Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST JOSEPH HOSPITAL LLC

NPI: 1205368404 · LEWISTON, ID 83501 · Internal Medicine Physician · NPI assigned 03/28/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$1.10M
Total Medicaid Paid
42,168
Total Claims
33,951
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (AO)
NPI Enumeration Date03/28/2017

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
PHC-CLEVELAND LLC CLEVELAND MS $23.43M
HARTSVILLE, LLC HARTSVILLE SC $18.42M
LOGAN MEMORIAL HOSPITAL LLC RUSSELLVILLE KY $14.29M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
WATERTOWN MEDICAL CENTER LLC WATERTOWN WI $6.31M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
RIVERTON MEMORIAL HOSPITAL LLC RIVERTON WY $4.65M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.19M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
TEXAS SPECIALTY PHYSICIANS PALESTINE TX $1.26M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,599 $208K
2019 6,635 $224K
2020 3,564 $124K
2021 10,429 $149K
2022 7,610 $160K
2023 4,424 $133K
2024 2,907 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,626 8,859 $397K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,449 6,697 $195K
90834 Psychotherapy, 45 minutes with patient 3,459 1,587 $134K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 829 787 $52K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,244 602 $49K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,577 1,509 $47K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 345 316 $28K
99283 Emergency department visit for the evaluation and management, moderate severity 250 226 $26K
43248 233 221 $23K
99232 Subsequent hospital care, per day, moderate complexity 521 174 $18K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 106 104 $15K
99215 Prolong outpt/office vis 264 197 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 951 683 $13K
95910 116 114 $10K
99238 Hospital discharge day management, 30 minutes or less 199 191 $8K
Q3014 Telehealth originating site facility fee 366 302 $7K
97597 387 234 $6K
96127 928 683 $5K
99222 Initial hospital care, per day, moderate complexity 64 62 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,363 1,219 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 48 42 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 38 37 $4K
93016 319 308 $3K
90792 Psychiatric diagnostic evaluation with medical services 71 67 $3K
T1014 Telehealth transmission, per minute, professional services bill separately 176 133 $3K
90847 Family psychotherapy with the patient present, 50 minutes 33 17 $3K
99308 Subsequent nursing facility care, per day, straightforward 147 130 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 20 17 $2K
93018 317 307 $2K
99223 Prolong inpt eval add15 m 18 15 $2K
99152 143 119 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23 22 $1K
99284 Emergency department visit for the evaluation and management, high severity 13 12 $1K
90791 Psychiatric diagnostic evaluation 12 12 $1K
99233 Prolong inpt eval add15 m 31 14 $967.98
99205 Prolong outpt/office vis 14 14 $967.59
90686 39 36 $569.22
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 17 13 $532.89
80053 Comprehensive metabolic panel 62 55 $478.89
94060 40 40 $275.23
99441 12 12 $215.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 30 $200.10
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 64 59 $181.50
99153 Mod sedat endo service >5yrs 14 12 $173.38
94729 43 40 $171.11
94726 29 29 $170.03
36415 Collection of venous blood by venipuncture 76 64 $166.18
85025 Blood count; complete (CBC), automated, and automated differential WBC count 128 101 $131.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $65.29
3008F 1,581 1,337 $8.00
1160F 1,909 1,626 $8.00
1159F 906 791 $8.00
1036F 1,791 1,504 $0.00
3074F 796 668 $0.00
1125F 369 262 $0.00
3075F 31 30 $0.00
1126F 269 175 $0.00
3079F 97 84 $0.00
3725F 397 317 $0.00
3078F 696 580 $0.00
3288F 28 26 $0.00
3077F 30 13 $0.00