Providers

ROBERT C. SHERRICK, M.D.

NPI 1619076122, individual, Kalispell, MT, Internal Medicine

5
Evidence tier
informational
  • Medicaid dollars per patient on code H0016 ($415 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10445, $122K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameROBERT C. SHERRICK, M.D.
TypeIndividual
StatusActive
NPI issuedSeptember 21, 2006, last updated November 27, 2023
Practice location200 HERITAGE WAY, Kalispell, MT 59901-3146, 406-756-3950
Specialties
Internal Medicine (207R00000X, primary, license 7349 MT)
Internal Medicine, Addiction Medicine (207RA0401X, license 7349 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
80307Testing for presence of drug, by chemistry analyzers$22.6M42%$71$45 (top 5% from $110)80th percentile
H0016Medicaid service code$15.6M29%$415$245 (top 5% from $397)96th percentile
H2010Comprehensive medication services per 15 min$6.3M12%$154$230 (top 5% from $884)39th percentile
S0109Medicaid service code$3.3M6%$192$116 (top 5% from $949)88th percentile
J0574Medicaid service code$2.5M5%$397$47 (top 5% from $632)85th percentile
H0020Medicaid service code$2.5M5%$59$214 (top 5% from $529)25th percentile
J0572Medicaid service code$417K1%$208$43 (top 5% from $282)88th percentile
J0573Medicaid service code$312K1%$261$124 (top 5% from $451)68th percentile

In this area

2 providers in Flathead County, MT carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.

tierproviderat stakewhy
3STATE OF MONTANA
Columbia Falls, MT, ranked 5094
$0
  • Part of provider network D1-00101, ranked 101 nationally.
3SWEETWATER WHITEFISH OPCO LLC
Whitefish, MT, ranked 7115
$0
  • Part of provider network D1-00087, ranked 87 nationally.

Recent enforcement in MT

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedJan 17, 2025
Former nurse practitioner in Butte sentenced to five years in prison, ordered to pay more than $600,000 restitution for health care fraud
A former nurse practitioner falsely billed Blue Cross Blue Shield of Montana $62,310,000 for 158 vitamin B-12 injections that did not occur, receiving $613,108, and used another nurse practitioner's DEA registration number to write prescriptions after her own license was suspended.
DOJSentencedDec 13, 2024
Whitefish doctor sentenced for defrauding Medicare and other federal health programs
Dean was paid by a telemedicine company to sign orders for durable medical equipment that patients did not need, and he fraudulently charged Medicare, CHAMPVA and Railroad Retirement Board programs for telemedicine office visits that did not occur while also authorizing unnecessary covid tests.
DOJPleaded guiltyAug 2, 2024
Former nurse practitioner in Butte admits health care fraud; received nearly $600,000 in false claims
A former nurse practitioner prescribed controlled substances after her license was suspended, using another nurse practitioner's name and DEA registration number, and billed Blue Cross Blue Shield of Montana at least $61,995,000 for vitamin B-12 injections that did not occur, receiving at least $593,583.
DOJPleaded guiltyJul 18, 2024
Whitefish doctor admits defrauding Medicare and other federal health programs
Dean, a licensed physician, was paid by a telemedicine company to sign orders for durable medical equipment that patients did not need and then billed Medicare, CHAMPVA and the Railroad Retirement Board programs for telemedicine office visits that did not occur, resulting in more than $39 million in false billing.
DOJChargedJun 27, 2024
National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Billion in False Claims
Dean was paid by a telemedicine company to sign orders for durable medical equipment patients did not need and fraudulently charged Medicare and other government health programs for telemedicine office visits that did not occur, resulting in over $39 million in false billing.

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.

Ask this case

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