Clinic
Saint Alphonsus Medical Center- Ontario INC
Saint Alphonsus Medical Center- Ontario INC was paid $856K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoSAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
FRUITLAND, ID 83619
FRUITLAND, ID 83619
33aNPI1760823397assigned 07/11/2013
33bProvider typeRural Health Clinic/Center
28Total paid$856K
24GClaims16,390
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Idaho
Rank by total paid#11 of 21
Median peer was paid$856K
This provider vs. median1.0×
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 | 1,597 | $66K | |
| 2019 | 1,744 | $72K | |
| 2020 | 1,832 | $107K | |
| 2021 | 2,512 | $144K | |
| 2022 | 2,998 | $168K | |
| 2023 | 3,005 | $155K | |
| 2024incomplete | 2,702 | $144K |
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 | 86% | 7,738 | 7,228 | $735K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 4,768 | 4,296 | $82K |
| 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 | 3.5% | 2,692 | 2,185 | $30K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 24 | 24 | $3K |
| 20610 | <1% | 55 | 55 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 210 | 204 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 37 | 33 | $721.23 |
| 87428 | <1% | 28 | 28 | $259.92 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | 13 | $90.71 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 142 | 125 | $75.81 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | 25 | $34.71 |
| 3074F | 0% | 309 | 298 | $0.00 |
4 more codes
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 MEDICAL CENTER ONTARIO INC
| Provider | Location | Paid |
|---|---|---|
| Saint Alphonsus Regional Medical Center INC | Caldwell, ID | $32.60M |
| Saint Alphonsus Regional Medical Center INC | Caldwell, ID | $9.83M |
| 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 | 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.