Providers
CHRISTOPHER S CROWLEY, MD, PhD
NPI 1962836783, individual, Bozeman, MT, Dermatology
5
Evidence tier
informational
- Medicaid dollars per patient on code 99214 ($138 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10223, $599K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CHRISTOPHER S CROWLEY, MD, PhD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 28, 2013, last updated December 2, 2025 |
| Practice location | 2233 W KAGY BLVD STE 2, Bozeman, MT 59718-5938, 406-586-7873 |
| Specialties | Dermatology (207N00000X, primary, license 99206 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $437K | 42% | $138 | $60 (top 5% from $133) | 96th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $175K | 17% | $86 | $44 (top 5% from $110) | 90th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $149K | 14% | $167 | $95 (top 5% from $171) | 94th percentile | |
| 17110 | Destruction of skin growth, 1-14 growths | $127K | 12% | $108 | $70 (top 5% from $141) | 84th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $58K | 6% | $106 | $67 (top 5% from $121) | 91st percentile | |
| 11200 | Removal of skin tag, 1-15 skin tags | $33K | 3% | $59 | $46 (top 5% from $143) | 68th percentile | |
| 11102 | Biopsy of related skin growth, first growth | $30K | 3% | $81 | $58 (top 5% from $111) | 81st percentile | |
| 17000 | Destruction of precancer skin growth, 1 growth | $19K | 2% | $41 | $24 (top 5% from $62) | 84th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 693 | 590 | $43K | $170 | $89 | 1.9x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 353 | 291 | $30K | $238 | $126 | 1.9x | 2.3x (90th percentile 3.8x) |
| 17000 | Destruction of precancer skin growth, 1 growth | 747 | 613 | $27K | $147 | $50 | 2.9x | 3.0x (90th percentile 5.4x) |
| 17110 | Destruction of skin growth, 1-14 growths | 317 | 244 | $24K | $213 | $111 | 1.9x | 2.3x (90th percentile 4.1x) |
| 11102 | Biopsy of related skin growth, first growth | 327 | 310 | $19K | $205 | $90 | 2.3x | 2.7x (90th percentile 5.1x) |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,036 | 509 | $14K | $17 | $7 | 2.6x | 3.0x (90th percentile 9.4x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 193 | 193 | $12K | $208 | $110 | 1.9x | 2.4x (90th percentile 3.9x) |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 88 | 77 | $10K | $318 | $165 | 1.9x | 2.3x (90th percentile 4.0x) |
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
4 providers in Gallatin County, MT carry an indicator in the public record, with $51K at stake between them. The most common is part of a provider network, on 2 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JONATHAN WILHELM Belgrade, MT, ranked 238 | $21K |
|
| 3 | EDEN HOME HEALTH OF BOZEMAN, LLC Bozeman, MT, ranked 2580 | $0 |
|
| 3 | EDEN HOSPICE AT WESTERN MONTANA, LLC Bozeman, MT, ranked 3324 | $0 |
|
| 4 | JOANNA LYON Bozeman, MT, ranked 8559 | $30K |
|
Recent enforcement in MT
All releasesDepartment 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.