BRUCE CLARK MCCLELLAN, M.D.
NPI 1386731883, individual, Fairbanks, AK, Family Medicine
- Hours beyond a day in 1 month, but with up to 334 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($341 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2022 | More hours than a day holds at a conservative unit price | 1.6 | 39.0 | 26.0 | 38.4 | 334 | 1 | 99211 99213 99214 | $233K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRUCE CLARK MCCLELLAN, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 6, 2006, last updated September 20, 2024 |
| Practice location | 1717 W COWLES ST, Fairbanks, AK 99701-5926, 907-451-6682 |
| Mailing address | PO BOX 787, Morgan, UT 84050-0787 |
| Specialties | Family Medicine (207Q00000X, license 188674-8905 UT) Family Medicine (207Q00000X, primary, license 43497-20 WI) |
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 | |
|---|---|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $419K | 43% | $640 | $16 (top 5% from $128) | 100th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $386K | 40% | $282 | $44 (top 5% from $110) | 99th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $163K | 17% | $341 | $60 (top 5% from $133) | 100th percentile | |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | $0 | 0% | $0.00 | $113 (top 5% from $189) | too few months to rank | |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | $0 | 0% | $0.00 | $114 (top 5% from $186) | too few months to rank | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $0 | 0% | $0.00 | $44 (top 5% from $70) | 0th percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $0 | 0% | $0.00 | $22 (top 5% from $33) | 0th percentile | |
| 36415 | Insertion of needle into vein for collection of blood sample | $0 | 0% | $0.00 | $1.97 (top 5% from $12) | 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 |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 40 | 38 | $4K | $361 | $121 | 3.0x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 61 | 53 | $4K | $256 | $85 | 3.0x | 2.2x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $4K | $2K | $122 | 12.5x | 2.3x (90th percentile 4.1x) |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 15 | 15 | $2K | $311 | $158 | 2.0x | 1.0x (90th percentile 1.7x) |
| 90653 | Influenza vaccine, inactivated | 21 | 21 | $2K | $167 | $82 | 2.0x | 1.1x (90th percentile 2.0x) |
| G0008 | Administration of influenza virus vaccine | 21 | 21 | $639 | $52 | $30 | 1.7x | 1.2x (90th percentile 2.3x) |
| 90480 | Admn sarscov2 vacc 1 dose | 15 | 15 | $608 | $90 | $41 | 2.2x | 1.0x (90th percentile 2.3x) |
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 11 | $104 | $40 | $9 | 4.6x | 2.0x (90th percentile 3.5x) |
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 $826K at stake between them. The most common is named in an enforcement record, on 2 of them, followed by part of a provider network 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 | COURTNEY MOODY Eagle River, AK, ranked 9660 | $41K |
|
| 5 | DANIEL MARDONES Anchorage, AK, ranked 10155 | $785K |
|
| 5 | DAWN UNDERWOOD Anchorage, AK, ranked 11350 | $32 |
|
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.