Medicaid Provider Spending

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

ST. JOSEPH HOSPITAL LLC

NPI: 1225090954 · LEWISTON, ID 83501 · General Acute Care Hospital · NPI assigned 04/06/2006

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

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

$4.67M
Total Medicaid Paid
211,963
Total Claims
163,788
Beneficiaries
152
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (DIR LICENSE AND CERTIFICATION)
NPI Enumeration Date04/06/2006

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
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
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
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 46,144 $1.08M
2019 50,166 $1.08M
2020 29,889 $684K
2021 24,638 $530K
2022 24,767 $525K
2023 21,288 $415K
2024 15,071 $356K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 9,645 8,514 $843K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 22,828 16,726 $782K
99284 Emergency department visit for the evaluation and management, high severity 6,318 5,436 $490K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 6,948 2,513 $337K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,066 3,466 $307K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,882 1,743 $225K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,064 1,279 $207K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,500 1,266 $157K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,558 1,469 $156K
70450 Computed tomography, head or brain; without contrast material 1,712 1,553 $122K
96361 Intravenous infusion, hydration; each additional hour 453 414 $95K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,577 1,097 $86K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 878 506 $70K
80053 Comprehensive metabolic panel 16,258 12,802 $70K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,420 556 $63K
99282 Emergency department visit for the evaluation and management, low to moderate severity 581 524 $51K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,624 2,964 $48K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 974 814 $39K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,370 1,200 $37K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,051 14,589 $37K
74176 Computed tomography, abdomen and pelvis; without contrast material 307 290 $27K
97162 630 580 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 431 416 $21K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 371 325 $20K
77067 Screening mammography, bilateral, including computer-aided detection 665 643 $20K
71275 Computed tomographic angiography, chest, with contrast material 176 168 $20K
71046 Radiologic examination, chest; 2 views 2,793 2,583 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 257 207 $18K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 141 138 $18K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 959 353 $17K
36415 Collection of venous blood by venipuncture 15,264 12,010 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 728 655 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 61 51 $14K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 83 78 $14K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,680 1,450 $13K
90834 Psychotherapy, 45 minutes with patient 1,712 650 $12K
84484 2,817 2,276 $11K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 113 106 $9K
84443 Thyroid stimulating hormone (TSH) 2,225 1,959 $7K
80048 Basic metabolic panel (calcium, ionized) 1,905 1,666 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 967 628 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 38 38 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 468 405 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,984 4,058 $5K
82803 1,089 961 $5K
71045 Radiologic examination, chest; single view 3,009 2,629 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 93 91 $4K
96523 158 140 $4K
83880 666 568 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,270 4,411 $4K
81001 4,555 4,059 $4K
83690 2,307 1,992 $4K
83735 2,021 1,474 $4K
G0378 Hospital observation service, per hour 471 297 $4K
83605 754 636 $4K
96375 Therapeutic injection; each additional sequential IV push 3,298 2,690 $4K
87086 Culture, bacterial; quantitative colony count, urine 1,507 1,369 $4K
93017 53 53 $3K
96415 18 12 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 27 25 $3K
72125 Computed tomography, cervical spine; without contrast material 108 103 $3K
73562 192 181 $2K
76937 167 146 $2K
70551 Magnetic resonance imaging, brain; without contrast material 15 15 $2K
43248 13 12 $2K
92523 13 12 $2K
73610 205 199 $2K
87077 527 478 $2K
80061 Lipid panel 782 676 $2K
87186 493 445 $2K
85610 2,572 1,984 $2K
85379 298 283 $2K
87430 206 197 $2K
J1170 Injection, hydromorphone, up to 4 mg 1,579 1,199 $2K
83036 Hemoglobin; glycosylated (A1C) 1,451 1,233 $1K
83615 862 677 $1K
84703 396 374 $1K
73630 149 138 $1K
87040 103 97 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,404 4,589 $1K
81003 2,061 1,908 $984.71
73130 115 110 $982.45
86140 443 334 $833.83
97597 73 37 $815.81
87081 198 184 $755.53
93971 15 14 $735.73
84100 463 331 $652.83
82977 308 227 $651.13
J3010 Injection, fentanyl citrate, 0.1 mg 2,766 2,505 $647.11
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 108 92 $616.54
73030 79 77 $598.92
85730 401 360 $584.22
84550 351 268 $470.69
Q3014 Telehealth originating site facility fee 124 100 $468.98
82728 194 175 $417.20
82248 217 166 $397.95
87070 123 110 $392.75
97166 15 12 $375.62
73110 39 39 $360.13
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 352 235 $350.73
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,637 1,486 $332.96
85027 132 114 $329.92
J2250 Injection, midazolam hydrochloride, per 1 mg 1,961 1,777 $327.46
80299 31 26 $301.05
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 297 262 $256.50
84478 140 114 $254.61
85007 114 98 $218.43
87205 117 107 $206.92
84146 15 12 $201.44
82077 252 213 $179.03
J1885 Injection, ketorolac tromethamine, per 15 mg 1,480 1,265 $170.50
83550 136 132 $167.85
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 117 107 $157.97
90791 Psychiatric diagnostic evaluation 18 13 $148.71
83540 138 134 $148.32
87641 14 14 $148.01
86900 38 37 $142.96
86901 38 37 $138.42
72040 12 12 $138.09
J3490 Unclassified drugs 572 467 $135.76
94760 1,565 1,010 $130.58
96127 27 27 $107.60
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 30 27 $104.36
90686 48 33 $94.71
88305 Level IV - Surgical pathology, gross and microscopic examination 123 102 $90.56
J0696 Injection, ceftriaxone sodium, per 250 mg 487 275 $82.45
82962 107 37 $79.65
72100 16 15 $77.84
G0008 Administration of influenza virus vaccine 49 42 $64.43
J0330 Injection, succinylcholine chloride, up to 20 mg 181 159 $54.15
A9577 Injection, gadobenate dimeglumine (multihance), per ml 56 55 $44.10
82607 17 14 $32.32
84439 14 13 $21.38
85652 16 12 $18.00
82565 14 13 $13.79
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 928 807 $11.25
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 119 102 $6.74
J1200 Injection, diphenhydramine hcl, up to 50 mg 44 36 $5.90
J1630 Injection, haloperidol, up to 5 mg 12 12 $5.82
J3475 Injection, magnesium sulfate, per 500 mg 12 12 $5.52
J2270 Injection, morphine sulfate, up to 10 mg 125 112 $5.49
J0690 Injection, cefazolin sodium, 500 mg 42 39 $4.74
99152 13 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 13 12 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 51 39 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 64 56 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 18 12 $0.00
96376 581 457 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 148 129 $0.00
C1769 Guide wire 382 281 $0.00
J2704 Injection, propofol, 10 mg 481 425 $0.00
J7050 Infusion, normal saline solution, 250 cc 163 91 $0.00