Medicaid Provider Spending

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

ST LUKE'S CLINIC LLC

NPI: 1790718229 · TWIN FALLS, ID 83301 · Internal Medicine Physician · NPI assigned 07/08/2006

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

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

$39.50M
Total Medicaid Paid
767,894
Total Claims
718,910
Beneficiaries
211
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent OrganizationST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
NPI Enumeration Date07/08/2006

Related Entities

Other providers sharing the same authorized official: FOWLER, KATHRYN

ProviderCityStateTotal Paid
ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID $59.26M
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 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 103,955 $4.73M
2019 115,565 $5.21M
2020 106,115 $5.17M
2021 128,419 $6.30M
2022 131,289 $7.09M
2023 108,083 $6.33M
2024 74,468 $4.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 167,913 160,889 $8.82M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 110,536 102,927 $6.98M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,049 34,726 $3.94M
T1015 Clinic visit/encounter, all-inclusive 31,331 28,525 $3.10M
99284 Emergency department visit for the evaluation and management, high severity 32,085 31,400 $2.72M
J0585 Injection, onabotulinumtoxina, 1 unit 2,679 1,627 $1.94M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,520 12,495 $1.21M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,295 12,534 $1.08M
99283 Emergency department visit for the evaluation and management, moderate severity 16,440 16,244 $805K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,369 10,206 $803K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 37,614 37,379 $598K
74177 Computed tomography, abdomen and pelvis; with contrast material 9,634 9,432 $586K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,397 5,386 $516K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,971 3,911 $478K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1,095 1,093 $436K
90472 Immunization administration, each additional vaccine (list separately) 19,220 18,118 $388K
90834 Psychotherapy, 45 minutes with patient 6,372 3,208 $381K
99223 Prolong inpt eval add15 m 3,491 3,325 $345K
99232 Subsequent hospital care, per day, moderate complexity 7,203 3,152 $269K
87428 4,152 4,141 $228K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,908 6,816 $217K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43,083 38,137 $212K
99215 Prolong outpt/office vis 2,101 1,976 $201K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,063 2,017 $197K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,465 3,376 $153K
70450 Computed tomography, head or brain; without contrast material 5,573 5,297 $138K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,183 5,488 $136K
64615 1,734 1,715 $123K
71046 Radiologic examination, chest; 2 views 16,423 15,916 $118K
71045 Radiologic examination, chest; single view 22,273 20,147 $116K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,626 1,514 $109K
45380 Colonoscopy, flexible; with biopsy, single or multiple 808 789 $107K
99233 Prolong inpt eval add15 m 1,989 781 $103K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,215 7,175 $101K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 920 920 $96K
42820 Tonsillectomy and adenoidectomy; younger than age 12 411 408 $93K
95886 853 840 $79K
64642 870 822 $70K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 354 343 $69K
99239 Hospital discharge day management, more than 30 minutes 1,079 1,045 $66K
90792 Psychiatric diagnostic evaluation with medical services 601 577 $53K
92567 4,672 4,626 $53K
99238 Hospital discharge day management, 30 minutes or less 862 846 $47K
99479 Subsequent intensive care, per day, very low birth weight infant 451 118 $46K
92579 1,147 1,126 $43K
92557 1,551 1,540 $43K
77067 Screening mammography, bilateral, including computer-aided detection 1,797 1,771 $41K
62370 628 585 $39K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 952 573 $37K
20611 635 558 $36K
59025 Fetal non-stress test 1,516 1,177 $33K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 614 597 $32K
90474 2,908 2,899 $32K
71275 Computed tomographic angiography, chest, with contrast material 546 533 $31K
99460 397 394 $31K
90837 Psychotherapy, 53 minutes with patient 363 198 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 824 778 $28K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,065 397 $27K
64643 360 333 $26K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 214 205 $25K
J0475 Injection, baclofen, 10 mg 42 41 $25K
62323 238 224 $24K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 14 14 $23K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,025 1,011 $22K
99480 Subsequent intensive care, per day, low birth weight infant 242 78 $21K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 123 123 $18K
95251 1,095 1,059 $18K
90686 12,891 12,861 $18K
99309 Subsequent nursing facility care, per day, low to moderate complexity 744 527 $16K
73630 2,708 2,446 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,083 1,070 $15K
96101 80 64 $14K
73610 2,108 2,007 $13K
92588 489 483 $13K
95909 133 129 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 497 434 $12K
99170 103 101 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material 224 218 $11K
90832 Psychotherapy, 30 minutes with patient 298 211 $11K
29848 47 44 $11K
83036 Hemoglobin; glycosylated (A1C) 1,100 1,095 $10K
S9470 Nutritional counseling, dietitian visit 434 382 $10K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 34 14 $10K
94060 1,414 1,366 $10K
92587 538 536 $10K
99205 Prolong outpt/office vis 54 54 $9K
76942 398 383 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,396 1,391 $9K
43249 28 28 $8K
00170 Anesthesia for intraoral procedures, including biopsy 50 50 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 208 205 $8K
90461 242 242 $8K
74018 1,162 1,110 $7K
64493 70 65 $7K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 613 457 $7K
93971 529 512 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 65 64 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 341 340 $7K
94729 1,356 1,311 $7K
97597 424 264 $6K
90791 Psychiatric diagnostic evaluation 56 56 $6K
95885 95 93 $6K
11721 669 634 $6K
73110 877 836 $6K
73030 877 808 $5K
30520 12 12 $5K
94726 745 726 $5K
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels 121 120 $5K
72100 612 602 $5K
64718 12 12 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 116 116 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 91 90 $4K
99417 Prolong home eval add 15m 168 104 $4K
64635 12 12 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material 106 104 $4K
30140 28 28 $3K
90847 Family psychotherapy with the patient present, 50 minutes 46 26 $3K
73130 497 460 $3K
87807 242 240 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 30 30 $3K
62321 26 24 $3K
99383 21 21 $3K
H0031 Mental health assessment, by non-physician 40 27 $2K
76830 Ultrasound, transvaginal 85 85 $2K
95911 12 12 $2K
73562 353 326 $2K
95800 61 61 $2K
76642 76 75 $2K
73140 400 387 $2K
0002A 52 52 $2K
99384 15 15 $2K
80305 242 229 $2K
99308 Subsequent nursing facility care, per day, straightforward 74 71 $2K
99442 243 234 $2K
0001A 43 43 $2K
92551 119 119 $2K
73502 265 257 $2K
72125 Computed tomography, cervical spine; without contrast material 39 38 $2K
73564 176 170 $1K
99217 24 24 $1K
64494 42 39 $1K
90656 603 602 $1K
20526 24 24 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 272 244 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 41 36 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 45 44 $1K
99177 221 220 $1K
0072A 28 28 $1K
95811 14 13 $1K
99220 14 13 $997.64
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 63 61 $888.76
93970 43 41 $877.42
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 37 37 $864.84
90961 18 18 $837.92
31575 13 12 $817.01
64415 15 15 $808.11
70551 Magnetic resonance imaging, brain; without contrast material 13 13 $798.12
93248 44 43 $787.07
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 60 55 $754.06
85018 322 292 $726.30
99306 Prolong nursin fac eval 15m 27 25 $725.78
90715 66 66 $701.75
J3490 Unclassified drugs 1,572 1,421 $617.78
99173 121 121 $565.14
0071A 14 14 $560.00
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 15 13 $501.63
74022 44 42 $485.22
20552 12 12 $480.48
93016 38 38 $420.56
81025 55 54 $415.96
99441 64 63 $352.03
93018 43 40 $310.71
71250 16 15 $291.33
90677 869 869 $255.35
T1014 Telehealth transmission, per minute, professional services bill separately 676 659 $247.76
99152 12 12 $216.00
96381 13 13 $193.44
81003 86 86 $163.01
72040 17 17 $152.96
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) 14 14 $151.22
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 17,641 14,372 $126.67
96127 31 31 $113.89
51798 13 13 $111.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 120 117 $105.22
74019 14 14 $90.89
82962 14 13 $41.30
77063 Screening digital breast tomosynthesis, bilateral 287 283 $33.20
90647 3,344 3,338 $31.42
90670 6,437 6,421 $20.73
81002 23 14 $20.51
J1885 Injection, ketorolac tromethamine, per 15 mg 28 28 $13.30
90723 3,799 3,791 $9.22
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 102 101 $8.77
90680 3,116 3,108 $8.08
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 54 52 $2.20
90716 835 835 $0.00
90651 105 105 $0.00
90688 370 369 $0.00
1111F 101 85 $0.00
90619 12 12 $0.00
91307 190 185 $0.00
90698 75 74 $0.00
91305 31 30 $0.00
90648 812 806 $0.00
90707 812 812 $0.00
90633 1,405 1,403 $0.00
91300 405 396 $0.00
99358 Prolong nursin fac eval 15m 64 64 $0.00
90700 65 65 $0.00
90734 53 53 $0.00
90685 12 12 $0.00