NPI: 1477869600 · BUTTE, MT 59701 · Basic Emergency Medical Technician · NPI assigned 08/25/2010
Authorized official MCDANIEL, JON controls 20+ related entities in our dataset. Read more
| Authorized Official | MCDANIEL, JON (VP FINANCE PSO OPERATIONS) |
| Parent Organization | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC |
| NPI Enumeration Date | 08/25/2010 |
Other providers sharing the same authorized official: MCDANIEL, JON
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25,094 | $1.38M |
| 2019 | 21,282 | $1.31M |
| 2020 | 17,415 | $1.03M |
| 2021 | 20,130 | $1.36M |
| 2022 | 21,909 | $1.67M |
| 2023 | 23,456 | $1.78M |
| 2024 | 16,989 | $1.40M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33,436 | 29,952 | $2.63M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 20,407 | 19,432 | $2.19M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18,557 | 16,539 | $1.69M |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 17,303 | 16,555 | $1.13M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7,855 | 7,089 | $338K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2,560 | 2,440 | $306K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,860 | 2,449 | $305K |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1,845 | 1,755 | $232K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,109 | 1,070 | $134K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 804 | 744 | $120K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2,781 | 2,666 | $111K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,499 | 2,297 | $108K |
| 99215 | Prolong outpt/office vis | 928 | 828 | $92K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 12,311 | 10,610 | $85K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 788 | 735 | $77K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,013 | 633 | $41K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 748 | 705 | $33K |
| 90834 | Psychotherapy, 45 minutes with patient | 549 | 364 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 234 | 225 | $31K |
| 99205 | Prolong outpt/office vis | 167 | 159 | $24K |
| 90461 | 3,874 | 3,558 | $24K | |
| 87428 | 416 | 341 | $19K | |
| 90837 | Psychotherapy, 53 minutes with patient | 253 | 152 | $19K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 596 | 286 | $18K |
| 90670 | 1,263 | 1,184 | $17K | |
| 90791 | Psychiatric diagnostic evaluation | 234 | 212 | $16K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 359 | 98 | $14K |
| 90686 | 2,840 | 2,672 | $12K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1,478 | 1,478 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 96 | 89 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 463 | 391 | $6K |
| 90677 | 32 | 25 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 268 | 245 | $5K |
| 90651 | 47 | 43 | $4K | |
| 36415 | Collection of venous blood by venipuncture | 1,019 | 909 | $4K |
| 90723 | 648 | 588 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 212 | 175 | $4K |
| 90680 | 468 | 431 | $3K | |
| 96127 | 355 | 319 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 15 | 15 | $3K |
| 64483 | 27 | 24 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 30 | 28 | $2K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 46 | 40 | $2K |
| 73110 | 39 | 27 | $2K | |
| 73562 | 42 | 37 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 67 | 67 | $2K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 14 | 14 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | 14 | 13 | $1K |
| 90647 | 588 | 553 | $1K | |
| 87400 | 219 | 169 | $1K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 67 | 67 | $1K |
| 90633 | 204 | 197 | $1K | |
| S0315 | Disease management program; initial assessment and initiation of the program | 152 | 152 | $1K |
| 72110 | 31 | 27 | $939.73 | |
| 90656 | 254 | 245 | $935.30 | |
| 71045 | Radiologic examination, chest; single view | 81 | 78 | $759.00 |
| 90734 | 15 | 12 | $627.00 | |
| 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) | 34 | 34 | $622.80 |
| 81025 | 74 | 69 | $576.01 | |
| 69210 | 16 | 12 | $558.95 | |
| 71046 | Radiologic examination, chest; 2 views | 47 | 45 | $511.29 |
| 0071A | 12 | 12 | $480.00 | |
| 93000 | 55 | 50 | $437.74 | |
| 99406 | 33 | 32 | $379.06 | |
| 90696 | 12 | 12 | $192.76 | |
| 99152 | 17 | 13 | $162.84 | |
| 90700 | 13 | 13 | $152.64 | |
| 51798 | 13 | 12 | $120.68 | |
| 90685 | 141 | 138 | $107.10 | |
| 81003 | 25 | 24 | $20.25 | |
| 80061 | Lipid panel | 17 | 17 | $16.53 |
| 86703 | 12 | 12 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 16 | 14 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 30 | 29 | $0.00 |
| 81001 | 14 | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 30 | 19 | $0.00 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 15 | 12 | $0.00 |
| 80053 | Comprehensive metabolic panel | 23 | 22 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 18 | 18 | $0.00 |
| 80050 | General health panel | 16 | 16 | $0.00 |
| 90688 | 12 | 12 | $0.00 |