DAWN R UNDERWOOD
NPI 1083002729, individual, Anchorage, AK, Nurse Practitioner, Family
- Medicaid dollars per patient on code 99213 ($409 per patient-month) sit in the top 5% of every provider billing that code.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report | Exact NPI, name verified | Nov 7, 2024 | Aug 26, 2030 | 1 | Dec 2024 | Dec 2024 | $32 | $195K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DAWN R UNDERWOOD (also DAWN BUTLER) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 5, 2015, last updated March 30, 2022 |
| Practice location | 360 W BENSON BLVD STE 310, Anchorage, AK 99503-3953, 907-268-2327 |
| Mailing address | 6356 S HALLIE DR, Wasilla, AK 99623-8853 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 30319 MT) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $228K | 45% | $409 | $44 (top 5% from $110) | 100th percentile | |
| H0016 | Medicaid service code | $195K | 38% | $242 | $245 (top 5% from $397) | 47th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $68K | 13% | $145 | $60 (top 5% from $133) | 96th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $8K | 2% | $682 | $28 (top 5% from $147) | too few months to rank | |
| 82075 | Measurement of alcohol level in breath specimen | $5K | 1% | $27 | $29 (top 5% from $75) | too few months to rank | |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | $2K | 0% | $67 | $94 (top 5% from $603) | too few months to rank | |
| Q3014 | Telehealth originating site facility fee | $689 | 0% | $29 | $21 (top 5% from $84) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $119 | 0% | $8.52 | $95 (top 5% from $171) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 54 | 13 | $3K | $200 | $60 | 3.4x | 3.2x (90th percentile 7.6x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 45 | 21 | $3K | $230 | $105 | 2.2x | 2.3x (90th percentile 3.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
7 providers in AK carry an indicator in the public record, with $1.1M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | 3707 OREGON LLC Anchorage, AK, ranked 660 | $0 |
|
| 3 | EH HEALTH HOSPICE OF THE NORTHWEST, LLC Anchorage, AK, ranked 1915 | $0 |
|
| 3 | MELISSA DOBBS Wasilla, AK, ranked 3239 | $0 |
|
| 3 | MD CHOICE HOSPICE OF ALASKA INC Anchorage, AK, ranked 5983 | $0 |
|
| 4 | BRUCE MCCLELLAN Fairbanks, AK, ranked 8013 | $233K |
|
| 4 | COURTNEY MOODY Eagle River, AK, ranked 9660 | $41K |
|
| 5 | DANIEL MARDONES Anchorage, AK, ranked 10155 | $785K |
|
Recent enforcement in AK
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.