Medicaid Provider Spending

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

NPI: 1790751055 · POCATELLO, ID 83201 · General Acute Care Hospital · NPI assigned 02/27/2006

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

Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more

$6.11M
Total Medicaid Paid
343,195
Total Claims
273,081
Beneficiaries
265
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETROVICH, STEPHEN (EVP, GENERAL COUNSEL)
NPI Enumeration Date02/27/2006

Related Entities

Other providers sharing the same authorized official: PETROVICH, STEPHEN

ProviderCityStateTotal Paid
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $57.71M
LOVELACE HEALTH SYSTEM LLC ALBUQUERQUE NM $45.27M
SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM $41.40M
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $31.24M
LOVELACE HEALTH SYSTEM LLC ROSWELL NM $20.13M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $9.41M
HENDERSON HOSPITAL, LLC HENDERSON TX $8.52M
ATHENS HOSPITAL, LLC ATHENS TX $8.32M
ETMC PHYSICIAN GROUP INC. TYLER TX $8.03M
TYLER REGIONAL HOSPITAL LLC TYLER TX $7.94M
LOVELACE UNM REHABILITATION HOSPITAL LLC ALBUQUERQUE NM $6.30M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $5.93M
AHS PRYOR HOSPITAL, LLC PRYOR OK $5.61M
BSA HOSPITAL LLC AMARILLO TX $4.96M
PITTSBURG HOSPITAL LLC PITTSBURG TX $4.83M
AHS CLAREMORE REGIONAL HOSPITAL, LLC. CLAREMORE OK $4.81M
AHS HENRYETTA HOSPITAL LLC HENRYETTA OK $4.27M
PITTSBURG HOSPITAL LLC PITTSBURG TX $3.98M
TOPEKA HOSPITAL, LLC TOPEKA KS $3.94M
AHS PRYOR HOSPITAL, LLC PRYOR OK $3.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 109,495 $1.64M
2019 104,491 $2.73M
2020 71,287 $1.30M
2021 15,111 $150K
2022 17,676 $135K
2023 14,903 $82K
2024 10,232 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 5,433 4,171 $632K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,084 3,378 $561K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,300 1,251 $432K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,509 1,878 $322K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,362 1,772 $313K
99283 Emergency department visit for the evaluation and management, moderate severity 2,670 2,204 $291K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,040 1,866 $207K
41899 Unlisted procedure, dentoalveolar structures 127 112 $167K
80053 Comprehensive metabolic panel 26,027 21,011 $161K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,901 21,054 $119K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,007 3,822 $102K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,000 489 $99K
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 1,512 1,320 $93K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,765 714 $91K
96375 Therapeutic injection; each additional sequential IV push 4,652 2,899 $90K
42820 Tonsillectomy and adenoidectomy; younger than age 12 114 114 $86K
87507 247 240 $84K
84443 Thyroid stimulating hormone (TSH) 6,973 6,562 $78K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,778 777 $70K
96361 Intravenous infusion, hydration; each additional hour 2,714 1,699 $69K
70450 Computed tomography, head or brain; without contrast material 2,148 1,980 $63K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 789 768 $61K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 750 739 $60K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,717 1,646 $59K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,720 1,646 $59K
36415 Collection of venous blood by venipuncture 26,028 19,979 $53K
71046 Radiologic examination, chest; 2 views 4,093 3,747 $42K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 107 106 $40K
71275 Computed tomographic angiography, chest, with contrast material 414 398 $39K
77067 Screening mammography, bilateral, including computer-aided detection 1,038 1,012 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material 613 577 $37K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,212 1,967 $33K
76705 Ultrasound, abdominal, real time with image documentation; limited 859 824 $33K
72125 Computed tomography, cervical spine; without contrast material 578 549 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,913 3,953 $32K
82805 1,189 983 $31K
81001 14,159 11,811 $30K
72141 403 396 $30K
87086 Culture, bacterial; quantitative colony count, urine 6,011 5,236 $30K
99152 528 489 $29K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 264 256 $28K
80061 Lipid panel 3,712 3,578 $28K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,197 1,172 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,201 1,055 $27K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 68 65 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 490 469 $25K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,340 3,433 $25K
81025 3,227 2,984 $21K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 156 153 $20K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 518 380 $20K
83690 4,686 3,993 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple 56 56 $19K
83605 3,953 3,161 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity 162 151 $18K
84484 4,601 3,387 $18K
80048 Basic metabolic panel (calcium, ionized) 4,015 3,247 $17K
83036 Hemoglobin; glycosylated (A1C) 3,202 3,074 $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 254 233 $16K
72100 1,161 1,100 $16K
83880 1,581 1,391 $16K
87186 2,211 1,945 $16K
76937 1,593 1,368 $14K
88342 433 407 $14K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 407 401 $14K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 60 42 $14K
76830 Ultrasound, transvaginal 239 234 $14K
87077 2,386 2,013 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,872 1,420 $13K
70486 211 206 $13K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 167 155 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor 128 126 $12K
76801 216 192 $12K
82947 4,716 2,369 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 474 472 $11K
J0878 Injection, daptomycin, 1 mg 142 30 $11K
84702 759 589 $11K
J7030 Infusion, normal saline solution , 1000 cc 2,681 1,921 $11K
J2704 Injection, propofol, 10 mg 3,677 3,406 $11K
83735 4,441 3,258 $10K
84439 1,467 1,402 $10K
J3010 Injection, fentanyl citrate, 0.1 mg 7,622 6,444 $10K
86140 2,611 2,040 $10K
85027 2,190 1,963 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 288 286 $10K
80306 860 786 $10K
73630 730 698 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 39 38 $9K
76770 220 215 $9K
85610 3,561 2,856 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,947 7,577 $9K
73610 658 610 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 78 76 $9K
87040 1,370 742 $9K
80305 1,090 962 $8K
88313 125 120 $8K
84703 1,126 1,026 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material 101 101 $8K
82330 993 822 $7K
70551 Magnetic resonance imaging, brain; without contrast material 114 107 $7K
73130 458 434 $7K
82962 2,219 1,044 $7K
92523 49 48 $7K
73030 604 565 $7K
J0690 Injection, cefazolin sodium, 500 mg 1,676 1,389 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 131 130 $7K
83516 536 481 $7K
85730 1,462 1,347 $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 60 58 $7K
71045 Radiologic examination, chest; single view 2,260 1,985 $7K
J7120 Ringers lactate infusion, up to 1000 cc 1,716 1,552 $7K
36410 135 124 $6K
87070 983 889 $6K
73564 386 374 $6K
73562 436 421 $6K
72040 520 478 $6K
82728 624 587 $6K
J7050 Infusion, normal saline solution, 250 cc 3,229 1,547 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,044 2,821 $6K
87081 890 550 $6K
86803 415 408 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,106 3,614 $5K
73221 55 53 $5K
85380 680 641 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 156 84 $5K
36591 708 449 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,335 2,190 $5K
J1170 Injection, hydromorphone, up to 4 mg 2,348 1,875 $5K
86703 351 345 $5K
73502 386 357 $5K
86850 698 639 $5K
88142 233 231 $4K
72131 77 75 $4K
88304 164 151 $4K
97597 399 232 $4K
82784 428 398 $4K
76642 126 120 $4K
J2270 Injection, morphine sulfate, up to 10 mg 1,309 976 $4K
0202U Oncology (prostate), multianalyte, gene expression profiling 279 230 $4K
74018 308 291 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,231 973 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,579 1,047 $3K
73110 211 198 $3K
82607 352 343 $3K
J2785 Injection, regadenoson, 0.1 mg 50 50 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 217 179 $3K
J2550 Injection, promethazine hcl, up to 50 mg 1,807 1,215 $3K
83550 499 482 $3K
85651 1,159 882 $3K
87205 928 836 $3K
74019 252 228 $3K
86901 889 771 $3K
84132 766 629 $3K
94664 64 56 $3K
84295 685 577 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg 929 886 $3K
87522 Neg quan hep c or qual rna 69 67 $3K
90715 136 131 $3K
93971 99 88 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 56 44 $3K
83540 557 533 $3K
86900 701 593 $3K
84403 111 111 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 162 143 $2K
J0780 Injection, prochlorperazine, up to 10 mg 366 325 $2K
87340 246 241 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 397 339 $2K
87075 334 297 $2K
82550 456 361 $2K
86592 471 464 $2K
88300 201 200 $2K
85007 670 599 $2K
82140 255 223 $2K
82435 572 488 $2K
99153 Mod sedat endo service >5yrs 47 43 $2K
86038 146 144 $2K
86769 54 54 $2K
82570 411 325 $2K
12001 14 13 $2K
93017 25 25 $1K
76536 26 26 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 31 26 $1K
87480 67 65 $1K
87510 67 65 $1K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 125 117 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 112 106 $1K
85018 679 585 $1K
87660 67 65 $1K
85652 753 548 $1K
84153 75 75 $1K
87486 43 42 $1K
87581 43 42 $1K
70491 12 12 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,747 1,297 $1K
84550 288 265 $1K
83970 29 29 $1K
J2060 Injection, lorazepam, 2 mg 772 695 $987.99
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 205 191 $949.83
36592 73 25 $941.19
80076 159 77 $931.58
71250 25 24 $916.38
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 162 148 $883.59
77066 Tomosynthesis, mammo 12 12 $856.66
97165 12 12 $786.60
96376 366 278 $775.90
87147 127 121 $708.82
82565 172 79 $693.02
84520 189 103 $683.18
86762 49 49 $664.15
97116 36 12 $616.59
Q0114 Fern test 78 68 $613.88
73590 53 40 $570.75
84156 174 140 $563.17
82746 51 51 $466.05
72072 26 26 $449.81
86431 71 71 $434.69
J3490 Unclassified drugs 366 342 $405.74
74230 15 14 $405.25
C1769 Guide wire 83 65 $378.70
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 29 29 $362.39
76870 12 12 $356.16
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 12 12 $351.00
96523 21 17 $318.64
J8540 Dexamethasone, oral, 0.25 mg 227 134 $314.56
36000 179 158 $283.11
J2795 Injection, ropivacaine hydrochloride, 1 mg 47 43 $276.78
73090 29 26 $273.25
76942 13 12 $272.04
84100 113 87 $256.69
81002 112 110 $234.69
72070 14 14 $225.27
73080 13 13 $204.49
71101 13 13 $203.49
73521 16 15 $200.39
83615 32 29 $187.88
90686 19 17 $185.68
G0008 Administration of influenza virus vaccine 16 14 $151.98
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 12 12 $149.95
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 175 108 $145.51
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 15 14 $139.66
82977 18 14 $139.47
80164 15 14 $135.45
C9290 Injection, bupivacaine liposome, 1 mg 29 27 $121.16
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 25 24 $118.56
77063 Screening digital breast tomosynthesis, bilateral 947 925 $117.45
81003 99 92 $116.80
82272 41 39 $111.07
87210 26 25 $110.04
J1644 Injection, heparin sodium, per 1000 units 105 73 $108.65
82150 17 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 25 25 $97.73
J2765 Injection, metoclopramide hcl, up to 10 mg 124 119 $80.10
80069 19 14 $76.73
J1815 Injection, insulin, per 5 units 36 27 $62.79
82043 13 13 $58.83
J2370 Injection, phenylephrine hcl, up to 1 ml 29 28 $58.58
85014 28 24 $58.25
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 143 131 $53.84
J2360 Injection, orphenadrine citrate, up to 60 mg 12 12 $47.90
J3475 Injection, magnesium sulfate, per 500 mg 56 53 $46.33
80178 13 12 $36.34
82310 13 13 $34.38
A9270 Non-covered item or service 232 109 $21.56
J1790 Injection, droperidol, up to 5 mg 15 14 $7.84
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 24 12 $0.00
Q0115 Post-coital direct, qualitative examinations of vaginal or cervical mucous 48 40 $0.00