Physician
ST Luke's Clinic LLC
ST Luke's Clinic LLC was paid $39.50M by Medicaid between Jan 2018 and Dec 2024, across 211 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoST LUKE'S CLINIC LLC
TWIN FALLS, ID 83301
TWIN FALLS, ID 83301
33aNPI1790718229assigned 07/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$39.50M
24GClaims767,894
24DCodes billed211
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Idaho
Rank by total paid#1 of 19
Median peer was paid$38K
This provider vs. median1,037×
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 | 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 | |
| 2024incomplete | 74,468 | $4.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 167,913 | 160,889 | $8.82M |
| 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 | 18% | 110,536 | 102,927 | $6.98M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 10.0% | 36,049 | 34,726 | $3.94M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.9% | 31,331 | 28,525 | $3.10M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.9% | 32,085 | 31,400 | $2.72M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 4.9% | 2,679 | 1,627 | $1.94M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 12,520 | 12,495 | $1.21M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 13,295 | 12,534 | $1.08M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.0% | 16,440 | 16,244 | $805K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 10,369 | 10,206 | $803K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 37,614 | 37,379 | $598K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.5% | 9,634 | 9,432 | $586K |
199 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 5,397 | $516K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 3,971 | $478K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 1.1% | 1,095 | $436K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 19,220 | $388K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 6,372 | $381K |
| 99223 | Prolong inpt eval add15 m | <1% | 3,491 | $345K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 7,203 | $269K |
| 87428 | <1% | 4,152 | $228K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 6,908 | $217K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 43,083 | $212K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,101 | $201K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 2,063 | $197K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 3,465 | $153K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 5,573 | $138K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,183 | $136K |
| 64615 | <1% | 1,734 | $123K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16,423 | $118K |
| 71045 | Radiologic examination, chest; single view | <1% | 22,273 | $116K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,626 | $109K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 808 | $107K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,989 | $103K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,215 | $101K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 920 | $96K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 411 | $93K |
| 95886 | <1% | 853 | $79K | |
| 64642 | <1% | 870 | $70K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 354 | $69K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,079 | $66K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 601 | $53K |
| 92567 | <1% | 4,672 | $53K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 862 | $47K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 451 | $46K |
| 92579 | <1% | 1,147 | $43K | |
| 92557 | <1% | 1,551 | $43K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,797 | $41K |
| 62370 | <1% | 628 | $39K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 952 | $37K |
| 20611 | <1% | 635 | $36K | |
| 59025 | Fetal non-stress test | <1% | 1,516 | $33K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 614 | $32K |
| 90474 | <1% | 2,908 | $32K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 546 | $31K |
| 99460 | <1% | 397 | $31K | |
| 90837 | Psychotherapy session, about an hour | <1% | 363 | $29K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 824 | $28K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,065 | $27K |
| 64643 | <1% | 360 | $26K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 214 | $25K |
| J0475 | Injection, baclofen, 10 mg | <1% | 42 | $25K |
| 62323 | <1% | 238 | $24K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 14 | $23K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,025 | $22K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 242 | $21K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 123 | $18K |
| 95251 | <1% | 1,095 | $18K | |
| 90686 | <1% | 12,891 | $18K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 744 | $16K |
| 73630 | <1% | 2,708 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,083 | $15K |
| 96101 | <1% | 80 | $14K | |
| 73610 | <1% | 2,108 | $13K | |
| 92588 | <1% | 489 | $13K | |
| 95909 | <1% | 133 | $13K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 497 | $12K |
| 99170 | <1% | 103 | $12K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 224 | $11K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 298 | $11K |
| 29848 | <1% | 47 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,100 | $10K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 434 | $10K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 34 | $10K |
| 94060 | <1% | 1,414 | $10K | |
| 92587 | <1% | 538 | $10K | |
| 99205 | Prolong outpt/office vis | <1% | 54 | $9K |
| 76942 | <1% | 398 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,396 | $9K |
| 43249 | <1% | 28 | $8K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 50 | $8K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 208 | $8K |
| 90461 | <1% | 242 | $8K | |
| 74018 | <1% | 1,162 | $7K | |
| 64493 | <1% | 70 | $7K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 613 | $7K |
| 93971 | <1% | 529 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 65 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 341 | $7K |
| 94729 | <1% | 1,356 | $7K | |
| 97597 | <1% | 424 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 56 | $6K |
| 95885 | <1% | 95 | $6K | |
| 11721 | <1% | 669 | $6K | |
| 73110 | <1% | 877 | $6K | |
| 73030 | <1% | 877 | $5K | |
| 30520 | <1% | 12 | $5K | |
| 94726 | <1% | 745 | $5K | |
| G0400 | Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels | <1% | 121 | $5K |
| 72100 | <1% | 612 | $5K | |
| 64718 | <1% | 12 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 116 | $4K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 91 | $4K |
| 99417 | Prolong home eval add 15m | <1% | 168 | $4K |
| 64635 | <1% | 12 | $4K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 106 | $4K |
| 30140 | <1% | 28 | $3K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 46 | $3K |
| 73130 | <1% | 497 | $3K | |
| 87807 | <1% | 242 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | $3K |
| 62321 | <1% | 26 | $3K | |
| 99383 | <1% | 21 | $3K | |
| H0031 | Mental health assessment, by non-physician | <1% | 40 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 85 | $2K |
| 95911 | <1% | 12 | $2K | |
| 73562 | <1% | 353 | $2K | |
| 95800 | <1% | 61 | $2K | |
| 76642 | <1% | 76 | $2K | |
| 73140 | <1% | 400 | $2K | |
| 0002A | <1% | 52 | $2K | |
| 99384 | <1% | 15 | $2K | |
| 80305 | <1% | 242 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 74 | $2K |
| 99442 | <1% | 243 | $2K | |
| 0001A | <1% | 43 | $2K | |
| 92551 | <1% | 119 | $2K | |
| 73502 | <1% | 265 | $2K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 39 | $2K |
| 73564 | <1% | 176 | $1K | |
| 99217 | <1% | 24 | $1K | |
| 64494 | <1% | 42 | $1K | |
| 90656 | <1% | 603 | $1K | |
| 20526 | <1% | 24 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 272 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 41 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 45 | $1K |
| 99177 | <1% | 221 | $1K | |
| 0072A | <1% | 28 | $1K | |
| 95811 | <1% | 14 | $1K | |
| 99220 | <1% | 14 | $997.64 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 63 | $888.76 |
| 93970 | <1% | 43 | $877.42 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 37 | $864.84 |
| 90961 | <1% | 18 | $837.92 | |
| 31575 | <1% | 13 | $817.01 | |
| 64415 | <1% | 15 | $808.11 | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 13 | $798.12 |
| 93248 | <1% | 44 | $787.07 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | $754.06 |
| 85018 | <1% | 322 | $726.30 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 27 | $725.78 |
| 90715 | <1% | 66 | $701.75 | |
| J3490 | Unclassified drugs | <1% | 1,572 | $617.78 |
| 99173 | <1% | 121 | $565.14 | |
| 0071A | <1% | 14 | $560.00 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 15 | $501.63 |
| 74022 | <1% | 44 | $485.22 | |
| 20552 | <1% | 12 | $480.48 | |
| 93016 | <1% | 38 | $420.56 | |
| 81025 | <1% | 55 | $415.96 | |
| 99441 | <1% | 64 | $352.03 | |
| 93018 | <1% | 43 | $310.71 | |
| 71250 | <1% | 16 | $291.33 | |
| 90677 | <1% | 869 | $255.35 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 676 | $247.76 |
| 99152 | <1% | 12 | $216.00 | |
| 96381 | <1% | 13 | $193.44 | |
| 81003 | <1% | 86 | $163.01 | |
| 72040 | <1% | 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) | <1% | 14 | $151.22 |
| G1010 | Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program | <1% | 17,641 | $126.67 |
| 96127 | <1% | 31 | $113.89 | |
| 51798 | <1% | 13 | $111.43 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 120 | $105.22 |
| 74019 | <1% | 14 | $90.89 | |
| 82962 | <1% | 14 | $41.30 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 287 | $33.20 |
| 90647 | <1% | 3,344 | $31.42 | |
| 90670 | <1% | 6,437 | $20.73 | |
| 81002 | <1% | 23 | $20.51 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 28 | $13.30 |
| 90723 | <1% | 3,799 | $9.22 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 102 | $8.77 |
| 90680 | <1% | 3,116 | $8.08 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 54 | $2.20 |
| 90716 | 0% | 835 | $0.00 | |
| 90651 | 0% | 105 | $0.00 | |
| 90688 | 0% | 370 | $0.00 | |
| 1111F | 0% | 101 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 91307 | 0% | 190 | $0.00 | |
| 90698 | 0% | 75 | $0.00 | |
| 91305 | 0% | 31 | $0.00 | |
| 90648 | 0% | 812 | $0.00 | |
| 90707 | 0% | 812 | $0.00 | |
| 90633 | 0% | 1,405 | $0.00 | |
| 91300 | 0% | 405 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 64 | $0.00 |
| 90700 | 0% | 65 | $0.00 | |
| 90734 | 0% | 53 | $0.00 | |
| 90685 | 0% | 12 | $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 MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.