NPI: 1972891604 · KETCHUM, ID 83340 · Anesthesiology Physician · NPI assigned 07/15/2011
Authorized official FOWLER, KATHRYN controls 18+ related entities in our dataset. Read more
| Authorized Official | FOWLER, KATHRYN (SENIOR VP, CFO) |
| Parent Organization | ST LUKES MEDICAL CENTER WOODRIVER LTD |
| NPI Enumeration Date | 07/15/2011 |
Other providers sharing the same authorized official: FOWLER, KATHRYN
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |