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NPI 1437198074 · Ronan, MT · Emergency Medicine Physician
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Ronald Dean is a emergency medicine physician provider located in Ronan, Montana. This profile covers 9 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ronald Dean |
| Address | 107 6th Ave Sw |
| City | Ronan |
| State | MT |
| ZIP | 59864 |
| Taxonomy | Emergency Medicine Physician |
| NPI Enumerated | June 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $2.3K |
This provider is effectively Medicare-dominant: lifetime Medicare revenue is $2.3M compared with just $2.3K in Medicaid, so Medicare drives the scale of the practice’s billing activity while Medicaid is de minimis. The disparity indicates the provider’s commercial and operational exposure is concentrated in Medicare reimbursement flows rather than state Medicaid business.
Medicare revenue is extremely concentrated: the top three Medicare codes account for 99.2% of the provider’s Medicare revenue. Those codes are K1034 ($1.8M, 77.7% of Medicare revenue, 151.8K claims), 99442 ($345.1K, 14.7%, 6.3K claims) and 99441 ($158.7K, 6.8%, 4.8K claims), which together create a narrow revenue base dependent on a small set of services.
The code mix suggests the practice is operating as a high-volume COVID-testing and remote-evaluation service rather than a traditional emergency department revenue center: K1034 (provision of nonprescription self-administered COVID-19 tests) accounts for the single largest Medicare revenue line by far, and 99441/99442 are high-volume telephone/remote E/M codes (6.3K and 4.8K Medicare claims respectively). By contrast, typical ED E/M codes such as 99284 and 99283 generate only modest Medicare claim counts and revenue (71 and 92 claims and $6.7K and $5K respectively), indicating limited conventional ED billing.
For national competitive standing on its top Medicare lines the provider is a prominent outlier: 99442 and 99441 each rank #1 nationally (100th percentile; labeled an "extreme outlier" for volume) and K1034 ranks #146 of 30143 providers nationally (100th percentile; "notably above typical" volume). This combination points to market dominance for these specific services at a national scale, even though the provider is not a high-volume biller for standard ED E/M codes.
Medicaid activity is tiny but concentrated: the top three Medicaid codes account for 100.0% of Medicaid revenue, with 99284 responsible for $1.6K (72.4% of Medicaid revenue, 23 claims) and K1034 responsible for $614 (27.6% of Medicaid revenue, 307 claims). Notably, 99441 and 99442 appear on Medicaid claim lists with counts but report $0 in Medicaid revenue, underscoring that Medicaid contributes almost no paid revenue beyond a small number of ED and testing claims.
Competitive position within the state is mixed: for Medicaid 99284 the provider ranks #73 of 75 in-state (3th percentile; characterized in the source as typical/ unremarkable), indicating a modest participant in in-state ED billing, while K1034 ranks #1 of 2 in-state (100th percentile) for that specific testing code but represents only $614 in Medicaid revenue. In short, the provider can be a top testing source in-state by count but not by meaningful Medicaid revenue.
The provider has a long tenure: NPI enumerated 2006-06-06 (~20 years ago). The longevity combined with a heavy present-day reliance on pandemic-related testing and high-volume telephone E/M codes suggests an operational shift or specialization over time rather than a new entrant profile.
Given the extreme concentration of Medicare revenue in pandemic-related supply and telephone E/M codes, the provider’s financial performance is sensitive to changes in coverage, reimbursement, or demand for K1034 and 9944x codes. Analysts and contracting teams should monitor policy and utilization shifts for those codes because they could materially affect total revenue and outpatient service capacity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 151,760 | $10 | $1.8M |
| 99442 | N/A | 6,280 | $60 | $345.1K |
| 99441 | N/A | 4,810 | $30 | $158.7K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 70 | $90 | $6.7K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 90 | $50 | $5K |
| 99443 | N/A | 50 | $80 | $3.6K |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 10 | $140 | $1.8K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 20 | $30 | $640 |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 70 | $10 | $400 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 20 | $70 | $1.6K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 310 | $1 | $610 |
| 99441 | N/A | 110 | $0 | $0 |
| 99442 | N/A | 260 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 73 | 80 | 2,770 | $60 | $471K |
| 99442 | N/A | 9 | 40 | 50 | $10 | $2.3K |
| 99441 | N/A | 8 | 30 | 40 | $1 | $620 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1 | 10 | 160 | $1 | $330 |
Other providers in the same ZIP code as Ronald Dean, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mission Mountain Enterprises, Inc. | MT | Developmentally Disabled Services Day Training Agency | $0 | $17.9M |
| Pal Memory Care, LLC | MT | Assisted Living Facility | $0 | $1.7M |
| School District #30 | MT | Local Education Agency (LEA) | $0 | $1.4M |
| St Lukes Community Hospital | MT | Urgent Care Clinic/Center | $0 | $1.2M |
| Western Montana Family Dentistry | MT | Dentist | $0 | $1.2M |
| Mission Valley Eye Center, Inc. | MT | Optometrist | $0 | $1.1M |
| St Lukes Community Hospital | MT | Family Medicine Physician | $0 | $824.3K |
| St Lukes Community Hospital | MT | Critical Access Hospital | $0 | $714.7K |
| Rosemary Epperson | MT | Clinical Social Worker | $0 | $366.8K |
| Hikmat Maaliki | MT | Family Medicine Physician | $127K | $0 |
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