Hospital
ST. Mary's Hospital, INC.
ST. Mary's Hospital, INC. was paid $335K by Medicaid between Jan 2018 and Jul 2020, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoST. MARY'S HOSPITAL, INC.
COTTONWOOD, ID 83522
COTTONWOOD, ID 83522
33aNPI1841292307assigned 08/15/2005
33bProvider typeCritical Access Hospital
28Total paid$335K
24GClaims27,273
24DCodes billed39
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Critical Access Hospital providers in Idaho
Rank by total paid#12 of 20
Median peer was paid$348K
This provider vs. median1.0×
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.
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 | 10,358 | $118K | |
| 2019 | 10,744 | $134K | |
| 2020 | 6,171 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 5,470 | 4,196 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,825 | 3,192 | $59K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 13% | 1,928 | 580 | $42K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 6.9% | 331 | 310 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.8% | 2,832 | 2,408 | $16K |
| 80053 | Comprehensive metabolic panel | 4.4% | 1,811 | 1,668 | $15K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.8% | 157 | 153 | $13K |
| 36415 | Collection of venous blood by venipuncture | 2.8% | 4,069 | 3,332 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.7% | 684 | 671 | $9K |
| 97161 | 2.5% | 212 | 209 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 858 | 717 | $8K |
| 71046 | Radiologic examination, chest; 2 views | 1.7% | 508 | 438 | $6K |
27 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.5% | 307 | $5K |
| 80061 | Lipid panel | 1.2% | 534 | $4K |
| 81001 | 1.0% | 1,085 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 508 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 463 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 118 | $1K |
| 80306 | <1% | 100 | $1K | |
| 86140 | <1% | 268 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 98 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 112 | $811.16 |
| 87430 | <1% | 28 | $408.51 | |
| Q3014 | Telehealth originating site facility fee | <1% | 14 | $280.00 |
| 85610 | <1% | 72 | $258.87 | |
| 80164 | <1% | 71 | $255.85 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 39 | $213.70 |
| 80076 | <1% | 68 | $172.52 | |
| 99490 | Ccm add 20min | <1% | 266 | $162.49 |
| 82607 | <1% | 19 | $136.98 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 101 | $136.94 |
| 87186 | <1% | 25 | $134.40 | |
| 90686 | <1% | 87 | $107.08 | |
| 71045 | Radiologic examination, chest; single view | <1% | 15 | $95.04 |
| G0008 | Administration of influenza virus vaccine | <1% | 86 | $91.18 |
| 85651 | <1% | 29 | $88.81 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 45 | $75.57 |
| 87088 | <1% | 12 | $71.92 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 18 | $4.75 |
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 officialBONNER, LENNE (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Mary's Hospital, INC. | Cottonwood, ID | $579K |
| Clearwater Valley Hospital & Clinics INC | Orofino, ID | $485K |
| Clearwater Valley Hospital & Clinics INC | Orofino, ID | $314K |
| Clearwater Valley Hospital & Clinics | Orofino, ID | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.