Physician
SCL Health Medical Group - Billings LLC
SCL Health Medical Group - Billings LLC was paid $32.12M by Medicaid between Jan 2018 and Dec 2024, across 139 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoSCL HEALTH MEDICAL GROUP - BILLINGS LLC
BILLINGS, MT 59101
BILLINGS, MT 59101
33aNPI1508289703assigned 01/24/2014
33bProvider typeGeneral Practice Physician
28Total paid$32.12M
24GClaims450,340
24DCodes billed139
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 | 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 | |
| 2024incomplete | 52,906 | $4.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 125,132 | 110,677 | $11.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 110,145 | 97,859 | $7.81M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.1% | 18,048 | 16,745 | $2.29M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.8% | 11,324 | 10,347 | $1.86M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.1% | 17,113 | 15,647 | $1.33M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 6,090 | 5,183 | $788K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 6,325 | 5,594 | $618K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 7,099 | 3,949 | $598K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.1% | 1,978 | 1,867 | $362K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 4,060 | 3,737 | $348K |
| 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% | 2,296 | 2,057 | $308K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 2,845 | 2,399 | $306K |
127 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,639 | $255K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 31,564 | $255K |
| 99205 | Prolong outpt/office vis | <1% | 1,509 | $247K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,899 | $181K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 2,649 | $161K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,819 | $132K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,126 | $128K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 3,480 | $122K |
| 93304 | <1% | 917 | $117K | |
| 95811 | <1% | 1,082 | $114K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,202 | $99K |
| 76820 | <1% | 1,780 | $87K | |
| 87428 | <1% | 3,351 | $86K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,740 | $85K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,238 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 661 | $81K |
| 99310 | Prolong nursin fac eval 15m | <1% | 2,442 | $78K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,035 | $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) | <1% | 4,728 | $74K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,130 | $61K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 516 | $61K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,317 | $57K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 690 | $53K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,894 | $49K |
| 95251 | <1% | 2,254 | $41K | |
| 95886 | <1% | 337 | $41K | |
| 90686 | <1% | 4,066 | $38K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 276 | $38K |
| 99493 | <1% | 388 | $37K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 213 | $37K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,654 | $36K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 641 | $35K |
| 93325 | <1% | 2,037 | $35K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 61 | $33K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 437 | $32K |
| 93000 | <1% | 1,878 | $27K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 271 | $27K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,462 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,575 | $24K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 324 | $23K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,611 | $21K |
| 93321 | <1% | 1,033 | $21K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 811 | $20K |
| 80305 | <1% | 2,762 | $20K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 133 | $17K |
| 93351 | <1% | 108 | $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) | <1% | 116 | $14K |
| 76801 | <1% | 131 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 129 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 112 | $13K |
| 93320 | <1% | 378 | $12K | |
| 93296 | <1% | 841 | $11K | |
| 93297 | <1% | 618 | $11K | |
| 97802 | <1% | 294 | $11K | |
| 95806 | <1% | 148 | $10K | |
| 96112 | <1% | 96 | $10K | |
| 81003 | <1% | 5,544 | $9K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 2,204 | $9K |
| 99221 | <1% | 143 | $9K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 69 | $9K |
| 97803 | <1% | 327 | $8K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 491 | $7K |
| 99223 | Prolong inpt eval add15 m | <1% | 41 | $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 | <1% | 350 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 65 | $6K |
| 59025 | Fetal non-stress test | <1% | 121 | $6K |
| 94729 | <1% | 479 | $6K | |
| 11100 | <1% | 113 | $6K | |
| 17110 | <1% | 47 | $5K | |
| 11102 | <1% | 55 | $5K | |
| 94010 | <1% | 260 | $5K | |
| 94060 | <1% | 342 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 201 | $3K |
| 99494 | <1% | 42 | $3K | |
| 90961 | <1% | 55 | $3K | |
| 81025 | <1% | 625 | $3K | |
| 87400 | <1% | 346 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 34 | $3K |
| 99406 | <1% | 189 | $2K | |
| 94690 | <1% | 79 | $2K | |
| 99201 | <1% | 54 | $2K | |
| 93308 | <1% | 111 | $2K | |
| 64642 | <1% | 13 | $2K | |
| 51798 | <1% | 310 | $2K | |
| 96127 | <1% | 584 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 18 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 24 | $2K |
| 99442 | <1% | 58 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 324 | $2K |
| 99443 | <1% | 54 | $2K | |
| 90651 | <1% | 80 | $2K | |
| 90461 | <1% | 419 | $2K | |
| 94726 | <1% | 157 | $2K | |
| 92523 | <1% | 12 | $2K | |
| 93016 | <1% | 146 | $1K | |
| 93018 | <1% | 163 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 27 | $942.48 |
| 93294 | <1% | 98 | $929.92 | |
| 11900 | <1% | 15 | $690.60 | |
| 87807 | <1% | 65 | $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) | <1% | 163 | $576.51 |
| 85027 | <1% | 155 | $567.35 | |
| 97162 | <1% | 12 | $532.59 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $512.45 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 34 | $418.43 |
| 62370 | <1% | 13 | $406.14 | |
| 93227 | <1% | 13 | $366.21 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 15 | $364.78 |
| 93295 | <1% | 15 | $332.01 | |
| 90656 | <1% | 26 | $310.42 | |
| 87210 | <1% | 60 | $285.18 | |
| S0315 | Disease management program; initial assessment and initiation of the program | <1% | 36 | $270.00 |
| 99441 | <1% | 24 | $254.78 | |
| 90633 | <1% | 59 | $244.40 | |
| 90734 | <1% | 55 | $243.50 | |
| 99000 | <1% | 260 | $164.88 | |
| 90715 | <1% | 48 | $118.69 | |
| 99316 | <1% | 12 | $100.14 | |
| 90688 | <1% | 26 | $95.76 | |
| 90707 | <1% | 16 | $67.72 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 113 | $64.46 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 39 | $38.11 |
| J1250 | Injection, dobutamine hydrochloride, per 250 mg | <1% | 15 | $27.86 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 22 | $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 | <1% | 12 | $0.78 |
| 90670 | 0% | 46 | $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)
Parent organizationSISTERS OF CHARITY HEALTH SYSTEM
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.