ST LUKES NAMPA MEDICAL CENTER LTD
NPI: 1780117259
· NAMPA, ID 83687
· 333600000X
$119K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
12 |
$2K |
| 2022 |
194 |
$33K |
| 2023 |
275 |
$53K |
| 2024 |
269 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4239 |
Non-adju cgm supply allow |
378 |
356 |
$80K |
| K0553 |
Ther cgm supply allowance |
191 |
191 |
$35K |
| A4215 |
Sterile needle |
128 |
125 |
$3K |
| A4253 |
Blood glucose/reagent strips |
53 |
51 |
$801.43 |