Physician
Saint Alphonsus Regional Medical Center INC
Saint Alphonsus Regional Medical Center INC was paid $32.60M by Medicaid between Jan 2018 and Dec 2024, across 177 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoSAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1861676298assigned 12/20/2007
33bProvider typePediatrics Physician
28Total paid$32.60M
24GClaims702,214
24DCodes billed177
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Idaho
Rank by total paid#1 of 22
Median peer was paid$564K
This provider vs. median58×
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 CHECKETTS, BRIAN controls 13+ 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 | 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 | |
| 2024incomplete | 113,181 | $5.16M |
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 | 31% | 127,027 | 119,890 | $10.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 167,626 | 159,590 | $9.68M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 17,862 | 17,813 | $1.80M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 17,268 | 16,480 | $1.52M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 8,919 | 8,227 | $1.08M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 56,387 | 55,837 | $1.00M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 9,219 | 9,186 | $922K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 28,887 | 28,152 | $582K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 4,574 | 4,541 | $557K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.5% | 5,846 | 5,090 | $491K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 7,518 | 3,064 | $416K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 4,408 | 4,377 | $360K |
165 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,757 | $326K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 6,893 | $297K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 6,698 | $278K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,075 | $233K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,570 | $170K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 3,895 | $168K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,214 | $164K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 2,358 | $129K |
| 99205 | Prolong outpt/office vis | <1% | 753 | $111K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 135 | $110K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,818 | $102K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,489 | $101K |
| 36415 | Collection of venous blood by venipuncture | <1% | 24,653 | $82K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,235 | $81K |
| 87428 | <1% | 1,479 | $80K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 726 | $79K |
| 31231 | <1% | 584 | $79K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,408 | $78K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,374 | $76K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,502 | $71K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,635 | $70K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,134 | $69K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,072 | $68K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 740 | $66K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 565 | $62K |
| 0002A | <1% | 1,524 | $56K | |
| 0001A | <1% | 1,533 | $53K | |
| 90474 | <1% | 4,221 | $48K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 8,763 | $43K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,266 | $43K |
| 99460 | <1% | 525 | $42K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 9,917 | $40K |
| 20611 | <1% | 676 | $37K | |
| 90686 | <1% | 19,635 | $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) | <1% | 2,750 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,940 | $27K |
| 90473 | <1% | 1,567 | $27K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 145 | $23K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,189 | $23K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 368 | $23K |
| 73630 | <1% | 1,105 | $22K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 168 | $20K |
| 95811 | <1% | 245 | $20K | |
| 95806 | <1% | 556 | $20K | |
| 93298 | <1% | 851 | $17K | |
| 59025 | Fetal non-stress test | <1% | 645 | $14K |
| 64615 | <1% | 170 | $14K | |
| 95886 | <1% | 190 | $13K | |
| 94726 | <1% | 1,364 | $11K | |
| 0071A | <1% | 256 | $10K | |
| 99354 | <1% | 104 | $10K | |
| 90480 | <1% | 250 | $10K | |
| 94729 | <1% | 1,330 | $9K | |
| 92132 | <1% | 406 | $9K | |
| 94060 | <1% | 1,146 | $9K | |
| 92557 | <1% | 331 | $8K | |
| 0072A | <1% | 207 | $8K | |
| 92133 | <1% | 344 | $8K | |
| 76813 | <1% | 80 | $8K | |
| 76801 | <1% | 80 | $8K | |
| 11720 | <1% | 788 | $7K | |
| 99443 | <1% | 80 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 188 | $7K |
| 95816 | <1% | 175 | $6K | |
| 92567 | <1% | 584 | $6K | |
| 82962 | <1% | 1,863 | $5K | |
| 91320 | <1% | 47 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 558 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 50 | $4K |
| 92083 | <1% | 104 | $4K | |
| 0012A | <1% | 133 | $4K | |
| 93000 | <1% | 332 | $4K | |
| 0011A | <1% | 131 | $4K | |
| 96127 | <1% | 944 | $3K | |
| 93294 | <1% | 332 | $3K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 65 | $3K |
| 90656 | <1% | 751 | $3K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 93 | $3K |
| 99381 | <1% | 24 | $3K | |
| 30140 | <1% | 15 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 274 | $2K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 12 | $2K |
| 83655 | <1% | 169 | $2K | |
| 93295 | <1% | 89 | $2K | |
| 90670 | <1% | 8,436 | $2K | |
| 43775 | <1% | 12 | $2K | |
| 99442 | <1% | 29 | $2K | |
| 95251 | <1% | 120 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $2K |
| 99173 | <1% | 64 | $2K | |
| 90713 | <1% | 80 | $1K | |
| 93296 | <1% | 81 | $1K | |
| 85018 | <1% | 578 | $1K | |
| 73610 | <1% | 58 | $1K | |
| 99417 | Prolong home eval add 15m | <1% | 37 | $1K |
| 95909 | <1% | 12 | $1K | |
| 99462 | <1% | 32 | $1K | |
| 99459 | <1% | 70 | $1K | |
| 77014 | <1% | 34 | $1K | |
| 90461 | <1% | 26 | $966.40 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $890.12 |
| 93016 | <1% | 69 | $825.93 | |
| 95819 | <1% | 26 | $809.37 | |
| 99441 | <1% | 18 | $703.80 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 44 | $685.85 |
| 90715 | <1% | 129 | $643.31 | |
| 99318 | <1% | 42 | $616.77 | |
| 93971 | <1% | 54 | $612.22 | |
| 81025 | <1% | 80 | $575.82 | |
| 93018 | <1% | 70 | $552.31 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 80 | $544.00 |
| 90716 | <1% | 150 | $541.31 | |
| 0004A | <1% | 27 | $520.00 | |
| 81003 | <1% | 217 | $500.32 | |
| 69210 | <1% | 24 | $498.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $491.90 |
| 20610 | <1% | 15 | $467.05 | |
| 62370 | <1% | 13 | $429.68 | |
| 97597 | <1% | 16 | $406.94 | |
| 96381 | <1% | 24 | $386.88 | |
| 92551 | <1% | 25 | $364.75 | |
| 73110 | <1% | 15 | $322.99 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 52 | $292.19 |
| 93248 | <1% | 14 | $282.58 | |
| 11721 | <1% | 13 | $257.87 | |
| 88720 | <1% | 38 | $171.76 | |
| 90723 | <1% | 4,071 | $163.37 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 437 | $138.54 |
| 90697 | <1% | 1,183 | $131.76 | |
| 90633 | <1% | 2,210 | $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) | <1% | 14 | $99.37 |
| 90680 | <1% | 3,548 | $90.71 | |
| 90647 | <1% | 4,042 | $90.60 | |
| 90672 | <1% | 1,984 | $76.88 | |
| 99177 | <1% | 45 | $63.11 | |
| 36416 | <1% | 14 | $42.00 | |
| 81002 | <1% | 13 | $40.69 | |
| 90651 | <1% | 561 | $26.62 | |
| 90734 | <1% | 213 | $26.62 | |
| 90677 | <1% | 413 | $21.96 | |
| 90710 | <1% | 291 | $21.96 | |
| 3074F | <1% | 19,340 | $9.01 | |
| 3008F | 0% | 18,991 | $0.00 | |
| 3079F | 0% | 4,775 | $0.00 | |
| 90696 | 0% | 175 | $0.00 | |
| 3044F | 0% | 800 | $0.00 | |
| 3075F | 0% | 622 | $0.00 | |
| 91301 | 0% | 234 | $0.00 | |
| 90698 | 0% | 29 | $0.00 | |
| 90619 | 0% | 175 | $0.00 | |
| 91307 | 0% | 473 | $0.00 | |
| 90688 | 0% | 41 | $0.00 | |
| 90674 | 0% | 17 | $0.00 | |
| 96161 | 0% | 32 | $0.00 | |
| 90620 | 0% | 77 | $0.00 | |
| 0502F | 0% | 223 | $0.00 | |
| 3078F | 0% | 12,178 | $0.00 | |
| 3077F | 0% | 129 | $0.00 | |
| 91321 | 0% | 30 | $0.00 | |
| 90685 | 0% | 331 | $0.00 | |
| 91300 | 0% | 3,098 | $0.00 | |
| 90671 | 0% | 199 | $0.00 | |
| 90700 | 0% | 151 | $0.00 | |
| 90707 | 0% | 107 | $0.00 | |
| 3051F | 0% | 15 | $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 officialCHECKETTS, BRIAN (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.