Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

NPI: 1356765556 · GRAND JUNCTION, CO 81501 · Family Medicine Physician · NPI assigned 02/07/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCDANIEL, JON controls 20+ related entities in our dataset. Read more

$3.97M
Total Medicaid Paid
46,109
Total Claims
31,400
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE)
Parent OrganizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM
NPI Enumeration Date02/07/2014

Related Entities

Other providers sharing the same authorized official: MCDANIEL, JON

ProviderCityStateTotal Paid
SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT $32.12M
SCL HEALTH MEDICAL GROUP-BUTTE LLC BUTTE MT $9.92M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $2.55M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $1.84M
PLATTE VALLEY MEDICAL GROUP LLC BRIGHTON CO $919K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $904K
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $797K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $792K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $758K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $673K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $624K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $560K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC LAFAYETTE CO $547K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $478K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $412K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC THORNTON CO $396K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC BROOMFIELD CO $353K
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $342K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $260K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC LAKEWOOD CO $226K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,160 $1.29M
2019 17,313 $1.52M
2020 11,354 $1.05M
2021 267 $2K
2022 45 $3K
2023 175 $1K
2024 2,795 $107K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 2,164 1,285 $1.17M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,507 1,435 $616K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,206 7,077 $599K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,196 5,943 $339K
99215 Prolong outpt/office vis 1,325 1,125 $158K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 965 856 $122K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 722 465 $110K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,855 1,165 $96K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,490 1,206 $93K
64615 1,209 1,028 $87K
99205 Prolong outpt/office vis 531 419 $79K
99232 Subsequent hospital care, per day, moderate complexity 2,201 846 $75K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 794 721 $64K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,251 906 $54K
95811 455 373 $46K
76819 Fetal biophysical profile; without non-stress testing 510 301 $35K
99233 Prolong inpt eval add15 m 639 244 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 557 402 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 789 376 $16K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 241 133 $15K
90961 206 169 $14K
99283 Emergency department visit for the evaluation and management, moderate severity 294 250 $13K
99292 220 58 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 212 119 $12K
95886 198 153 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters 181 159 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,511 1,388 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 166 154 $8K
83036 Hemoglobin; glycosylated (A1C) 885 588 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 150 142 $6K
99223 Prolong inpt eval add15 m 52 32 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 32 29 $5K
95974 71 57 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 210 189 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 162 96 $3K
97803 58 55 $3K
93000 176 163 $2K
59025 Fetal non-stress test 81 68 $2K
Q3014 Telehealth originating site facility fee 72 45 $1K
73630 183 95 $1K
97161 60 54 $1K
95977 44 40 $875.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 40 39 $787.70
64493 12 12 $781.10
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 51 25 $773.96
95819 48 44 $719.46
99222 Initial hospital care, per day, moderate complexity 13 12 $659.59
95806 14 13 $580.42
90686 42 41 $567.18
11721 66 57 $566.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 132 106 $528.25
64494 12 12 $384.84
82962 354 205 $365.76
95816 15 12 $353.44
20610 17 14 $342.24
36415 Collection of venous blood by venipuncture 159 129 $294.58
72110 12 12 $293.40
29125 14 13 $198.04
73100 23 13 $161.20
J1040 Injection, methylprednisolone acetate, 80 mg 12 12 $58.19
95970 13 12 $47.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 84 65 $25.08
99000 14 13 $21.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 131 130 $0.00