Medicaid Provider Spending

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

ST LUKES REGIONAL MEDICAL CENTER

NPI: 1699013565 · MOUNTAIN HOME, ID 83647 · Critical Access Hospital · NPI assigned 01/28/2013

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

Authorized official FOWLER, KATHRYN controls 18+ related entities in our dataset. Read more

$942K
Total Medicaid Paid
74,296
Total Claims
61,030
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent OrganizationST LUKES HEALTH SYSTEM LTD
NPI Enumeration Date01/28/2013

Related Entities

Other providers sharing the same authorized official: FOWLER, KATHRYN

ProviderCityStateTotal 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 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 WOOD RIVER MEDICAL CENTER LTD KETCHUM ID $174K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,531 $314K
2019 22,932 $274K
2020 12,439 $150K
2021 3,495 $35K
2022 4,510 $60K
2023 5,169 $79K
2024 2,220 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 1,311 1,125 $149K
74177 Computed tomography, abdomen and pelvis; with contrast material 578 548 $96K
99283 Emergency department visit for the evaluation and management, moderate severity 1,103 941 $94K
80053 Comprehensive metabolic panel 7,008 5,907 $55K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,739 7,132 $51K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 738 574 $35K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 422 393 $32K
70450 Computed tomography, head or brain; without contrast material 511 482 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 559 500 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 559 500 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,221 965 $20K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 142 114 $18K
84443 Thyroid stimulating hormone (TSH) 1,215 1,191 $16K
99282 Emergency department visit for the evaluation and management, low to moderate severity 230 206 $15K
81001 4,441 3,873 $14K
84484 1,908 1,535 $14K
36415 Collection of venous blood by venipuncture 6,805 5,430 $14K
71046 Radiologic examination, chest; 2 views 1,073 1,032 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 727 670 $13K
83690 1,869 1,637 $13K
87086 Culture, bacterial; quantitative colony count, urine 1,812 1,635 $12K
J7050 Infusion, normal saline solution, 250 cc 2,650 1,886 $11K
J7030 Infusion, normal saline solution , 1000 cc 1,930 1,689 $10K
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 143 138 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 656 637 $9K
80048 Basic metabolic panel (calcium, ionized) 1,351 1,155 $9K
71045 Radiologic examination, chest; single view 1,323 1,181 $8K
84702 455 332 $7K
87081 942 924 $6K
87077 745 706 $6K
81025 856 799 $6K
80061 Lipid panel 730 715 $6K
J7120 Ringers lactate infusion, up to 1000 cc 998 825 $6K
82962 3,767 683 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 274 269 $6K
83605 545 456 $6K
76830 Ultrasound, transvaginal 83 81 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 874 752 $5K
84439 651 638 $5K
80306 281 268 $4K
83880 173 157 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 434 378 $4K
83036 Hemoglobin; glycosylated (A1C) 744 721 $4K
87186 427 407 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 59 58 $3K
85379 288 264 $3K
87040 218 153 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 939 855 $3K
86140 370 327 $2K
84481 180 177 $2K
J2704 Injection, propofol, 10 mg 86 76 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,049 925 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 51 50 $2K
85610 489 338 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 342 295 $2K
96375 Therapeutic injection; each additional sequential IV push 44 41 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 27 $2K
71275 Computed tomographic angiography, chest, with contrast material 12 12 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 151 131 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 62 62 $2K
73630 111 103 $1K
86850 183 175 $1K
74018 69 64 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 515 298 $1K
73610 72 67 $1K
87420 79 79 $1K
72125 Computed tomography, cervical spine; without contrast material 13 13 $1K
86901 306 290 $958.48
73564 36 36 $814.66
J2270 Injection, morphine sulfate, up to 10 mg 290 244 $801.40
86900 247 234 $770.46
73110 40 38 $726.20
J0696 Injection, ceftriaxone sodium, per 250 mg 191 149 $716.73
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 17 17 $699.92
85652 133 117 $699.72
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 13 12 $663.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 61 58 $641.34
86593 132 130 $587.98
36416 209 155 $579.65
86703 43 42 $578.73
J1170 Injection, hydromorphone, up to 4 mg 46 38 $560.97
82728 50 49 $530.25
J1200 Injection, diphenhydramine hcl, up to 50 mg 163 148 $500.83
84703 55 55 $483.65
82607 37 37 $476.36
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 44 39 $472.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg 306 296 $458.30
87210 96 94 $447.90
83735 80 77 $402.19
96361 Intravenous infusion, hydration; each additional hour 32 27 $402.18
J2550 Injection, promethazine hcl, up to 50 mg 61 49 $262.07
87340 28 27 $252.54
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 12 $243.26
86803 13 13 $198.28
90715 13 13 $185.70
86762 13 12 $143.91
72100 12 12 $136.22
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $128.59
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 158 126 $104.78
81002 44 38 $88.54
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 627 579 $70.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 12 $60.90
G0008 Administration of influenza virus vaccine 54 52 $45.07
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 74 68 $37.50
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 667 553 $0.03
A9270 Non-covered item or service 376 220 $0.00
80050 General health panel 35 33 $0.00
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 42 39 $-7.43