Physician
ST Lukes Clinic-Treasure Valley LLC
ST Lukes Clinic-Treasure Valley LLC was paid $6.86M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoST LUKES CLINIC-TREASURE VALLEY LLC
MOUNTAIN HOME, ID 83647
MOUNTAIN HOME, ID 83647
33aNPI1417297821assigned 02/21/2013
33bProvider typeFamily Medicine Physician
28Total paid$6.86M
24GClaims100,944
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#5 of 136
Median peer was paid$139K
This provider vs. median49×
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 | 16,028 | $1.02M | |
| 2019 | 17,017 | $1.04M | |
| 2020 | 14,169 | $956K | |
| 2021 | 14,735 | $961K | |
| 2022 | 17,647 | $1.14M | |
| 2023 | 12,996 | $994K | |
| 2024incomplete | 8,352 | $748K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 76% | 34,564 | 30,777 | $5.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 29,222 | 27,981 | $1.02M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.8% | 1,479 | 1,457 | $126K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.7% | 1,082 | 1,061 | $119K |
| 87428 | 1.4% | 1,822 | 1,813 | $97K | |
| 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 | 1.2% | 3,740 | 3,535 | $84K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,775 | 3,748 | $50K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 881 | 873 | $44K |
| 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% | 473 | 473 | $35K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 521 | 519 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,167 | 2,428 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,112 | 6,017 | $9K |
42 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 151 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 26 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,369 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 91 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 62 | $864.75 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 79 | $852.16 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,736 | $706.70 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 19 | $674.74 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,529 | $565.36 |
| 81003 | <1% | 334 | $492.27 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $399.28 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 288 | $295.71 |
| 73630 | <1% | 22 | $256.80 | |
| 90686 | <1% | 1,700 | $206.57 | |
| 87807 | <1% | 15 | $199.80 | |
| 90656 | <1% | 48 | $71.16 | |
| J3490 | Unclassified drugs | <1% | 122 | $63.47 |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $43.36 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 46 | $41.46 |
| 90474 | <1% | 249 | $36.19 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 688 | $27.68 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $12.35 |
| 81002 | <1% | 240 | $9.39 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 76 | $6.75 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $1.16 |
| 90647 | 0% | 290 | $0.00 | |
| 90723 | 0% | 366 | $0.00 | |
| 90688 | 0% | 52 | $0.00 | |
| 90680 | 0% | 214 | $0.00 | |
| 96127 | 0% | 208 | $0.00 | |
| 99383 | 0% | 12 | $0.00 | |
| 91307 | 0% | 18 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 99177 | 0% | 14 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 967 | $0.00 |
| 90670 | 0% | 714 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 132 | $0.00 |
| 91300 | 0% | 18 | $0.00 | |
| 90633 | 0% | 75 | $0.00 | |
| 99382 | 0% | 13 | $0.00 | |
| 90734 | 0% | 13 | $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 REGIONAL MEDICAL CENTER LTD
| Provider | Location | Paid |
|---|---|---|
| ST Lukes Clinic-Treasure Valley LLC | Boise, ID | $59.26M |
| 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 |
| 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.