Providers
All 18 in MT
TRISTAN ASHLEY SVEJKOVSKY, FNP-BC
NPI 1336537299, individual, Butte, MT, Nurse Practitioner, Family
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since March 18, 2021.
- Medicaid still paid claims in 1 later month, $1,466 in total.
- Adjudicated (pleaded guilty, sentenced) per a Department of Justice release dated August 1, 2024.
score 93 of 100, rank 379, $1K at stake
Public list actions
Medicare revocation effective March 18, 2021, barred from re-enrolling until March 18, 2031
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Nurse Practitioner, MT
OIG exclusion July 20, 2025 under section 1128a3
Ind- Lic HC Serv Pro, Nurse Practitioner (, Tallahassee, FL
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Mar 18, 2021 | Mar 18, 2031 | 1 | May 2021 | May 2021 | $1K | $10K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TRISTAN ASHLEY SVEJKOVSKY, FNP-BC |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 30, 2014, last updated January 9, 2020 |
| Practice location | 1720 FOUR MILE VIEW RD, Butte, MT 59701-0907, 406-299-2004 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 100807 MT) Nurse Practitioner, Family (363LF0000X, license 38130 MT) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $71K | 93% | $93 | $60 (top 5% from $133) | 81st percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $4K | 6% | $71 | $44 (top 5% from $110) | too few months to rank | |
| 96372 | Injection of drug or substance under skin or into muscle | $552 | 1% | $14 | $12 (top 5% from $49) | too few months to rank | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | $10 | 0% | $0.87 | $1.55 (top 5% from $31) | too few months to rank |
In this area
18 providers in MT carry an indicator in the public record, with $1.4M at stake between them. The most common is part of a provider network, on 12 of them, followed by more hours than a day holds on 4. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JONATHAN WILHELM Belgrade, MT, ranked 238 | $21K |
|
| 1 | ERIC THOMAS Helena, MT, ranked 447 | $100 |
|
| 3 | LIVING CENTRE LIMITED Stevensville, MT, ranked 1114 | $618K |
|
| 3 | EDEN HOME HEALTH OF BOZEMAN, LLC Bozeman, MT, ranked 2580 | $0 |
|
| 3 | EDEN HOSPICE AT WESTERN MONTANA, LLC Bozeman, MT, ranked 3324 | $0 |
|
| 3 | DISCOVERY CARE CENTRE, LLC Hamilton, MT, ranked 3405 | $0 |
|
| 3 | SWEETWATER DILLON OPCO LLC Dillon, MT, ranked 3743 | $0 |
|
| 3 | SWEETWATER GF OPCO LLC Great Falls, MT, ranked 3975 | $0 |
|
Recent enforcement in MT
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJan 17, 2025
Former nurse practitioner in Butte sentenced to five years in prison, ordered to pay more than $600,000 restitution for health care fraud
A former nurse practitioner falsely billed Blue Cross Blue Shield of Montana $62,310,000 for 158 vitamin B-12 injections that did not occur, receiving $613,108, and used another nurse practitioner's DEA registration number to write prescriptions after her own license was suspended.
DOJSentencedDec 13, 2024
Whitefish doctor sentenced for defrauding Medicare and other federal health programs
Dean was paid by a telemedicine company to sign orders for durable medical equipment that patients did not need, and he fraudulently charged Medicare, CHAMPVA and Railroad Retirement Board programs for telemedicine office visits that did not occur while also authorizing unnecessary covid tests.
DOJPleaded guiltyAug 2, 2024
Former nurse practitioner in Butte admits health care fraud; received nearly $600,000 in false claims
A former nurse practitioner prescribed controlled substances after her license was suspended, using another nurse practitioner's name and DEA registration number, and billed Blue Cross Blue Shield of Montana at least $61,995,000 for vitamin B-12 injections that did not occur, receiving at least $593,583.
DOJPleaded guiltyJul 18, 2024
Whitefish doctor admits defrauding Medicare and other federal health programs
Dean, a licensed physician, was paid by a telemedicine company to sign orders for durable medical equipment that patients did not need and then billed Medicare, CHAMPVA and the Railroad Retirement Board programs for telemedicine office visits that did not occur, resulting in more than $39 million in false billing.
DOJChargedJun 27, 2024
National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Billion in False Claims
Dean was paid by a telemedicine company to sign orders for durable medical equipment patients did not need and fraudulently charged Medicare and other government health programs for telemedicine office visits that did not occur, resulting in over $39 million in false billing.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.