Medicaid Provider Spending

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

ST LUKES CLINIC - WOOD RIVER LLC

NPI: 1972891604 · KETCHUM, ID 83340 · Anesthesiology 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

$717K
Total Medicaid Paid
15,946
Total Claims
15,376
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOWLER, KATHRYN (SENIOR VP, CFO)
Parent OrganizationST LUKES MEDICAL CENTER WOODRIVER 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 LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD JEROME ID $577K
ST LUKES CLINIC - MCCALL LLC MCCALL ID $576K
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 2,865 $127K
2019 3,110 $131K
2020 2,454 $92K
2021 2,535 $110K
2022 2,677 $125K
2023 1,361 $76K
2024 944 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,787 8,402 $523K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,695 3,651 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 540 494 $44K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 202 174 $18K
99284 Emergency department visit for the evaluation and management, high severity 174 171 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 222 222 $15K
90472 Immunization administration, each additional vaccine (list separately) 460 428 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 52 52 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 17 17 $3K
90686 1,217 1,213 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 52 51 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 31 30 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14 13 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
90834 Psychotherapy, 45 minutes with patient 20 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 73 72 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 202 191 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 17 16 $612.00
0071A 13 13 $520.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $193.70
90656 51 50 $35.58
90670 12 12 $0.00
91300 17 14 $0.00
91307 26 26 $0.00
91305 13 13 $0.00