Medicaid Provider Spending

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

SCL PHYSICIANS - RMPC LLC

NPI: 1780293456 · WESTMINSTER, CO 80031 · Internal Medicine Physician · NPI assigned 07/28/2020

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

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

$792K
Total Medicaid Paid
14,194
Total Claims
12,252
Beneficiaries
12
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE PSO)
Parent OrganizationSCL HEALTH MEDICAL GROUP - DENVER, LLC
NPI Enumeration Date07/28/2020

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 $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
2021 15 $574.19
2022 3,799 $231K
2023 5,560 $347K
2024 4,820 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,188 8,791 $660K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,186 1,084 $59K
90837 Psychotherapy, 53 minutes with patient 666 462 $47K
87428 188 173 $13K
99215 Prolong outpt/office vis 45 39 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 54 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 134 127 $2K
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) 1,521 1,337 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 105 90 $984.30
90686 70 65 $937.20
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 21 17 $904.60
36415 Collection of venous blood by venipuncture 14 13 $21.00