NPI: 1508869470 · KETCHUM, ID 83340 · Critical Access Hospital · NPI assigned 05/24/2005
Authorized official FOWLER, KATHRYN controls 18+ related entities in our dataset. Read more
| Authorized Official | FOWLER, KATHRYN (SENIOR VP, CFO) |
| Parent Organization | ST LUKES HEALTH SYSTEM LTD |
| NPI Enumeration Date | 05/24/2005 |
Other providers sharing the same authorized official: FOWLER, KATHRYN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,876 | $65K |
| 2019 | 7,440 | $61K |
| 2020 | 4,288 | $44K |
| 2022 | 430 | $1K |
| 2023 | 556 | $1K |
| 2024 | 311 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 848 | 375 | $34K |
| 80053 | Comprehensive metabolic panel | 2,137 | 1,840 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2,627 | 2,128 | $17K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,187 | 951 | $11K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 884 | 772 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | 594 | 581 | $8K |
| 36415 | Collection of venous blood by venipuncture | 2,949 | 2,482 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 300 | 291 | $6K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 633 | 574 | $5K |
| J7050 | Infusion, normal saline solution, 250 cc | 663 | 486 | $5K |
| 87081 | 727 | 709 | $5K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 52 | 52 | $4K |
| 80061 | Lipid panel | 386 | 383 | $4K |
| 71046 | Radiologic examination, chest; 2 views | 297 | 285 | $4K |
| 81001 | 912 | 778 | $4K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 771 | 575 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | 471 | 391 | $3K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 73 | 70 | $3K |
| J7120 | Ringers lactate infusion, up to 1000 cc | 349 | 308 | $3K |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 42 | 38 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 64 | 62 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 377 | 373 | $2K |
| 87077 | 260 | 244 | $2K | |
| 86140 | 415 | 359 | $2K | |
| J7030 | Infusion, normal saline solution , 1000 cc | 267 | 239 | $1K |
| 83690 | 191 | 174 | $1K | |
| J2704 | Injection, propofol, 10 mg | 136 | 134 | $1K |
| 87420 | 70 | 68 | $945.56 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 26 | 25 | $897.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 319 | 284 | $845.08 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 20 | 13 | $766.74 |
| 84484 | 88 | 80 | $689.08 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 77 | 55 | $602.29 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 12 | 12 | $585.00 |
| 82962 | 38 | 25 | $534.10 | |
| 71045 | Radiologic examination, chest; single view | 60 | 54 | $448.24 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14 | 13 | $319.33 |
| 36416 | 95 | 69 | $277.00 | |
| 87430 | 13 | 13 | $202.34 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 65 | 63 | $179.71 |
| G0008 | Administration of influenza virus vaccine | 66 | 66 | $139.90 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 19 | 12 | $129.80 |
| 87186 | 15 | 12 | $93.91 | |
| 84439 | 12 | 12 | $90.18 | |
| 90662 | 16 | 16 | $82.51 | |
| 83735 | 15 | 15 | $82.37 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 61 | 52 | $51.85 |
| 85652 | 15 | 13 | $36.07 | |
| 85610 | 15 | 12 | $34.96 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 120 | 95 | $10.20 |
| A9270 | Non-covered item or service | 38 | 12 | $0.00 |