Medicaid Provider Spending

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

SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC.

NPI: 1437432044 · BAKER CITY, OR 97814 · Family Medicine Physician · NPI assigned 09/21/2011

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

Authorized official CHECKETTS, BRIAN controls 13+ related entities in our dataset. Read more

$223K
Total Medicaid Paid
10,653
Total Claims
8,648
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHECKETTS, BRIAN (CFO)
NPI Enumeration Date09/21/2011

Related Entities

Other providers sharing the same authorized official: CHECKETTS, BRIAN

ProviderCityStateTotal Paid
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC CALDWELL ID $32.60M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC CALDWELL ID $9.83M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $5.08M
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC BAKER CITY OR $4.31M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $4.17M
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC ONTARIO OR $3.67M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $1.92M
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC FRUITLAND ID $856K
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC ONTARIO OR $753K
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC BOISE ID $408K
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC BAKER CITY OR $342K
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $295K
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC ONTARIO OR $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,558 $68K
2019 2,360 $30K
2020 1,112 $16K
2021 1,206 $20K
2022 645 $20K
2023 1,170 $41K
2024 1,602 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,062 3,756 $77K
99283 Emergency department visit for the evaluation and management, moderate severity 874 858 $46K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,118 1,092 $36K
99215 Prolong outpt/office vis 534 458 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,780 1,331 $21K
T1015 Clinic visit/encounter, all-inclusive 29 27 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 45 $3K
99284 Emergency department visit for the evaluation and management, high severity 17 17 $2K
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) 520 430 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 21 20 $468.09
36415 Collection of venous blood by venipuncture 156 144 $392.22
0011A 19 14 $336.94
0012A 16 12 $320.00
96127 25 25 $93.61
3078F 167 159 $0.00
3074F 240 231 $0.00
91301 29 29 $0.00