Physician
ST Lukes Clinic-Treasure Valley LLC
ST Lukes Clinic-Treasure Valley LLC was paid $59.26M by Medicaid between Jan 2018 and Dec 2024, across 218 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoST LUKES CLINIC-TREASURE VALLEY LLC
BOISE, ID 83712
BOISE, ID 83712
33aNPI1326336058assigned 07/15/2011
33bProvider typeUrology Physician
28Total paid$59.26M
24GClaims1,105,210
24DCodes billed218
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Idaho
Rank by total paid#1 of 5
Median peer was paid$55K
This provider vs. median1,084×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FOWLER, KATHRYN controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 140,226 | $8.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 206,439 | 196,612 | $11.18M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 147,227 | 141,431 | $10.82M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 81,749 | 80,242 | $9.24M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 94,614 | 93,154 | $7.84M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.0% | 48,776 | 48,242 | $2.37M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 14,495 | 14,058 | $1.63M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.5% | 12,166 | 12,070 | $1.51M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 12,865 | 12,741 | $1.04M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.7% | 1,969 | 983 | $1.02M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.7% | 10,812 | 10,791 | $989K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 8,962 | 8,946 | $858K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 8,912 | 8,424 | $764K |
206 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 40,465 | $693K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 126,399 | $675K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 2,319 | $503K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 9,070 | $489K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 13,388 | $417K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,580 | $416K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 8,895 | $405K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 4,239 | $385K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 2,258 | $349K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16,709 | $326K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 3,350 | $326K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,122 | $289K |
| 99205 | Prolong outpt/office vis | <1% | 1,663 | $274K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 5,937 | $264K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 6,660 | $246K |
| 92060 | <1% | 4,846 | $228K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 3,376 | $220K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,057 | $193K |
| 64615 | <1% | 2,241 | $162K | |
| 92587 | <1% | 7,500 | $127K | |
| 92567 | <1% | 10,733 | $126K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 3,422 | $114K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 369 | $110K |
| 87428 | <1% | 2,589 | $110K | |
| 0002A | <1% | 2,878 | $109K | |
| 99223 | Prolong inpt eval add15 m | <1% | 888 | $105K |
| 0001A | <1% | 2,970 | $105K | |
| 96118 | <1% | 452 | $104K | |
| 99417 | Prolong home eval add 15m | <1% | 4,408 | $102K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,724 | $94K |
| 93304 | <1% | 3,283 | $91K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 629 | $88K |
| 90961 | <1% | 1,832 | $83K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,133 | $81K |
| 93000 | <1% | 5,620 | $69K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 919 | $68K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,213 | $66K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,166 | $64K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 645 | $55K |
| 93971 | <1% | 4,008 | $55K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 1,902 | $45K |
| 92579 | <1% | 1,162 | $42K | |
| 93321 | <1% | 7,423 | $41K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,540 | $40K |
| 95251 | <1% | 1,714 | $38K | |
| 92557 | <1% | 1,418 | $37K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,062 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,408 | $34K |
| 77427 | <1% | 372 | $33K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 427 | $32K |
| 92015 | Determination of refractive state | <1% | 15,026 | $29K |
| 93970 | <1% | 1,209 | $26K | |
| 93325 | <1% | 9,834 | $25K | |
| 0012A | <1% | 731 | $24K | |
| 95886 | <1% | 146 | $23K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 96 | $23K |
| 93308 | <1% | 1,207 | $23K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 616 | $21K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 246 | $21K |
| 0011A | <1% | 764 | $21K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 224 | $21K |
| 96101 | <1% | 82 | $19K | |
| 90474 | <1% | 1,647 | $19K | |
| 99460 | <1% | 276 | $18K | |
| 99471 | <1% | 28 | $17K | |
| 90686 | <1% | 13,423 | $16K | |
| 31575 | <1% | 195 | $15K | |
| 42830 | <1% | 100 | $15K | |
| 82044 | <1% | 2,873 | $14K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 468 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 336 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 127 | $13K |
| 81003 | <1% | 6,610 | $13K | |
| 92555 | <1% | 674 | $12K | |
| 0071A | <1% | 295 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 877 | $11K |
| 90837 | Psychotherapy session, about an hour | <1% | 232 | $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% | 1,167 | $11K |
| 92551 | <1% | 929 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 189 | $11K |
| 77014 | <1% | 429 | $11K | |
| 95819 | <1% | 232 | $10K | |
| 82962 | <1% | 3,831 | $10K | |
| 95816 | <1% | 211 | $10K | |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | <1% | 673 | $10K |
| 0072A | <1% | 233 | $9K | |
| 90785 | <1% | 2,239 | $9K | |
| 59025 | Fetal non-stress test | <1% | 397 | $9K |
| 0004A | <1% | 222 | $9K | |
| 96133 | <1% | 39 | $8K | |
| 64483 | <1% | 75 | $8K | |
| 43775 | <1% | 54 | $8K | |
| 51798 | <1% | 952 | $8K | |
| 99170 | <1% | 71 | $7K | |
| 99292 | <1% | 69 | $7K | |
| 94726 | <1% | 955 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 997 | $7K |
| 90962 | <1% | 188 | $7K | |
| 94729 | <1% | 1,199 | $7K | |
| V5266 | Battery for use in hearing device | <1% | 342 | $7K |
| 93248 | <1% | 383 | $7K | |
| 92553 | <1% | 219 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 65 | $6K |
| 99307 | <1% | 307 | $5K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 28 | $5K |
| 62370 | <1% | 93 | $4K | |
| 96137 | <1% | 26 | $4K | |
| 20610 | <1% | 125 | $4K | |
| 95951 | <1% | 23 | $4K | |
| 99173 | <1% | 780 | $4K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 84 | $4K |
| 92552 | <1% | 147 | $3K | |
| 62323 | <1% | 38 | $3K | |
| 93294 | <1% | 269 | $3K | |
| 99383 | <1% | 27 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,387 | $3K |
| 94060 | <1% | 367 | $3K | |
| 99418 | Prolong nursin fac eval 15m | <1% | 71 | $3K |
| 81002 | <1% | 1,010 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 52 | $3K |
| 96127 | <1% | 585 | $3K | |
| 96132 | <1% | 27 | $3K | |
| 92588 | <1% | 102 | $3K | |
| 92585 | <1% | 24 | $3K | |
| 96116 | <1% | 37 | $2K | |
| 64642 | <1% | 27 | $2K | |
| 99354 | <1% | 25 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 32 | $2K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 39 | $2K |
| 92582 | <1% | 39 | $2K | |
| 99221 | <1% | 26 | $2K | |
| 76820 | <1% | 70 | $2K | |
| 99382 | <1% | 13 | $2K | |
| 93295 | <1% | 69 | $2K | |
| 94010 | <1% | 226 | $2K | |
| H0031 | Mental health assessment, by non-physician | <1% | 30 | $1K |
| 0031A | <1% | 37 | $1K | |
| 99381 | <1% | 12 | $1K | |
| 20611 | <1% | 26 | $1K | |
| 0124A | <1% | 37 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 48 | $1K |
| 96152 | <1% | 34 | $1K | |
| 93296 | <1% | 67 | $1K | |
| 96156 | <1% | 13 | $1K | |
| 93298 | <1% | 43 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 92002 | <1% | 16 | $1K | |
| 87807 | <1% | 102 | $1K | |
| 64643 | <1% | 12 | $1K | |
| 97802 | <1% | 13 | $1K | |
| 90461 | <1% | 24 | $998.28 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 57 | $993.20 |
| 11045 | <1% | 29 | $979.39 | |
| 90656 | <1% | 583 | $979.20 | |
| 90836 | <1% | 14 | $947.66 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 16 | $947.62 |
| 93922 | <1% | 136 | $887.69 | |
| 80305 | <1% | 71 | $823.22 | |
| 96158 | <1% | 14 | $813.12 | |
| 0003A | <1% | 20 | $800.00 | |
| 52000 | <1% | 15 | $787.50 | |
| 92652 | <1% | 12 | $776.87 | |
| 99356 | <1% | 12 | $765.93 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 26 | $743.54 |
| 99177 | <1% | 331 | $737.16 | |
| 77334 | <1% | 12 | $689.08 | |
| 92583 | <1% | 15 | $600.94 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 1,815 | $569.37 |
| 93016 | <1% | 41 | $558.85 | |
| 81025 | <1% | 85 | $543.93 | |
| 96136 | <1% | 15 | $500.77 | |
| 96112 | <1% | 79 | $481.60 | |
| 31622 | <1% | 12 | $473.32 | |
| 99442 | <1% | 70 | $454.37 | |
| 95970 | <1% | 13 | $442.29 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $399.72 |
| 92550 | <1% | 25 | $369.29 | |
| 83655 | <1% | 28 | $363.42 | |
| 93244 | <1% | 18 | $357.34 | |
| 99188 | <1% | 26 | $356.50 | |
| 97597 | <1% | 13 | $276.52 | |
| 99443 | <1% | 26 | $246.94 | |
| 92504 | <1% | 13 | $231.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $203.66 |
| 93018 | <1% | 14 | $110.09 | |
| 85018 | <1% | 39 | $88.59 | |
| 96113 | <1% | 15 | $88.40 | |
| J3490 | Unclassified drugs | <1% | 41 | $42.52 |
| 90670 | 0% | 4,702 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 222 | $0.00 |
| 90633 | 0% | 636 | $0.00 | |
| 91300 | 0% | 6,316 | $0.00 | |
| 91312 | 0% | 37 | $0.00 | |
| 90700 | 0% | 24 | $0.00 | |
| 90723 | 0% | 2,424 | $0.00 | |
| 90680 | 0% | 1,637 | $0.00 | |
| 90647 | 0% | 2,233 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 27 | $0.00 |
| 90688 | 0% | 80 | $0.00 | |
| 90677 | 0% | 67 | $0.00 | |
| 91307 | 0% | 593 | $0.00 | |
| 91301 | 0% | 1,493 | $0.00 | |
| 91305 | 0% | 95 | $0.00 | |
| 91303 | 0% | 35 | $0.00 | |
| 3074F | 0% | 28 | $0.00 | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent organizationST LUKES HEALTH SYSTEM LTD
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.