Carlson, David

Carlson, David was paid $1.04M by Medicaid between Sep 2018 and Feb 2022, across 10 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 76% of everything it billed.

33Billing provider infoCARLSON, DAVID
BILLINGS, MT 59101

33aNPI1891804589assigned 08/29/2006

33bProvider typePsychiatry Physician

28Total paid$1.04M

24GClaims35,015

24DCodes billed10

24AFirst – last monthSep 2018 – Feb 2022

Compared with peers

Next to other Psychiatry Physician providers in Montana

Rank by total paid#6 of 13

Median peer was paid$808K

This provider vs. median1.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	951	$2K
2019	12,987	$342K
2020	9,000	$283K
2021	11,031	$371K
2022	1,046	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	76%	26,775	7,095	$785K
82075		9.0%	5,249	3,041	$94K
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	6.4%	582	343	$67K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	4.2%	607	558	$44K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	1.4%	606	557	$15K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	680	609	$10K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	<1%	78	68	$10K
90792	Psychiatric diagnostic evaluation with medical services	<1%	28	28	$7K
86580		<1%	374	361	$4K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	0%	36	33	$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.