Medicaid Provider Spending

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

SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

NPI: 1508198813 · CALDWELL, ID 83605 · Rural Health Clinic/Center · NPI assigned 02/11/2010

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

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

$9.83M
Total Medicaid Paid
242,273
Total Claims
233,586
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHECKETTS, BRIAN (CFO)
Parent OrganizationSAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
NPI Enumeration Date02/11/2010

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 23,791 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 100,001 94,250 $9.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,614 47,036 $38K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,954 9,617 $20K
36415 Collection of venous blood by venipuncture 1,293 1,265 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 262 252 $334.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,676 13,611 $299.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,403 3,384 $226.79
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,084 787 $214.40
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 196 196 $138.17
90472 Immunization administration, each additional vaccine (list separately) 9,524 9,474 $122.33
90686 3,629 3,621 $111.09
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,752 7,727 $69.69
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,297 7,280 $67.59
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,850 4,832 $51.18
81003 249 248 $42.94
99308 Subsequent nursing facility care, per day, straightforward 511 429 $34.76
90633 1,343 1,340 $18.11
90715 266 266 $17.19
90734 810 807 $17.19
90672 457 456 $6.14
90473 492 490 $6.14
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 319 253 $4.57
90707 138 137 $1.25
90723 2,002 1,999 $0.58
90647 2,040 2,038 $0.58
90680 1,930 1,928 $0.58
90474 1,775 1,773 $0.58
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,455 6,252 $0.58
90670 3,471 3,466 $0.58
90697 578 577 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 49 49 $0.00
87428 865 863 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 329 329 $0.00
90716 129 129 $0.00
90651 751 747 $0.00
99381 100 100 $0.00
90677 199 199 $0.00
96127 223 216 $0.00
3008F 1,786 1,719 $0.00
90696 177 177 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 138 138 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 461 461 $0.00
0001A 13 13 $0.00
91307 146 144 $0.00
0072A 57 57 $0.00
90656 77 77 $0.00
90619 27 27 $0.00
87807 12 12 $0.00
85018 12 12 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 638 620 $0.00
90461 332 332 $0.00
99188 431 430 $0.00
90700 131 131 $0.00
91300 13 13 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 265 264 $0.00
90671 27 27 $0.00
90710 169 169 $0.00
90621 62 60 $0.00
99215 Prolong outpt/office vis 28 25 $0.00
0071A 49 49 $0.00
83655 13 13 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 151 151 $0.00
96381 42 42 $0.00