & MedicaidSt. Peter's Health
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    St. Peter's Health — Billing Profile & Reimbursement Data

    NPI 1194785154 · Butte, MT · Radiology Clinic/Center

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    St. Peter's Health is a radiology clinic/center provider located in Butte, Montana. This profile covers 1 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt. Peter's Health
    Address435 S Crystal St
    CityButte
    StateMT
    ZIP59701
    TaxonomyRadiology Clinic/Center
    NPI EnumeratedMarch 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$623.3K
    Medicare$1.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…20$80$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93971778040$40$2.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.1,750$130$221.9K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.1,650$100$163.7K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…360$140$51.6K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.390$110$43.8K
    76820The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…710$60$39.6K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…180$210$39K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…220$170$37.1K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.130$100$12.3K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…120$100$12.3K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…10$140$2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.920970$100$148K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…810260$180$130.6K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.220100$90$60.9K
    76820The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…510670$50$38.5K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…620130$70$28.4K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…820130$100$26K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.920200$60$25.8K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.2240260$20$10.8K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…2030260$20$9K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…810110$10$3.8K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St. Peter's Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Peter's HealthMTFamily Medicine Physician$0$5.2M
    St. Peter's HealthMTGeneral Acute Care Hospital$0$4.2M
    St Peters Community HospitalMTMulti-Specialty Clinic/Center$0$2.6M
    St. Peter's HospitalMTAmbulance$0$1.6M
    St Peter's Medical Group NorthMTFamily Medicine Physician$0$1.5M
    St. Peter's HealthMTOxygen Equipment & Supplies (DME)$0$1.4M
    Sheila ManhasCANeurology Physician$1.4M$0
    St. Peter's HealthMTRadiology Clinic/Center$13.3K$849.9K
    Mohammed JaloudiRIMedical Oncology Physician$398.2K$0
    James TarverMTDiagnostic Radiology Physician$262.4K$300

    Nearby Providers

    Other providers in the same ZIP code as St. Peter's Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bsw, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$20.4M
    Benefis Community Care, Inc.MTCase Management Agency$0$14.6M
    State Of MontanaMTSubstance Abuse Rehabilitation Facility$0$12.7M
    Scl Health Medical Group-butte LLCMTFamily Medicine Physician$0$9.9M
    Butte Public SchoolsMTLocal Education Agency (LEA)$0$6.9M
    Community, Counseling & Correctional Services, Inc.MTSubstance Use Disorder Rehabilitation Clinic/Center$0$3.8M
    Butte School District #1MTMental Health Counselor$0$3.8M
    Ryan TodorovichMTGeneral Practice Dentistry$0$3.1M
    Lindsey TodorovichMTGeneral Practice Dentistry$0$2.9M
    Silver Bow County Developmental Disabilities Council, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$2.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Montana Distribution
    St. Peter's Health — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana
    Medicaid Revenue by Year vs. Montana Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    St. Peter's Health — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana