Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

ST Luke's Magic Valley Regional Medical Center LTD

ST Luke's Magic Valley Regional Medical Center LTD was paid $577K by Medicaid between Jan 2018 and Oct 2024, across 51 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 68% of everything it billed.

33Billing provider infoST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
JEROME, ID 83338
33aNPI1366874877assigned 08/07/2013
33bProvider typeCritical Access Hospital
28Total paid$577K
24GClaims24,337
24DCodes billed51
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Critical Access Hospital providers in Idaho

Rank by total paid#8 of 20
Median peer was paid$348K
This provider vs. median1.7×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20187,739$170K
20199,858$288K
20205,142$112K
202151$24.03
2022659$2K
2023656$4K
2024incomplete232$967.19
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
41899 Unlisted procedure, dentoalveolar structures 68% 169 165 $394K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.2% 3,796 3,399 $24K
80053 Comprehensive metabolic panel 4.1% 2,874 2,640 $24K
84443 Thyroid stimulating hormone (TSH) 2.3% 955 930 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.8% 508 496 $10K
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 1.7% 117 112 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.4% 233 225 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 233 225 $8K
71046 Radiologic examination, chest; 2 views 1.4% 660 636 $8K
36415 Collection of venous blood by venipuncture 1.3% 3,944 3,455 $7K
87086 Culture, bacterial; quantitative colony count, urine <1% 751 723 $5K
87430 <1% 358 353 $5K
39 more codes
83690 <1% 735 $5K
81001 <1% 1,428 $5K
87081 <1% 627 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 567 $4K
99283 Emergency room visit (moderate) <1% 28 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 658 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 433 $4K
80061 Lipid panel <1% 361 $3K
86140 <1% 557 $3K
87077 <1% 320 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 711 $2K
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 <1% 25 $2K
99284 Emergency room visit (serious) <1% 17 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 494 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 12 $2K
83605 <1% 159 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 405 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 14 $1K
84484 <1% 108 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 25 $999.14
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 544 $863.41
87420 <1% 39 $533.39
81025 <1% 68 $481.05
71045 Radiologic examination, chest; single view <1% 64 $395.29
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 516 $377.09
80306 <1% 27 $367.25
87186 <1% 39 $301.11
73110 <1% 13 $259.95
73610 <1% 13 $221.76
86703 <1% 13 $143.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 135 $127.92
82962 <1% 38 $118.46
J1170 Injection, hydromorphone, up to 4 mg <1% 47 $95.72
J2704 Injection, propofol, 10 mg <1% 66 $72.73
86901 <1% 12 $40.59
J3010 Injection, fentanyl citrate, 0.1 mg <1% 85 $36.68
82570 <1% 14 $27.68
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 290 $20.43
80050 General health panel 0% 32 $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
Same official

Other billing entities under FOWLER, KATHRYN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.