SCL Health Medical Group-Butte LLC
SCL Health Medical Group-Butte LLC was paid $9.92M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoSCL HEALTH MEDICAL GROUP-BUTTE LLC
BUTTE, MT 59701
BUTTE, MT 59701
33aNPI1477869600assigned 08/25/2010
33bProvider typeBasic Emergency Medical Technician
28Total paid$9.92M
24GClaims146,275
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCDANIEL, JON controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 16,989 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 33,436 | 29,952 | $2.63M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 20,407 | 19,432 | $2.19M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 18,557 | 16,539 | $1.69M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 17,303 | 16,555 | $1.13M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 7,855 | 7,089 | $338K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 2,560 | 2,440 | $306K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 2,860 | 2,449 | $305K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.3% | 1,845 | 1,755 | $232K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 1,109 | 1,070 | $134K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 804 | 744 | $120K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 2,781 | 2,666 | $111K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,499 | 2,297 | $108K |
69 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 928 | $92K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,311 | $85K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 788 | $77K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,013 | $41K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 748 | $33K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 549 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 234 | $31K |
| 99205 | Prolong outpt/office vis | <1% | 167 | $24K |
| 90461 | <1% | 3,874 | $24K | |
| 87428 | <1% | 416 | $19K | |
| 90837 | Psychotherapy session, about an hour | <1% | 253 | $19K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 596 | $18K |
| 90670 | <1% | 1,263 | $17K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 234 | $16K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 359 | $14K |
| 90686 | <1% | 2,840 | $12K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 1,478 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 96 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 463 | $6K |
| 90677 | <1% | 32 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 268 | $5K |
| 90651 | <1% | 47 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,019 | $4K |
| 90723 | <1% | 648 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 212 | $4K |
| 90680 | <1% | 468 | $3K | |
| 96127 | <1% | 355 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 15 | $3K |
| 64483 | <1% | 27 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 30 | $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) | <1% | 46 | $2K |
| 73110 | <1% | 39 | $2K | |
| 73562 | <1% | 42 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 67 | $2K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 14 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| 90647 | <1% | 588 | $1K | |
| 87400 | <1% | 219 | $1K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 67 | $1K |
| 90633 | <1% | 204 | $1K | |
| S0315 | Disease management program; initial assessment and initiation of the program | <1% | 152 | $1K |
| 72110 | <1% | 31 | $939.73 | |
| 90656 | <1% | 254 | $935.30 | |
| 71045 | Radiologic examination, chest; single view | <1% | 81 | $759.00 |
| 90734 | <1% | 15 | $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) | <1% | 34 | $622.80 |
| 81025 | <1% | 74 | $576.01 | |
| 69210 | <1% | 16 | $558.95 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 47 | $511.29 |
| 0071A | <1% | 12 | $480.00 | |
| 93000 | <1% | 55 | $437.74 | |
| 99406 | <1% | 33 | $379.06 | |
| 90696 | <1% | 12 | $192.76 | |
| 99152 | <1% | 17 | $162.84 | |
| 90700 | <1% | 13 | $152.64 | |
| 51798 | <1% | 13 | $120.68 | |
| 90685 | <1% | 141 | $107.10 | |
| 81003 | <1% | 25 | $20.25 | |
| 80061 | Lipid panel | <1% | 17 | $16.53 |
| 86703 | 0% | 12 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 16 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 30 | $0.00 |
| 81001 | 0% | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $0.00 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 0% | 15 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 23 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 18 | $0.00 |
| 80050 | General health panel | 0% | 16 | $0.00 |
| 90688 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCDANIEL, JON (VP FINANCE PSO OPERATIONS)
Parent organizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.