Medicaid Provider Spending

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

SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

NPI: 1992736649 · BOISE, ID 83706 · General Acute Care Hospital · NPI assigned 07/05/2006

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

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

$5.08M
Total Medicaid Paid
462,304
Total Claims
381,860
Beneficiaries
284
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHECKETTS, BRIAN (CFO)
Parent OrganizationSAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
NPI Enumeration Date07/05/2006

Related Entities

Other providers sharing the same authorized official: CHECKETTS, BRIAN

ProviderCityStateTotal Paid
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC CALDWELL ID $32.60M
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC CALDWELL ID $9.83M
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 134,006 $1.48M
2019 126,928 $1.61M
2020 80,245 $1.31M
2021 27,629 $170K
2022 31,540 $187K
2023 30,194 $149K
2024 31,762 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 51,391 37,408 $509K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,341 3,128 $434K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 4,375 3,779 $297K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,906 2,647 $254K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,317 2,265 $192K
80053 Comprehensive metabolic panel 34,550 28,338 $192K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,514 3,959 $183K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 35,950 28,656 $153K
99284 Emergency department visit for the evaluation and management, high severity 3,961 3,372 $138K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,163 2,658 $130K
99283 Emergency department visit for the evaluation and management, moderate severity 3,050 2,664 $104K
70450 Computed tomography, head or brain; without contrast material 2,738 2,556 $95K
84443 Thyroid stimulating hormone (TSH) 10,049 9,125 $84K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,142 2,073 $77K
71275 Computed tomographic angiography, chest, with contrast material 671 653 $75K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,147 1,190 $74K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 434 420 $67K
77067 Screening mammography, bilateral, including computer-aided detection 1,711 1,665 $67K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 112 111 $65K
72125 Computed tomography, cervical spine; without contrast material 1,061 1,025 $55K
36415 Collection of venous blood by venipuncture 36,501 29,696 $54K
71260 Computed tomography, thorax, diagnostic; with contrast material 724 703 $53K
J0585 Injection, onabotulinumtoxina, 1 unit 200 130 $43K
71046 Radiologic examination, chest; 2 views 4,171 3,968 $43K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,007 986 $42K
J0475 Injection, baclofen, 10 mg 104 104 $41K
97162 876 848 $40K
84484 7,238 5,393 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material 578 553 $38K
J2785 Injection, regadenoson, 0.1 mg 428 412 $36K
78815 Positron emission tomography (PET) for limited area imaging 70 69 $36K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,425 2,291 $35K
83690 7,408 6,501 $35K
76830 Ultrasound, transvaginal 558 549 $33K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,811 2,603 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 593 586 $32K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 984 958 $31K
84439 6,369 5,779 $31K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 983 958 $31K
71045 Radiologic examination, chest; single view 6,192 5,561 $29K
96361 Intravenous infusion, hydration; each additional hour 2,494 1,803 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,813 1,553 $27K
83880 1,933 1,724 $25K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 72 68 $24K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 751 374 $23K
87086 Culture, bacterial; quantitative colony count, urine 5,451 4,856 $23K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 677 626 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,888 2,931 $21K
84703 2,897 2,724 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 348 334 $20K
76801 347 319 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity 740 665 $19K
81025 2,811 2,652 $19K
80048 Basic metabolic panel (calcium, ionized) 5,321 4,004 $18K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 142 140 $17K
96375 Therapeutic injection; each additional sequential IV push 2,765 1,877 $17K
87634 193 192 $15K
76642 442 435 $15K
80061 Lipid panel 5,245 4,972 $15K
97161 311 298 $15K
81001 7,377 6,345 $14K
81003 10,251 9,179 $14K
J2704 Injection, propofol, 10 mg 4,261 3,721 $14K
84702 906 726 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete 244 239 $14K
83036 Hemoglobin; glycosylated (A1C) 7,024 6,580 $13K
42820 Tonsillectomy and adenoidectomy; younger than age 12 25 25 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 282 260 $13K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 85 81 $13K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 133 131 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 346 343 $13K
J7120 Ringers lactate infusion, up to 1000 cc 3,449 3,120 $12K
85610 7,373 5,651 $12K
70551 Magnetic resonance imaging, brain; without contrast material 117 116 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,097 2,298 $11K
83605 1,499 1,252 $11K
85027 3,049 2,653 $10K
83735 3,619 2,718 $10K
30140 13 13 $10K
82728 1,601 1,490 $10K
87077 2,129 1,944 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 305 220 $9K
82248 2,089 1,896 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,985 4,774 $9K
41899 Unlisted procedure, dentoalveolar structures 12 12 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 666 512 $9K
87186 1,641 1,519 $9K
73630 1,024 969 $9K
73610 840 784 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,895 7,492 $8K
J3010 Injection, fentanyl citrate, 0.1 mg 5,699 4,802 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,932 3,431 $8K
71250 214 209 $8K
73130 575 557 $8K
72100 691 679 $8K
87040 962 562 $8K
85730 1,867 1,731 $7K
85379 988 947 $7K
J1170 Injection, hydromorphone, up to 4 mg 3,577 2,850 $7K
86850 1,006 936 $7K
74018 604 559 $7K
82550 1,579 1,470 $7K
86140 1,917 1,667 $6K
73030 762 716 $6K
97116 336 167 $6K
73562 495 483 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 539 524 $6K
82607 1,721 1,582 $6K
J7030 Infusion, normal saline solution , 1000 cc 5,168 4,034 $6K
62370 145 144 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 340 318 $5K
84466 848 791 $5K
87430 400 394 $5K
86900 1,328 1,229 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 142 137 $5K
73502 644 617 $5K
J2370 Injection, phenylephrine hcl, up to 1 ml 996 942 $5K
86901 1,326 1,228 $4K
87210 928 475 $4K
90715 226 222 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 112 104 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,408 4,477 $4K
J0690 Injection, cefazolin sodium, 500 mg 1,269 1,103 $4K
82553 625 572 $4K
J0780 Injection, prochlorperazine, up to 10 mg 556 514 $4K
87070 655 593 $4K
20610 372 313 $4K
73564 516 502 $4K
77066 Tomosynthesis, mammo 53 53 $4K
73110 285 273 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 56 56 $3K
87280 228 224 $3K
82803 171 162 $3K
87081 425 415 $3K
87420 220 217 $3K
97163 54 54 $3K
90834 Psychotherapy, 45 minutes with patient 565 322 $3K
83540 1,026 943 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 171 93 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 228 120 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml 215 206 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 198 186 $2K
85652 1,789 1,607 $2K
82570 1,821 1,605 $2K
G0008 Administration of influenza virus vaccine 1,528 1,496 $2K
G0378 Hospital observation service, per hour 145 115 $2K
84100 656 516 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 727 700 $2K
76536 30 30 $2K
87486 72 68 $2K
87581 72 68 $2K
J2550 Injection, promethazine hcl, up to 50 mg 953 823 $2K
70496 14 13 $2K
87481 13 12 $2K
82784 133 129 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 433 385 $2K
73560 181 174 $2K
90686 954 931 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 758 425 $2K
70498 12 12 $2K
93296 403 381 $2K
72040 175 165 $2K
84156 535 466 $1K
90837 Psychotherapy, 53 minutes with patient 217 135 $1K
82746 328 306 $1K
77080 151 151 $1K
82043 962 921 $1K
70486 24 24 $1K
77065 Tomosynthesis, mammo 29 26 $1K
87340 49 49 $1K
83615 258 196 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,878 1,589 $1K
87046 43 41 $1K
73590 139 129 $1K
J2270 Injection, morphine sulfate, up to 10 mg 536 425 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $1K
97014 81 34 $1K
87205 371 327 $1K
73090 58 49 $1K
87511 13 12 $960.00
97166 12 12 $943.92
87427 82 41 $932.40
J7050 Infusion, normal saline solution, 250 cc 761 521 $891.30
J0696 Injection, ceftriaxone sodium, per 250 mg 401 218 $852.11
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 65 $835.78
84132 175 159 $827.94
51798 24 19 $814.66
86787 24 24 $800.52
87015 182 163 $791.26
G0009 Administration of pneumococcal vaccine 203 195 $786.21
97165 12 12 $785.46
J2060 Injection, lorazepam, 2 mg 1,111 975 $724.63
J1644 Injection, heparin sodium, per 1000 units 540 332 $707.47
82247 120 80 $672.18
76770 14 13 $658.89
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 636 519 $653.29
82565 126 120 $602.61
84481 27 27 $581.65
90662 273 269 $576.62
80164 75 64 $536.77
74220 12 12 $536.50
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13 12 $522.00
11720 531 521 $521.96
86780 24 24 $515.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 194 184 $514.92
90732 32 30 $477.52
77063 Screening digital breast tomosynthesis, bilateral 1,192 1,171 $454.56
73080 38 38 $450.33
86762 12 12 $448.00
Q3014 Telehealth originating site facility fee 348 252 $443.80
J2765 Injection, metoclopramide hcl, up to 10 mg 568 518 $438.36
J1630 Injection, haloperidol, up to 5 mg 508 444 $438.33
83970 16 15 $434.15
86039 52 48 $433.02
83516 30 24 $426.91
82950 14 14 $422.50
85007 130 113 $411.86
J2250 Injection, midazolam hydrochloride, per 1 mg 1,136 1,006 $402.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $389.97
87045 42 41 $377.64
86803 57 53 $302.73
93017 25 24 $280.14
87269 24 24 $266.40
87272 24 24 $266.40
97802 118 116 $261.59
P9612 Catheterization for collection of specimen, single patient, all places of service 146 142 $235.33
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $195.00
85300 26 26 $188.01
82140 20 13 $178.09
J1815 Injection, insulin, per 5 units 102 58 $175.51
72070 15 14 $173.38
J8540 Dexamethasone, oral, 0.25 mg 143 134 $169.14
J3370 Injection, vancomycin hcl, 500 mg 32 24 $157.89
J8597 Antiemetic drug, oral, not otherwise specified 1,534 1,437 $149.86
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,874 1,690 $144.34
93299 177 176 $138.95
85018 50 45 $135.10
73620 13 13 $117.69
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 165 134 $107.39
87075 19 14 $106.15
88305 Level IV - Surgical pathology, gross and microscopic examination 110 93 $102.62
87177 12 12 $89.01
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 41 41 $88.85
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 122 108 $87.50
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 240 162 $87.50
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 178 155 $87.50
J0330 Injection, succinylcholine chloride, up to 20 mg 52 52 $82.90
84153 15 15 $79.17
84550 24 24 $74.76
94060 13 13 $71.43
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 99 57 $68.76
J1040 Injection, methylprednisolone acetate, 80 mg 25 25 $68.59
80177 15 13 $65.44
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 329 289 $61.23
J0171 Injection, adrenalin, epinephrine, 0.1 mg 18 15 $60.30
73552 13 13 $57.48
90791 Psychiatric diagnostic evaluation 41 40 $53.89
94726 27 26 $49.43
G0103 Prostate cancer screening; prostate specific antigen test (psa) 12 12 $48.22
97010 1,061 432 $40.00
86431 13 12 $35.00
80178 14 12 $29.36
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 25 24 $22.22
93922 14 13 $20.86
91320 16 16 $19.42
J1171 Injection, hydromorphone, 0.1 mg 20 15 $11.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 39 37 $9.88
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 382 295 $7.99
96376 122 97 $7.68
90653 40 39 $5.26
82962 101 99 $4.51
A9270 Non-covered item or service 52 25 $0.00
A9585 Injection, gadobutrol, 0.1 ml 133 130 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 13 12 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 12 12 $0.00
90694 121 119 $0.00
90656 48 48 $0.00
90480 16 16 $0.00
97597 17 14 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 486 216 $0.00
94729 51 50 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 18 12 $0.00
0124A 41 40 $0.00
11721 18 15 $0.00