Medicaid Provider Spending

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

ST LUKES CLINIC-TREASURE VALLEY LLC

NPI: 1326336058 · BOISE, ID 83712 · Urology Physician · NPI assigned 07/15/2011

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

Authorized official FOWLER, KATHRYN controls 18+ related entities in our dataset. Read more

$59.26M
Total Medicaid Paid
1,105,210
Total Claims
1,033,818
Beneficiaries
218
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent OrganizationST LUKES HEALTH SYSTEM LTD
NPI Enumeration Date07/15/2011

Related Entities

Other providers sharing the same authorized official: FOWLER, KATHRYN

ProviderCityStateTotal Paid
ST LUKE'S CLINIC LLC TWIN FALLS ID $39.50M
ST LUKES REGIONAL MEDICAL CENTER BOISE ID $24.98M
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD. TWIN FALLS ID $7.95M
ST LUKES CLINIC-TREASURE VALLEY LLC MOUNTAIN HOME ID $6.86M
MAGIC VALLEY PARAMEDICS L L C TWIN FALLS ID $4.57M
ST LUKES CLINIC-TREASURE VALLEY LLC BAKER CITY OR $2.08M
ST LUKES NAMPA MEDICAL CENTER LTD NAMPA ID $1.87M
ST LUKE'S REGIONAL MEDICAL CENTER MERIDIAN ID $1.55M
ST LUKES REGIONAL MEDICAL CENTER MOUNTAIN HOME ID $942K
ST LUKES CLINIC - WOOD RIVER LLC KETCHUM ID $717K
ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD JEROME ID $577K
ST LUKES CLINIC - MCCALL LLC MCCALL ID $576K
ST LUKE'S REGIONAL MEDICAL CENTER MERIDIAN ID $397K
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD TWIN FALLS ID $300K
ST LUKES WOOD RIVER MEDICAL CENTER LTD KETCHUM ID $174K
ST LUKES MCCALL LTD MCCALL ID $149K
ST LUKES REGIONAL MEDICAL CENTER BOISE ID $49K
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD TWIN FALLS ID $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 139,281 $7.20M
2019 150,311 $7.73M
2020 135,831 $6.83M
2021 183,772 $8.98M
2022 194,548 $10.89M
2023 161,241 $9.36M
2024 140,226 $8.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 206,439 196,612 $11.18M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 147,227 141,431 $10.82M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 81,749 80,242 $9.24M
99284 Emergency department visit for the evaluation and management, high severity 94,614 93,154 $7.84M
99283 Emergency department visit for the evaluation and management, moderate severity 48,776 48,242 $2.37M
99215 Prolong outpt/office vis 14,495 14,058 $1.63M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,166 12,070 $1.51M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,865 12,741 $1.04M
J0585 Injection, onabotulinumtoxina, 1 unit 1,969 983 $1.02M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10,812 10,791 $989K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,962 8,946 $858K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,912 8,424 $764K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 40,465 40,125 $693K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 126,399 106,085 $675K
42820 Tonsillectomy and adenoidectomy; younger than age 12 2,319 2,289 $503K
90834 Psychotherapy, 45 minutes with patient 9,070 4,763 $489K
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,388 13,237 $417K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,580 3,558 $416K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,895 8,738 $405K
99480 Subsequent intensive care, per day, low birth weight infant 4,239 1,339 $385K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,258 2,231 $349K
90472 Immunization administration, each additional vaccine (list separately) 16,709 15,612 $326K
99479 Subsequent intensive care, per day, very low birth weight infant 3,350 1,029 $326K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,122 7,703 $289K
99205 Prolong outpt/office vis 1,663 1,649 $274K
99232 Subsequent hospital care, per day, moderate complexity 5,937 2,144 $264K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 6,660 4,857 $246K
92060 4,846 4,820 $228K
99233 Prolong inpt eval add15 m 3,376 1,630 $220K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,057 2,048 $193K
64615 2,241 2,211 $162K
92587 7,500 7,443 $127K
92567 10,733 10,606 $126K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,422 2,984 $114K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 369 113 $110K
87428 2,589 2,542 $110K
0002A 2,878 2,872 $109K
99223 Prolong inpt eval add15 m 888 864 $105K
0001A 2,970 2,967 $105K
96118 452 308 $104K
99417 Prolong home eval add 15m 4,408 3,405 $102K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,724 2,505 $94K
93304 3,283 3,088 $91K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 629 270 $88K
90961 1,832 1,782 $83K
99239 Hospital discharge day management, more than 30 minutes 1,133 1,105 $81K
93000 5,620 5,585 $69K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 919 898 $68K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,213 5,103 $66K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,166 1,138 $64K
95810 Polysomnography; sleep staging with 4 or more additional parameters 645 640 $55K
93971 4,008 3,890 $55K
S9470 Nutritional counseling, dietitian visit 1,902 1,771 $45K
92579 1,162 1,156 $42K
93321 7,423 7,037 $41K
83036 Hemoglobin; glycosylated (A1C) 4,540 4,518 $40K
95251 1,714 1,700 $38K
92557 1,418 1,375 $37K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,062 805 $37K
99308 Subsequent nursing facility care, per day, straightforward 1,408 942 $34K
77427 372 185 $33K
90847 Family psychotherapy with the patient present, 50 minutes 427 306 $32K
92015 Determination of refractive state 15,026 14,989 $29K
93970 1,209 1,168 $26K
93325 9,834 9,216 $25K
0012A 731 731 $24K
95886 146 146 $23K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 96 24 $23K
93308 1,207 1,177 $23K
90832 Psychotherapy, 30 minutes with patient 616 345 $21K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 246 224 $21K
0011A 764 760 $21K
90791 Psychiatric diagnostic evaluation 224 215 $21K
96101 82 55 $19K
90474 1,647 1,645 $19K
99460 276 274 $18K
99471 28 28 $17K
90686 13,423 13,373 $16K
31575 195 192 $15K
42830 100 100 $15K
82044 2,873 2,855 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity 468 253 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 336 329 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 127 127 $13K
81003 6,610 6,403 $13K
92555 674 668 $12K
0071A 295 295 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 877 862 $11K
90837 Psychotherapy, 53 minutes with patient 232 115 $11K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,167 1,115 $11K
92551 929 916 $11K
99238 Hospital discharge day management, 30 minutes or less 189 188 $11K
77014 429 98 $11K
95819 232 229 $10K
82962 3,831 3,773 $10K
95816 211 211 $10K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 673 180 $10K
0072A 233 233 $9K
90785 2,239 1,043 $9K
59025 Fetal non-stress test 397 149 $9K
0004A 222 222 $9K
96133 39 39 $8K
64483 75 74 $8K
43775 54 54 $8K
51798 952 932 $8K
99170 71 65 $7K
99292 69 39 $7K
94726 955 950 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 997 986 $7K
90962 188 165 $7K
94729 1,199 1,188 $7K
V5266 Battery for use in hearing device 342 334 $7K
93248 383 376 $7K
92553 219 219 $7K
99222 Initial hospital care, per day, moderate complexity 65 65 $6K
99307 307 191 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 28 28 $5K
62370 93 89 $4K
96137 26 26 $4K
20610 125 77 $4K
95951 23 12 $4K
99173 780 770 $4K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 84 79 $4K
92552 147 142 $3K
62323 38 37 $3K
93294 269 260 $3K
99383 27 27 $3K
36415 Collection of venous blood by venipuncture 1,387 1,174 $3K
94060 367 366 $3K
99418 Prolong nursin fac eval 15m 71 33 $3K
81002 1,010 1,000 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 52 51 $3K
96127 585 571 $3K
96132 27 27 $3K
92588 102 101 $3K
92585 24 24 $3K
96116 37 36 $2K
64642 27 27 $2K
99354 25 25 $2K
90792 Psychiatric diagnostic evaluation with medical services 32 29 $2K
77067 Screening mammography, bilateral, including computer-aided detection 39 39 $2K
92582 39 37 $2K
99221 26 24 $2K
76820 70 41 $2K
99382 13 13 $2K
93295 69 69 $2K
94010 226 211 $2K
H0031 Mental health assessment, by non-physician 30 27 $1K
0031A 37 37 $1K
99381 12 12 $1K
20611 26 25 $1K
0124A 37 37 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 48 39 $1K
96152 34 25 $1K
93296 67 67 $1K
96156 13 13 $1K
93298 43 43 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
92002 16 16 $1K
87807 102 101 $1K
64643 12 12 $1K
97802 13 13 $1K
90461 24 24 $998.28
90460 Immunization administration through 18 years of age via any route, first or only component 57 57 $993.20
11045 29 15 $979.39
90656 583 582 $979.20
90836 14 14 $947.66
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 16 16 $947.62
93922 136 133 $887.69
80305 71 71 $823.22
96158 14 14 $813.12
0003A 20 20 $800.00
52000 15 15 $787.50
92652 12 12 $776.87
99356 12 12 $765.93
99310 Prolong nursin fac eval 15m 26 12 $743.54
99177 331 330 $737.16
77334 12 12 $689.08
92583 15 15 $600.94
T1014 Telehealth transmission, per minute, professional services bill separately 1,815 1,774 $569.37
93016 41 40 $558.85
81025 85 84 $543.93
96136 15 15 $500.77
96112 79 77 $481.60
31622 12 12 $473.32
99442 70 68 $454.37
95970 13 13 $442.29
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $399.72
92550 25 24 $369.29
83655 28 28 $363.42
93244 18 18 $357.34
99188 26 26 $356.50
97597 13 12 $276.52
99443 26 26 $246.94
92504 13 13 $231.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $203.66
93018 14 14 $110.09
85018 39 39 $88.59
96113 15 15 $88.40
J3490 Unclassified drugs 41 39 $42.52
90670 4,702 4,696 $0.00
99358 Prolong nursin fac eval 15m 222 220 $0.00
90633 636 636 $0.00
91300 6,316 5,647 $0.00
91312 37 37 $0.00
90700 24 24 $0.00
90723 2,424 2,421 $0.00
90680 1,637 1,636 $0.00
90647 2,233 2,230 $0.00
77063 Screening digital breast tomosynthesis, bilateral 27 27 $0.00
90688 80 80 $0.00
90677 67 67 $0.00
91307 593 586 $0.00
91301 1,493 1,435 $0.00
91305 95 95 $0.00
91303 35 35 $0.00
3074F 28 26 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 12 12 $0.00