Clinic
Saint Alphonsus Regional Medical Center INC
Saint Alphonsus Regional Medical Center INC was paid $9.83M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoSAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1508198813assigned 02/11/2010
33bProvider typeRural Health Clinic/Center
28Total paid$9.83M
24GClaims242,273
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Idaho
Rank by total paid#1 of 21
Median peer was paid$856K
This provider vs. median11×
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 CHECKETTS, BRIAN controls 13+ 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 | 55,754 | $2.07M | |
| 2019 | 48,914 | $1.82M | |
| 2020 | 27,960 | $1.00M | |
| 2021 | 30,746 | $1.22M | |
| 2022 | 30,116 | $1.36M | |
| 2023 | 24,992 | $1.20M | |
| 2024incomplete | 23,791 | $1.15M |
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 | 99% | 100,001 | 94,250 | $9.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 48,614 | 47,036 | $38K |
| 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% | 9,954 | 9,617 | $20K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,293 | 1,265 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 262 | 252 | $334.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,676 | 13,611 | $299.12 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,403 | 3,384 | $226.79 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,084 | 787 | $214.40 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 196 | 196 | $138.17 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 9,524 | 9,474 | $122.33 |
| 90686 | <1% | 3,629 | 3,621 | $111.09 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,752 | 7,727 | $69.69 |
51 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 7,297 | $67.59 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,850 | $51.18 |
| 81003 | <1% | 249 | $42.94 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 511 | $34.76 |
| 90633 | <1% | 1,343 | $18.11 | |
| 90715 | <1% | 266 | $17.19 | |
| 90734 | <1% | 810 | $17.19 | |
| 90672 | <1% | 457 | $6.14 | |
| 90473 | <1% | 492 | $6.14 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 319 | $4.57 |
| 90707 | <1% | 138 | $1.25 | |
| 90723 | <1% | 2,002 | $0.58 | |
| 90647 | <1% | 2,040 | $0.58 | |
| 90680 | <1% | 1,930 | $0.58 | |
| 90474 | <1% | 1,775 | $0.58 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,455 | $0.58 |
| 90670 | <1% | 3,471 | $0.58 | |
| 90697 | 0% | 578 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 49 | $0.00 |
| 87428 | 0% | 865 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 329 | $0.00 |
| 90716 | 0% | 129 | $0.00 | |
| 90651 | 0% | 751 | $0.00 | |
| 99381 | 0% | 100 | $0.00 | |
| 90677 | 0% | 199 | $0.00 | |
| 96127 | 0% | 223 | $0.00 | |
| 3008F | 0% | 1,786 | $0.00 | |
| 90696 | 0% | 177 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 138 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 461 | $0.00 |
| 0001A | 0% | 13 | $0.00 | |
| 91307 | 0% | 146 | $0.00 | |
| 0072A | 0% | 57 | $0.00 | |
| 90656 | 0% | 77 | $0.00 | |
| 90619 | 0% | 27 | $0.00 | |
| 87807 | 0% | 12 | $0.00 | |
| 85018 | 0% | 12 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 638 | $0.00 |
| 90461 | 0% | 332 | $0.00 | |
| 99188 | 0% | 431 | $0.00 | |
| 90700 | 0% | 131 | $0.00 | |
| 91300 | 0% | 13 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 265 | $0.00 |
| 90671 | 0% | 27 | $0.00 | |
| 90710 | 0% | 169 | $0.00 | |
| 90621 | 0% | 62 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 28 | $0.00 |
| 0071A | 0% | 49 | $0.00 | |
| 83655 | 0% | 13 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 151 | $0.00 |
| 96381 | 0% | 42 | $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 officialCHECKETTS, BRIAN (CFO)
Parent organizationSAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Saint Alphonsus Regional Medical Center INC | Caldwell, ID | $32.60M |
| 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 Baker City, INC. | Baker City, OR | $223K |
| Saint Alphonsus Medical Center- Ontario INC | Ontario, OR | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.