Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Pocatello › NPI 1790751055
Hospital

Pocatello Hospital LLC

Pocatello Hospital LLC was paid $6.11M by Medicaid between Jan 2018 and Dec 2024, across 265 billing codes. Its largest line is 99284, emergency room visit (serious) — 10% of everything it billed.

33Billing provider infoPOCATELLO HOSPITAL LLC
POCATELLO, ID 83201
33aNPI1790751055assigned 02/27/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$6.11M
24GClaims343,195
24DCodes billed265
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Idaho

Rank by total paid#4 of 12
Median peer was paid$3.12M
This provider vs. median2.0×

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 PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018109,495$1.64M
2019104,491$2.73M
202071,287$1.30M
202115,111$150K
202217,676$135K
202314,903$82K
2024incomplete10,232$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 10% 5,433 4,171 $632K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.2% 4,084 3,378 $561K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 7.1% 1,300 1,251 $432K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5.3% 5,509 1,878 $322K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5.1% 5,362 1,772 $313K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.8% 2,670 2,204 $291K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.4% 2,040 1,866 $207K
41899 Unlisted procedure, dentoalveolar structures 2.7% 127 112 $167K
80053 Comprehensive metabolic panel 2.6% 26,027 21,011 $161K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.0% 26,901 21,054 $119K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.7% 6,007 3,822 $102K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.6% 1,000 489 $99K
253 more codes
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 1.5% 1,512 $93K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.5% 1,765 $91K
96375 Therapeutic injection; each additional sequential IV push 1.5% 4,652 $90K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1.4% 114 $86K
87507 1.4% 247 $84K
84443 Thyroid stimulating hormone (TSH) 1.3% 6,973 $78K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 1,778 $70K
96361 Intravenous infusion, hydration; each additional hour 1.1% 2,714 $69K
70450 Computed tomography, head or brain; without contrast material 1.0% 2,148 $63K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.0% 789 $61K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 750 $60K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,717 $59K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,720 $59K
36415 Collection of venous blood by venipuncture <1% 26,028 $53K
71046 Radiologic examination, chest; 2 views <1% 4,093 $42K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 107 $40K
71275 Computed tomographic angiography, chest, with contrast material <1% 414 $39K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,038 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 613 $37K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,212 $33K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 859 $33K
72125 Computed tomography, cervical spine; without contrast material <1% 578 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,913 $32K
82805 <1% 1,189 $31K
81001 <1% 14,159 $30K
72141 <1% 403 $30K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,011 $30K
99152 <1% 528 $29K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 264 $28K
80061 Lipid panel <1% 3,712 $28K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,197 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,201 $27K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 68 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 490 $25K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 4,340 $25K
81025 <1% 3,227 $21K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 156 $20K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 518 $20K
83690 <1% 4,686 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 56 $19K
83605 <1% 3,953 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 162 $18K
84484 <1% 4,601 $18K
80048 Basic metabolic panel (calcium, ionized) <1% 4,015 $17K
83036 Hemoglobin; glycosylated (A1C) <1% 3,202 $17K
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 <1% 254 $16K
72100 <1% 1,161 $16K
83880 <1% 1,581 $16K
87186 <1% 2,211 $16K
76937 <1% 1,593 $14K
88342 <1% 433 $14K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 407 $14K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 60 $14K
76830 Ultrasound, transvaginal <1% 239 $14K
87077 <1% 2,386 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,872 $13K
70486 <1% 211 $13K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 167 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 128 $12K
76801 <1% 216 $12K
82947 <1% 4,716 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 474 $11K
J0878 Injection, daptomycin, 1 mg <1% 142 $11K
84702 <1% 759 $11K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,681 $11K
J2704 Injection, propofol, 10 mg <1% 3,677 $11K
83735 <1% 4,441 $10K
84439 <1% 1,467 $10K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 7,622 $10K
86140 <1% 2,611 $10K
85027 <1% 2,190 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 288 $10K
80306 <1% 860 $10K
73630 <1% 730 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 39 $9K
76770 <1% 220 $9K
85610 <1% 3,561 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,947 $9K
73610 <1% 658 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 78 $9K
87040 <1% 1,370 $9K
80305 <1% 1,090 $8K
88313 <1% 125 $8K
84703 <1% 1,126 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 101 $8K
82330 <1% 993 $7K
70551 Magnetic resonance imaging, brain; without contrast material <1% 114 $7K
73130 <1% 458 $7K
82962 <1% 2,219 $7K
92523 <1% 49 $7K
73030 <1% 604 $7K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,676 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 131 $7K
83516 <1% 536 $7K
85730 <1% 1,462 $7K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 60 $7K
71045 Radiologic examination, chest; single view <1% 2,260 $7K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,716 $7K
36410 <1% 135 $6K
87070 <1% 983 $6K
73564 <1% 386 $6K
73562 <1% 436 $6K
72040 <1% 520 $6K
82728 <1% 624 $6K
J7050 Infusion, normal saline solution, 250 cc <1% 3,229 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,044 $6K
87081 <1% 890 $6K
86803 <1% 415 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,106 $5K
73221 <1% 55 $5K
85380 <1% 680 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 156 $5K
36591 <1% 708 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,335 $5K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,348 $5K
86703 <1% 351 $5K
73502 <1% 386 $5K
86850 <1% 698 $5K
88142 <1% 233 $4K
72131 <1% 77 $4K
88304 <1% 164 $4K
97597 <1% 399 $4K
82784 <1% 428 $4K
76642 <1% 126 $4K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,309 $4K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 279 $4K
74018 <1% 308 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,231 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,579 $3K
73110 <1% 211 $3K
82607 <1% 352 $3K
J2785 Injection, regadenoson, 0.1 mg <1% 50 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 217 $3K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,807 $3K
83550 <1% 499 $3K
85651 <1% 1,159 $3K
87205 <1% 928 $3K
74019 <1% 252 $3K
86901 <1% 889 $3K
84132 <1% 766 $3K
94664 <1% 64 $3K
84295 <1% 685 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 929 $3K
87522 Neg quan hep c or qual rna <1% 69 $3K
90715 <1% 136 $3K
93971 <1% 99 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 56 $3K
83540 <1% 557 $3K
86900 <1% 701 $3K
84403 <1% 111 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 162 $2K
J0780 Injection, prochlorperazine, up to 10 mg <1% 366 $2K
87340 <1% 246 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 397 $2K
87075 <1% 334 $2K
82550 <1% 456 $2K
86592 <1% 471 $2K
88300 <1% 201 $2K
85007 <1% 670 $2K
82140 <1% 255 $2K
82435 <1% 572 $2K
99153 Mod sedat endo service >5yrs <1% 47 $2K
86038 <1% 146 $2K
86769 <1% 54 $2K
82570 <1% 411 $2K
12001 <1% 14 $2K
93017 <1% 25 $1K
76536 <1% 26 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 31 $1K
87480 <1% 67 $1K
87510 <1% 67 $1K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 125 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 112 $1K
85018 <1% 679 $1K
87660 <1% 67 $1K
85652 <1% 753 $1K
84153 <1% 75 $1K
87486 <1% 43 $1K
87581 <1% 43 $1K
70491 <1% 12 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,747 $1K
84550 <1% 288 $1K
83970 <1% 29 $1K
J2060 Injection, lorazepam, 2 mg <1% 772 $987.99
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 205 $949.83
36592 <1% 73 $941.19
80076 <1% 159 $931.58
71250 <1% 25 $916.38
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 162 $883.59
77066 Tomosynthesis, mammo <1% 12 $856.66
97165 <1% 12 $786.60
96376 <1% 366 $775.90
87147 <1% 127 $708.82
82565 <1% 172 $693.02
84520 <1% 189 $683.18
86762 <1% 49 $664.15
97116 <1% 36 $616.59
Q0114 Fern test <1% 78 $613.88
73590 <1% 53 $570.75
84156 <1% 174 $563.17
82746 <1% 51 $466.05
72072 <1% 26 $449.81
86431 <1% 71 $434.69
J3490 Unclassified drugs <1% 366 $405.74
74230 <1% 15 $405.25
C1769 Guide wire <1% 83 $378.70
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 29 $362.39
76870 <1% 12 $356.16
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 12 $351.00
96523 <1% 21 $318.64
J8540 Dexamethasone, oral, 0.25 mg <1% 227 $314.56
36000 <1% 179 $283.11
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 47 $276.78
73090 <1% 29 $273.25
76942 <1% 13 $272.04
84100 <1% 113 $256.69
81002 <1% 112 $234.69
72070 <1% 14 $225.27
73080 <1% 13 $204.49
71101 <1% 13 $203.49
73521 <1% 16 $200.39
83615 <1% 32 $187.88
90686 <1% 19 $185.68
G0008 Administration of influenza virus vaccine <1% 16 $151.98
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 12 $149.95
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 175 $145.51
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 15 $139.66
82977 <1% 18 $139.47
80164 <1% 15 $135.45
C9290 Injection, bupivacaine liposome, 1 mg <1% 29 $121.16
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 25 $118.56
77063 Screening digital breast tomosynthesis, bilateral <1% 947 $117.45
81003 <1% 99 $116.80
82272 <1% 41 $111.07
87210 <1% 26 $110.04
J1644 Injection, heparin sodium, per 1000 units <1% 105 $108.65
82150 <1% 17 $108.00
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 25 $97.73
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 124 $80.10
80069 <1% 19 $76.73
J1815 Injection, insulin, per 5 units <1% 36 $62.79
82043 <1% 13 $58.83
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 29 $58.58
85014 <1% 28 $58.25
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 143 $53.84
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 12 $47.90
J3475 Injection, magnesium sulfate, per 500 mg <1% 56 $46.33
80178 <1% 13 $36.34
82310 <1% 13 $34.38
A9270 Non-covered item or service <1% 232 $21.56
J1790 Injection, droperidol, up to 5 mg <1% 15 $7.84
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 24 $0.00
Q0115 Post-coital direct, qualitative examinations of vaginal or cervical mucous 0% 48 $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 officialPETROVICH, STEPHEN (EVP, GENERAL COUNSEL)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.