Medicaid Provider Spending

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

ST LUKES CLINIC - MCCALL LLC

NPI: 1881982510 · MCCALL, ID 83638 · Emergency Medicine Physician · NPI assigned 07/15/2011

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

Authorized official FOWLER, KATHRYN controls 18+ related entities in our dataset. Read more

$576K
Total Medicaid Paid
9,820
Total Claims
8,707
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent OrganizationST LUKES MCCALL LTD
NPI Enumeration Date07/15/2011

Related Entities

Other providers sharing the same authorized official: FOWLER, KATHRYN

ProviderCityStateTotal Paid
ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID $59.26M
ST LUKE'S CLINIC LLC TWIN FALLS ID $39.50M
ST LUKES REGIONAL MEDICAL CENTER BOISE ID $24.98M
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD. TWIN FALLS ID $7.95M
ST LUKES CLINIC-TREASURE VALLEY LLC MOUNTAIN HOME ID $6.86M
MAGIC VALLEY PARAMEDICS L L C TWIN FALLS ID $4.57M
ST LUKES CLINIC-TREASURE VALLEY LLC BAKER CITY OR $2.08M
ST LUKES NAMPA MEDICAL CENTER LTD NAMPA ID $1.87M
ST LUKE'S REGIONAL MEDICAL CENTER MERIDIAN ID $1.55M
ST LUKES REGIONAL MEDICAL CENTER MOUNTAIN HOME ID $942K
ST LUKES CLINIC - WOOD RIVER LLC KETCHUM ID $717K
ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD JEROME ID $577K
ST LUKE'S REGIONAL MEDICAL CENTER MERIDIAN ID $397K
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD TWIN FALLS ID $300K
ST LUKES WOOD RIVER MEDICAL CENTER LTD KETCHUM ID $174K
ST LUKES MCCALL LTD MCCALL ID $149K
ST LUKES REGIONAL MEDICAL CENTER BOISE ID $49K
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD TWIN FALLS ID $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 980 $54K
2019 1,316 $67K
2020 1,534 $81K
2021 1,375 $74K
2022 1,862 $119K
2023 1,795 $112K
2024 958 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,435 4,271 $253K
T1015 Clinic visit/encounter, all-inclusive 927 805 $135K
90834 Psychotherapy, 45 minutes with patient 1,065 603 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 765 732 $56K
90832 Psychotherapy, 30 minutes with patient 496 334 $21K
99284 Emergency department visit for the evaluation and management, high severity 148 144 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 531 529 $10K
99283 Emergency department visit for the evaluation and management, moderate severity 117 112 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 44 36 $4K
90791 Psychiatric diagnostic evaluation 28 25 $2K
H0031 Mental health assessment, by non-physician 38 37 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 15 13 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 30 30 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 80 80 $1K
74177 Computed tomography, abdomen and pelvis; with contrast material 14 14 $767.88
71046 Radiologic examination, chest; 2 views 71 68 $622.63
90472 Immunization administration, each additional vaccine (list separately) 27 24 $495.28
90686 100 100 $411.12
99282 Emergency department visit for the evaluation and management, low to moderate severity 12 12 $331.80
59025 Fetal non-stress test 15 12 $273.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16 16 $238.40
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 786 653 $3.79
T1014 Telehealth transmission, per minute, professional services bill separately 60 57 $0.00