Medicaid Provider Spending

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

SCL HEALTH MEDICAL GROUP - BILLINGS LLC

NPI: 1508289703 · BILLINGS, MT 59101 · General Practice Physician · NPI assigned 01/24/2014

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

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

$32.12M
Total Medicaid Paid
450,340
Total Claims
386,347
Beneficiaries
139
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE)
Parent OrganizationSISTERS OF CHARITY HEALTH SYSTEM
NPI Enumeration Date01/24/2014

Related Entities

Other providers sharing the same authorized official: MCDANIEL, JON

ProviderCityStateTotal Paid
SCL HEALTH MEDICAL GROUP-BUTTE LLC BUTTE MT $9.92M
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $3.97M
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 66,715 $3.03M
2019 59,825 $3.38M
2020 48,628 $3.12M
2021 61,370 $4.80M
2022 83,282 $6.82M
2023 77,614 $6.36M
2024 52,906 $4.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 125,132 110,677 $11.84M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 110,145 97,859 $7.81M
99284 Emergency department visit for the evaluation and management, high severity 18,048 16,745 $2.29M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,324 10,347 $1.86M
99283 Emergency department visit for the evaluation and management, moderate severity 17,113 15,647 $1.33M
99215 Prolong outpt/office vis 6,090 5,183 $788K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,325 5,594 $618K
90837 Psychotherapy, 53 minutes with patient 7,099 3,949 $598K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,978 1,867 $362K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,060 3,737 $348K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,296 2,057 $308K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,845 2,399 $306K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,639 595 $255K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 31,564 25,644 $255K
99205 Prolong outpt/office vis 1,509 1,326 $247K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,899 1,495 $181K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,649 2,425 $161K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,819 2,397 $132K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,126 1,085 $128K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,480 1,486 $122K
93304 917 746 $117K
95811 1,082 1,034 $114K
76819 Fetal biophysical profile; without non-stress testing 1,202 729 $99K
76820 1,780 1,220 $87K
87428 3,351 2,936 $86K
99232 Subsequent hospital care, per day, moderate complexity 1,740 714 $85K
99233 Prolong inpt eval add15 m 1,238 405 $83K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 661 603 $81K
99310 Prolong nursin fac eval 15m 2,442 1,456 $78K
90460 Immunization administration through 18 years of age via any route, first or only component 2,035 1,769 $75K
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) 4,728 4,260 $74K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,130 2,937 $61K
45380 Colonoscopy, flexible; with biopsy, single or multiple 516 395 $61K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,317 3,749 $57K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 690 430 $53K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,894 1,342 $49K
95251 2,254 1,522 $41K
95886 337 315 $41K
90686 4,066 3,861 $38K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 276 213 $38K
99493 388 383 $37K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 213 153 $37K
36415 Collection of venous blood by venipuncture 13,654 12,275 $36K
90834 Psychotherapy, 45 minutes with patient 641 435 $35K
93325 2,037 1,671 $35K
J0585 Injection, onabotulinumtoxina, 1 unit 61 40 $33K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 437 400 $32K
93000 1,878 1,636 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 271 227 $27K
99308 Subsequent nursing facility care, per day, straightforward 1,462 935 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,575 805 $24K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 324 302 $23K
83036 Hemoglobin; glycosylated (A1C) 4,611 3,030 $21K
93321 1,033 851 $21K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 811 571 $20K
80305 2,762 2,438 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 133 125 $17K
93351 108 99 $16K
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) 116 108 $14K
76801 131 123 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 129 101 $13K
99222 Initial hospital care, per day, moderate complexity 112 93 $13K
93320 378 313 $12K
93296 841 798 $11K
93297 618 565 $11K
97802 294 267 $11K
95806 148 94 $10K
96112 96 85 $10K
81003 5,544 4,920 $9K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 2,204 2,204 $9K
99221 143 128 $9K
99479 Subsequent intensive care, per day, very low birth weight infant 69 25 $9K
97803 327 298 $8K
G0444 Annual depression screening, 5 to 15 minutes 491 451 $7K
99223 Prolong inpt eval add15 m 41 40 $7K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 350 323 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 65 55 $6K
59025 Fetal non-stress test 121 67 $6K
94729 479 464 $6K
11100 113 84 $6K
17110 47 42 $5K
11102 55 48 $5K
94010 260 243 $5K
94060 342 333 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 201 146 $3K
99494 42 37 $3K
90961 55 53 $3K
81025 625 391 $3K
87400 346 224 $3K
99238 Hospital discharge day management, 30 minutes or less 34 29 $3K
99406 189 166 $2K
94690 79 56 $2K
99201 54 51 $2K
93308 111 100 $2K
64642 13 13 $2K
51798 310 276 $2K
96127 584 531 $2K
99239 Hospital discharge day management, more than 30 minutes 18 14 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 24 13 $2K
99442 58 43 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 324 289 $2K
99443 54 41 $2K
90651 80 58 $2K
90461 419 344 $2K
94726 157 155 $2K
92523 12 12 $2K
93016 146 101 $1K
93018 163 119 $1K
90791 Psychiatric diagnostic evaluation 13 12 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 27 19 $942.48
93294 98 92 $929.92
11900 15 14 $690.60
87807 65 53 $682.38
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 163 113 $576.51
85027 155 134 $567.35
97162 12 12 $532.59
90472 Immunization administration, each additional vaccine (list separately) 26 24 $512.45
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 34 26 $418.43
62370 13 12 $406.14
93227 13 12 $366.21
71046 Radiologic examination, chest; 2 views 15 14 $364.78
93295 15 15 $332.01
90656 26 26 $310.42
87210 60 54 $285.18
S0315 Disease management program; initial assessment and initiation of the program 36 36 $270.00
99441 24 17 $254.78
90633 59 47 $244.40
90734 55 40 $243.50
99000 260 252 $164.88
90715 48 32 $118.69
99316 12 12 $100.14
90688 26 26 $95.76
90707 16 14 $67.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 113 74 $64.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 39 30 $38.11
J1250 Injection, dobutamine hydrochloride, per 250 mg 15 13 $27.86
J1885 Injection, ketorolac tromethamine, per 15 mg 22 13 $13.70
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 12 12 $0.78
90670 46 37 $0.00