Medicaid Provider Spending

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

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

NPI: 1588278204 · GRAND JUNCTION, CO 81501 · Hematology & Oncology Physician · NPI assigned 09/01/2020

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

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

$624K
Total Medicaid Paid
17,456
Total Claims
15,708
Beneficiaries
37
Codes Billed
2020-04
First Month
2022-12
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE MEDICAL GROUP)
Parent OrganizationINTERMOUNTAIN FRONT RANGE, INC.
NPI Enumeration Date09/01/2020

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 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 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
2020 668 $30K
2021 7,223 $241K
2022 9,565 $353K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,782 2,512 $175K
99215 Prolong outpt/office vis 893 842 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,517 1,421 $73K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,323 6,802 $49K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 290 283 $38K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 583 576 $35K
99233 Prolong inpt eval add15 m 402 182 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 427 356 $26K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 401 219 $17K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 704 527 $15K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 78 78 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 96 91 $9K
93000 618 614 $8K
97803 197 182 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 141 129 $6K
99205 Prolong outpt/office vis 27 27 $5K
94729 200 196 $4K
99223 Prolong inpt eval add15 m 25 25 $4K
76819 Fetal biophysical profile; without non-stress testing 51 39 $4K
94726 170 166 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 115 64 $3K
94060 91 90 $2K
99232 Subsequent hospital care, per day, moderate complexity 21 12 $1K
90792 Psychiatric diagnostic evaluation with medical services 19 14 $1K
99239 Hospital discharge day management, more than 30 minutes 15 15 $864.73
97802 12 12 $833.09
97760 42 36 $740.62
95886 15 15 $683.30
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 14 12 $612.51
93296 15 13 $308.63
73110 27 25 $304.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 50 50 $298.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $130.08
J1030 Injection, methylprednisolone acetate, 40 mg 31 21 $127.20
36415 Collection of venous blood by venipuncture 25 24 $48.73
85018 14 14 $20.49
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 13 12 $9.53