Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › CALDWELL › SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

NPI: 1861676298 · CALDWELL, ID 83605 · Pediatrics Physician · NPI assigned 12/20/2007

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

Authorized official CHECKETTS, BRIAN controls 13+ related entities in our dataset. Read more

$32.60M
Total Medicaid Paid
702,214
Total Claims
661,724
Beneficiaries
177
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHECKETTS, BRIAN (CFO)
NPI Enumeration Date12/20/2007

Related Entities

Other providers sharing the same authorized official: CHECKETTS, BRIAN

ProviderCityStateTotal Paid
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC CALDWELL ID $9.83M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $5.08M
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC BAKER CITY OR $4.31M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $4.17M
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC ONTARIO OR $3.67M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $1.92M
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC FRUITLAND ID $856K
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC ONTARIO OR $753K
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC BOISE ID $408K
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC BAKER CITY OR $342K
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID $295K
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC. BAKER CITY OR $223K
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC ONTARIO OR $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88,211 $3.66M
2019 93,772 $4.07M
2020 96,183 $4.64M
2021 102,325 $5.10M
2022 95,440 $5.22M
2023 113,102 $4.76M
2024 113,181 $5.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 127,027 119,890 $10.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 167,626 159,590 $9.68M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,862 17,813 $1.80M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,268 16,480 $1.52M
99215 Prolong outpt/office vis 8,919 8,227 $1.08M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56,387 55,837 $1.00M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,219 9,186 $922K
90472 Immunization administration, each additional vaccine (list separately) 28,887 28,152 $582K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,574 4,541 $557K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5,846 5,090 $491K
99233 Prolong inpt eval add15 m 7,518 3,064 $416K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,408 4,377 $360K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,757 1,401 $326K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,893 6,739 $297K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6,698 6,670 $278K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,075 2,063 $233K
99223 Prolong inpt eval add15 m 1,570 1,528 $170K
99232 Subsequent hospital care, per day, moderate complexity 3,895 1,362 $168K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,214 1,204 $164K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,358 1,948 $129K
99205 Prolong outpt/office vis 753 748 $111K
J0585 Injection, onabotulinumtoxina, 1 unit 135 105 $110K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,818 2,661 $102K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,489 7,346 $101K
36415 Collection of venous blood by venipuncture 24,653 23,081 $82K
76819 Fetal biophysical profile; without non-stress testing 1,235 927 $81K
87428 1,479 1,471 $80K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 726 723 $79K
31231 584 578 $79K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,408 1,390 $78K
90837 Psychotherapy, 53 minutes with patient 1,374 812 $76K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,502 4,480 $71K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,635 1,018 $70K
99238 Hospital discharge day management, 30 minutes or less 1,134 1,111 $69K
90834 Psychotherapy, 45 minutes with patient 2,072 1,029 $68K
95810 Polysomnography; sleep staging with 4 or more additional parameters 740 733 $66K
90792 Psychiatric diagnostic evaluation with medical services 565 557 $62K
0002A 1,524 1,517 $56K
0001A 1,533 1,521 $53K
90474 4,221 4,203 $48K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,763 6,472 $43K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,266 807 $43K
99460 525 521 $42K
T1013 Sign language or oral interpretive services, per 15 minutes 9,917 9,364 $40K
20611 676 606 $37K
90686 19,635 19,516 $37K
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) 2,750 2,656 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,940 969 $27K
90473 1,567 1,563 $27K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 145 143 $23K
99308 Subsequent nursing facility care, per day, straightforward 1,189 1,059 $23K
99239 Hospital discharge day management, more than 30 minutes 368 357 $23K
73630 1,105 881 $22K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 168 167 $20K
95811 245 239 $20K
95806 556 549 $20K
93298 851 815 $17K
59025 Fetal non-stress test 645 460 $14K
64615 170 170 $14K
95886 190 188 $13K
94726 1,364 1,309 $11K
0071A 256 252 $10K
99354 104 103 $10K
90480 250 248 $10K
94729 1,330 1,275 $9K
92132 406 387 $9K
94060 1,146 1,102 $9K
92557 331 316 $8K
0072A 207 206 $8K
92133 344 327 $8K
76813 80 80 $8K
76801 80 80 $8K
11720 788 757 $7K
99443 80 75 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 188 185 $7K
95816 175 164 $6K
92567 584 567 $6K
82962 1,863 1,830 $5K
91320 47 46 $5K
83036 Hemoglobin; glycosylated (A1C) 558 558 $5K
99222 Initial hospital care, per day, moderate complexity 50 49 $4K
92083 104 98 $4K
0012A 133 131 $4K
93000 332 330 $4K
0011A 131 130 $4K
96127 944 937 $3K
93294 332 324 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 65 65 $3K
90656 751 751 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 93 61 $3K
99381 24 24 $3K
30140 15 14 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 274 265 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $2K
83655 169 168 $2K
93295 89 88 $2K
90670 8,436 8,392 $2K
43775 12 12 $2K
99442 29 27 $2K
95251 120 119 $2K
90791 Psychiatric diagnostic evaluation 13 13 $2K
99173 64 64 $2K
90713 80 80 $1K
93296 81 80 $1K
85018 578 573 $1K
73610 58 52 $1K
99417 Prolong home eval add 15m 37 37 $1K
95909 12 12 $1K
99462 32 24 $1K
99459 70 69 $1K
77014 34 12 $1K
90461 26 26 $966.40
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $890.12
93016 69 69 $825.93
95819 26 24 $809.37
99441 18 18 $703.80
71046 Radiologic examination, chest; 2 views 44 43 $685.85
90715 129 128 $643.31
99318 42 41 $616.77
93971 54 50 $612.22
81025 80 77 $575.82
93018 70 70 $552.31
96110 Developmental screening, with scoring and documentation, per standardized instrument 80 80 $544.00
90716 150 150 $541.31
0004A 27 17 $520.00
81003 217 216 $500.32
69210 24 24 $498.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 32 29 $491.90
20610 15 12 $467.05
62370 13 12 $429.68
97597 16 12 $406.94
96381 24 24 $386.88
92551 25 25 $364.75
73110 15 14 $322.99
99358 Prolong nursin fac eval 15m 52 52 $292.19
93248 14 14 $282.58
11721 13 13 $257.87
88720 38 27 $171.76
90723 4,071 4,049 $163.37
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 437 437 $138.54
90697 1,183 1,183 $131.76
90633 2,210 2,207 $109.61
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 14 $99.37
90680 3,548 3,530 $90.71
90647 4,042 4,015 $90.60
90672 1,984 1,977 $76.88
99177 45 45 $63.11
36416 14 12 $42.00
81002 13 13 $40.69
90651 561 553 $26.62
90734 213 212 $26.62
90677 413 412 $21.96
90710 291 291 $21.96
3074F 19,340 18,544 $9.01
3008F 18,991 18,694 $0.00
3079F 4,775 4,635 $0.00
90696 175 175 $0.00
3044F 800 745 $0.00
3075F 622 609 $0.00
91301 234 228 $0.00
90698 29 29 $0.00
90619 175 175 $0.00
91307 473 448 $0.00
90688 41 41 $0.00
90674 17 17 $0.00
96161 32 30 $0.00
90620 77 77 $0.00
0502F 223 183 $0.00
3078F 12,178 11,633 $0.00
3077F 129 125 $0.00
91321 30 30 $0.00
90685 331 327 $0.00
91300 3,098 2,725 $0.00
90671 199 199 $0.00
90700 151 151 $0.00
90707 107 107 $0.00
3051F 15 12 $0.00