Medicaid Provider Spending

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

GREAT FALLS CLINIC LLC

NPI: 1801897780 · GREAT FALLS, MT 59405 · Optician · NPI assigned 08/02/2005

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

Authorized official BALDOCK, JENNIFER controls 20+ related entities in our dataset. Read more

$11.19M
Total Medicaid Paid
323,518
Total Claims
274,910
Beneficiaries
107
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALDOCK, JENNIFER (OFFICER AND AUTHORIZED OFFICIAL)
NPI Enumeration Date08/02/2005

Related Entities

Other providers sharing the same authorized official: BALDOCK, JENNIFER

ProviderCityStateTotal Paid
HEART HOSPITAL OF BK, LLC BAKERSFIELD CA $12.48M
MONTPELIER SURGERY CENTER LLC SAN JOSE CA $7.09M
CYPRESS SURGERY CENTER LLC WICHITA KS $6.84M
PHYSICIANS SURGERY SERVICES LLC SAN JOSE CA $5.38M
SEQUOIA SURGICAL CENTER LP WALNUT CREEK CA $3.78M
CMSC, LLC GREAT FALLS MT $2.60M
PAIN MANAGEMENT ASSOCIATES, INC. LAGUNA HILLS CA $1.96M
RIVERSIDE SPINE & PAIN PHYSICIANS, LLC JACKSONVILLE FL $1.68M
ALASKA DIGESTIVE CENTER, LLC ANCHORAGE AK $1.59M
COLD SPRINGS MEDICAL SURGICAL GROUP LLC SANTA BARBARA CA $1.59M
SPECIALTY SURGICAL CENTER OF IRVINE LP IRVINE CA $1.44M
MILLENIA SURGERY CENTER LLC ORLANDO FL $942K
ARC KENTUCKY LLC LOUISVILLE KY $872K
ANIMAS SURGICAL HOSPITAL, LLC DURANGO CO $677K
NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC COLORADO SPRINGS CO $636K
FOREST AMBULATORY SURGICAL ASSOCIATES LLC SAN JOSE CA $583K
BAYSIDE ENDOSCOPY CENTER, LLC PROVIDENCE RI $553K
SPECIALTY SURGICAL CENTER, LLC BEVERLY HILLS CA $553K
VILLAGE SURGICENTER, LIMITED PARTNERSHIP ERIE PA $314K
LAFAYETTE SURGICAL HOSPITAL LLC LAFAYETTE LA $282K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,074 $1.71M
2019 29,329 $1.68M
2020 26,198 $1.19M
2021 24,347 $1.67M
2022 68,144 $1.85M
2023 92,471 $1.76M
2024 48,955 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57,539 48,637 $4.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 36,270 30,372 $3.47M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,055 3,664 $449K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,414 3,007 $355K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,054 674 $302K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,178 1,831 $302K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,638 2,459 $301K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,861 2,478 $278K
99215 Prolong outpt/office vis 1,537 1,322 $267K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,041 10,696 $226K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,476 1,343 $160K
90472 Immunization administration, each additional vaccine (list separately) 6,113 5,389 $138K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 825 718 $80K
90460 Immunization administration through 18 years of age via any route, first or only component 1,539 1,326 $77K
95117 7,013 2,638 $63K
95886 372 320 $56K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 906 700 $52K
99233 Prolong inpt eval add15 m 753 213 $39K
92567 3,690 2,819 $32K
99232 Subsequent hospital care, per day, moderate complexity 661 252 $29K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 134 96 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 716 588 $28K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 397 290 $27K
90670 1,846 1,691 $22K
93000 2,487 1,857 $21K
92558 710 588 $21K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 260 250 $18K
90651 428 374 $18K
95810 Polysomnography; sleep staging with 4 or more additional parameters 147 137 $17K
92015 Determination of refractive state 1,256 1,043 $16K
94060 578 469 $15K
92557 826 628 $15K
69210 601 416 $14K
92340 Fitting of spectacles, except for aphakia; monofocal 401 386 $10K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 2,268 2,268 $9K
96127 2,358 1,974 $9K
90686 3,764 3,457 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 113 105 $8K
99223 Prolong inpt eval add15 m 55 41 $6K
62323 70 61 $6K
94010 384 301 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 151 117 $6K
90734 212 189 $6K
90961 77 63 $5K
90723 930 862 $5K
90461 1,067 920 $4K
99222 Initial hospital care, per day, moderate complexity 66 39 $4K
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) 242 218 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 21 15 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 250 239 $3K
95911 13 13 $3K
99205 Prolong outpt/office vis 14 13 $3K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $3K
92504 816 603 $2K
99383 16 16 $2K
83036 Hemoglobin; glycosylated (A1C) 453 333 $2K
99384 15 13 $2K
90677 100 86 $2K
90680 484 442 $2K
95811 13 12 $2K
92134 102 95 $2K
90647 883 809 $2K
96160 604 544 $2K
99381 12 12 $1K
90966 14 12 $1K
90633 320 297 $1K
90962 15 15 $1K
90710 43 39 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 107 90 $1K
11721 87 78 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 189 156 $972.14
82962 725 557 $951.70
90715 125 107 $828.95
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 30 29 $645.14
96161 152 141 $473.78
90656 90 83 $333.00
90696 24 24 $294.74
S0315 Disease management program; initial assessment and initiation of the program 38 38 $285.00
95012 12 12 $248.20
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 15 $216.67
90474 14 12 $191.52
J1030 Injection, methylprednisolone acetate, 40 mg 14 14 $91.00
99173 364 344 $61.60
51798 12 12 $59.80
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 149 107 $5.09
J7610 Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg 23 16 $0.28
3078F 18,855 16,849 $0.00
1159F 29,125 25,162 $0.00
1160F 29,134 25,184 $0.00
3725F 2,300 2,042 $0.00
99499 121 118 $0.00
90473 62 58 $0.00
3077F 96 93 $0.00
90685 32 32 $0.00
90700 14 12 $0.00
3008F 25,648 22,748 $0.00
3074F 23,071 20,548 $0.00
1036F 14,216 11,770 $0.00
3079F 3,523 3,258 $0.00
3075F 401 382 $0.00
1034F 268 244 $0.00
1126F 225 213 $0.00
99024 409 324 $0.00
3080F 72 64 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 28 12 $0.00
1125F 54 44 $0.00