SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
NPI: 1386636355
· BAKER CITY, OR 97814
· 275N00000X
$4.31M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,349 |
$579K |
| 2019 |
7,077 |
$543K |
| 2020 |
5,928 |
$462K |
| 2021 |
7,850 |
$599K |
| 2022 |
8,539 |
$650K |
| 2023 |
11,168 |
$819K |
| 2024 |
8,222 |
$659K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,533 |
7,525 |
$1.97M |
| 99282 |
|
8,544 |
7,062 |
$1.16M |
| 99284 |
|
2,535 |
1,956 |
$716K |
| 99285 |
|
266 |
189 |
$92K |
| 93005 |
|
544 |
417 |
$51K |
| 80053 |
|
7,764 |
6,677 |
$43K |
| 96374 |
|
490 |
428 |
$41K |
| 85025 |
|
6,980 |
5,983 |
$28K |
| 96372 |
|
400 |
368 |
$28K |
| C9803 |
Hopd covid-19 spec collect |
869 |
764 |
$23K |
| 36415 |
|
7,910 |
6,795 |
$20K |
| U0002 |
Covid-19 lab test non-cdc |
534 |
466 |
$20K |
| 99281 |
|
215 |
194 |
$16K |
| 96361 |
|
89 |
81 |
$11K |
| 96375 |
|
84 |
67 |
$11K |
| 82306 |
|
469 |
449 |
$9K |
| 71045 |
|
125 |
108 |
$8K |
| 84443 |
|
590 |
563 |
$7K |
| 97110 |
|
109 |
36 |
$7K |
| 87635 |
|
208 |
177 |
$7K |
| 82607 |
|
426 |
409 |
$5K |
| 82746 |
|
426 |
409 |
$5K |
| 81001 |
|
2,495 |
2,171 |
$4K |
| 83605 |
|
600 |
493 |
$3K |
| 84439 |
|
422 |
405 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
791 |
610 |
$3K |
| 85027 |
|
457 |
436 |
$2K |
| 87502 |
|
30 |
30 |
$2K |
| 71046 |
|
18 |
16 |
$2K |
| J7030 |
Normal saline solution infus |
232 |
198 |
$1K |
| 80307 |
|
31 |
26 |
$1K |
| 80061 |
|
201 |
188 |
$1K |
| 80074 |
|
42 |
40 |
$1K |
| G0475 |
Hiv combination assay |
381 |
370 |
$1K |
| 86480 |
|
36 |
33 |
$1K |
| G0463 |
Hospital outpt clinic visit |
118 |
80 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
31 |
26 |
$937.98 |
| 86140 |
|
325 |
278 |
$844.97 |
| 84484 |
|
127 |
83 |
$737.79 |
| 84703 |
|
85 |
82 |
$564.92 |
| J2250 |
Inj midazolam hydrochloride |
35 |
26 |
$389.40 |
| 83690 |
|
98 |
88 |
$376.97 |
| 83036 |
|
63 |
54 |
$305.68 |
| 87389 |
|
18 |
18 |
$269.76 |
| 99214 |
|
65 |
52 |
$227.48 |
| 85730 |
|
42 |
39 |
$214.99 |
| J3010 |
Fentanyl citrate injection |
18 |
13 |
$173.81 |
| 82248 |
|
43 |
40 |
$144.88 |
| 82274 |
|
22 |
18 |
$144.82 |
| 84100 |
|
43 |
40 |
$142.32 |
| 85652 |
|
102 |
89 |
$135.78 |
| J2405 |
Ondansetron hcl injection |
24 |
24 |
$28.29 |
| 85610 |
|
12 |
12 |
$23.80 |
| 83695 |
|
16 |
15 |
$0.00 |