Hospital
ST Lukes Wood River Medical Center LTD
ST Lukes Wood River Medical Center LTD was paid $174K by Medicaid between Jan 2018 and Oct 2024, across 51 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 19% of everything it billed.
33Billing provider infoST LUKES WOOD RIVER MEDICAL CENTER LTD
KETCHUM, ID 83340
KETCHUM, ID 83340
33aNPI1508869470assigned 05/24/2005
33bProvider typeCritical Access Hospital
28Total paid$174K
24GClaims19,901
24DCodes billed51
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Critical Access Hospital providers in Idaho
Rank by total paid#15 of 20
Median peer was paid$348K
This provider vs. median0.5×
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 FOWLER, KATHRYN controls 18+ 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 | 6,876 | $65K | |
| 2019 | 7,440 | $61K | |
| 2020 | 4,288 | $44K | |
| 2022 | 430 | $1K | |
| 2023 | 556 | $1K | |
| 2024incomplete | 311 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 19% | 848 | 375 | $34K |
| 80053 | Comprehensive metabolic panel | 11% | 2,137 | 1,840 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.9% | 2,627 | 2,128 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 1,187 | 951 | $11K |
| 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 | 5.0% | 884 | 772 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.5% | 594 | 581 | $8K |
| 36415 | Collection of venous blood by venipuncture | 3.8% | 2,949 | 2,482 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 300 | 291 | $6K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 2.9% | 633 | 574 | $5K |
| J7050 | Infusion, normal saline solution, 250 cc | 2.9% | 663 | 486 | $5K |
| 87081 | 2.8% | 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 | 2.4% | 52 | 52 | $4K |
39 more codes
| 80061 | Lipid panel | 2.3% | 386 | $4K |
| 71046 | Radiologic examination, chest; 2 views | 2.2% | 297 | $4K |
| 81001 | 2.1% | 912 | $4K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.0% | 771 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.8% | 471 | $3K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.6% | 73 | $3K |
| J7120 | Ringers lactate infusion, up to 1000 cc | 1.5% | 349 | $3K |
| 99283 | Emergency room visit (moderate) | 1.3% | 42 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.3% | 64 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 377 | $2K |
| 87077 | 1.1% | 260 | $2K | |
| 86140 | 1.0% | 415 | $2K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 267 | $1K |
| 83690 | <1% | 191 | $1K | |
| J2704 | Injection, propofol, 10 mg | <1% | 136 | $1K |
| 87420 | <1% | 70 | $945.56 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 26 | $897.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 319 | $845.08 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 20 | $766.74 |
| 84484 | <1% | 88 | $689.08 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 77 | $602.29 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 12 | $585.00 |
| 82962 | <1% | 38 | $534.10 | |
| 71045 | Radiologic examination, chest; single view | <1% | 60 | $448.24 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $319.33 |
| 36416 | <1% | 95 | $277.00 | |
| 87430 | <1% | 13 | $202.34 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 65 | $179.71 |
| G0008 | Administration of influenza virus vaccine | <1% | 66 | $139.90 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $129.80 |
| 87186 | <1% | 15 | $93.91 | |
| 84439 | <1% | 12 | $90.18 | |
| 90662 | <1% | 16 | $82.51 | |
| 83735 | <1% | 15 | $82.37 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 61 | $51.85 |
| 85652 | <1% | 15 | $36.07 | |
| 85610 | <1% | 15 | $34.96 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 120 | $10.20 |
| A9270 | Non-covered item or service | 0% | 38 | $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 officialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent organizationST LUKES HEALTH SYSTEM LTD
| Provider | Location | 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 |
| ST Lukes Clinic-Treasure Valley LLC | Mountain Home, ID | $6.86M |
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.