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NPI 1316605637 · Missoula, MT · Clinical Medical Laboratory
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Providence Health & Services Mt is a clinical medical laboratory provider located in Missoula, Montana. This profile covers 9 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Providence Health & Services Mt |
| Address | 3075 N Reserve St Ste Q |
| City | Missoula |
| State | MT |
| ZIP | 59808 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 3, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $34.3K |
| Medicare | $31.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 2,140 | $10 | $17.1K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 1,350 | $10 | $10.8K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 310 | $10 | $2.8K |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 150 | $1 | $440 |
| 85651 | The lab analyst performs the typical manual erythrocyte sedimentation rate test using whole blood she places in a slender tube. She records the distance in millimeters that the erythrocytes or red… | 70 | $1 | $280 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 40 | $10 | $220 |
| 81015 | The lab analyst performs this testing based on the specific order for a microscopic urinalysis only. The lab analyst will examine a urine specimen directly under the microscope or by using the… | 70 | $1 | $200 |
| 85018 | The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue. | 20 | $1 | $50 |
| 85014 | The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen. | 20 | $1 | $40 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 2,900 | $10 | $14.5K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 2,390 | $10 | $14.3K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 530 | $10 | $3.7K |
| 87210 | The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide. | 40 | $10 | $200 |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 53 | 100 | 2,680 | $1 | $11.9K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 50 | 90 | 830 | $1 | $5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 62 | 190 | 950 | $1 | $4.9K |
| 87210 | The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide. | 18 | 20 | 340 | $1 | $1.5K |
Other providers in the same ZIP code as Providence Health & Services Mt, ranked by combined Medicare and Medicaid revenue.
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