Medicaid Provider Spending

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

ST LUKES CLINIC-TREASURE VALLEY LLC

NPI: 1417297821 · MOUNTAIN HOME, ID 83647 · Family Medicine Physician · NPI assigned 02/21/2013

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

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

$6.86M
Total Medicaid Paid
100,944
Total Claims
94,281
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent OrganizationST LUKES REGIONAL MEDICAL CENTER LTD
NPI Enumeration Date02/21/2013

Related Entities

Other providers sharing the same authorized official: FOWLER, KATHRYN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,352 $748K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 34,564 30,777 $5.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,222 27,981 $1.02M
99284 Emergency department visit for the evaluation and management, high severity 1,479 1,457 $126K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,082 1,061 $119K
87428 1,822 1,813 $97K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,740 3,535 $84K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,775 3,748 $50K
99283 Emergency department visit for the evaluation and management, moderate severity 881 873 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 473 473 $35K
99282 Emergency department visit for the evaluation and management, low to moderate severity 521 519 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,167 2,428 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,112 6,017 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 151 151 $7K
99238 Hospital discharge day management, 30 minutes or less 26 25 $2K
90472 Immunization administration, each additional vaccine (list separately) 3,369 3,134 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 91 89 $1K
71046 Radiologic examination, chest; 2 views 62 62 $864.75
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 79 77 $852.16
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,736 1,732 $706.70
90832 Psychotherapy, 30 minutes with patient 19 13 $674.74
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,529 1,433 $565.36
81003 334 303 $492.27
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 26 $399.28
99215 Prolong outpt/office vis 288 277 $295.71
73630 22 13 $256.80
90686 1,700 1,698 $206.57
87807 15 15 $199.80
90656 48 48 $71.16
J3490 Unclassified drugs 122 112 $63.47
36415 Collection of venous blood by venipuncture 18 17 $43.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 46 44 $41.46
90474 249 248 $36.19
96110 Developmental screening, with scoring and documentation, per standardized instrument 688 680 $27.68
J1885 Injection, ketorolac tromethamine, per 15 mg 15 15 $12.35
81002 240 170 $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 76 74 $6.75
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 14 14 $1.16
90647 290 289 $0.00
90723 366 365 $0.00
90688 52 52 $0.00
90680 214 213 $0.00
96127 208 207 $0.00
99383 12 12 $0.00
91307 18 16 $0.00
90619 12 12 $0.00
90651 25 25 $0.00
99177 14 14 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 967 963 $0.00
90670 714 712 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 132 132 $0.00
91300 18 16 $0.00
90633 75 75 $0.00
99382 13 13 $0.00
90734 13 13 $0.00