Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Boise › NPI 1992736649
Hospital

Saint Alphonsus Regional Medical Center INC

Saint Alphonsus Regional Medical Center INC was paid $5.08M by Medicaid between Jan 2018 and Dec 2024, across 284 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 10% of everything it billed.

33Billing provider infoSAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
BOISE, ID 83706
33aNPI1992736649assigned 07/05/2006
28Total paid$5.08M
24GClaims462,304
24DCodes billed284
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Idaho

Rank by total paid#5 of 12
Median peer was paid$3.12M
This provider vs. median1.6×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2018134,006$1.48M
2019126,928$1.61M
202080,245$1.31M
202127,629$170K
202231,540$187K
202330,194$149K
2024incomplete31,762$175K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 10% 51,391 37,408 $509K
74177 Computed tomography, abdomen and pelvis; with contrast material 8.5% 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 5.8% 4,375 3,779 $297K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5.0% 7,906 2,647 $254K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.8% 2,317 2,265 $192K
80053 Comprehensive metabolic panel 3.8% 34,550 28,338 $192K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3.6% 4,514 3,959 $183K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3.0% 35,950 28,656 $153K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.7% 3,961 3,372 $138K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.6% 3,163 2,658 $130K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.1% 3,050 2,664 $104K
70450 Computed tomography, head or brain; without contrast material 1.9% 2,738 2,556 $95K
272 more codes
84443 Thyroid stimulating hormone (TSH) 1.7% 10,049 $84K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.5% 2,142 $77K
71275 Computed tomographic angiography, chest, with contrast material 1.5% 671 $75K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.5% 3,147 $74K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.3% 434 $67K
77067 Screening mammography, bilateral, including computer-aided detection 1.3% 1,711 $67K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.3% 112 $65K
72125 Computed tomography, cervical spine; without contrast material 1.1% 1,061 $55K
36415 Collection of venous blood by venipuncture 1.1% 36,501 $54K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.0% 724 $53K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 200 $43K
71046 Radiologic examination, chest; 2 views <1% 4,171 $43K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,007 $42K
J0475 Injection, baclofen, 10 mg <1% 104 $41K
97162 <1% 876 $40K
84484 <1% 7,238 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 578 $38K
J2785 Injection, regadenoson, 0.1 mg <1% 428 $36K
78815 Positron emission tomography (PET) for limited area imaging <1% 70 $36K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,425 $35K
83690 <1% 7,408 $35K
76830 Ultrasound, transvaginal <1% 558 $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 <1% 2,811 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 593 $32K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 984 $31K
84439 <1% 6,369 $31K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 983 $31K
71045 Radiologic examination, chest; single view <1% 6,192 $29K
96361 Intravenous infusion, hydration; each additional hour <1% 2,494 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,813 $27K
83880 <1% 1,933 $25K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 72 $24K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 751 $23K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,451 $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 <1% 677 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,888 $21K
84703 <1% 2,897 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 348 $20K
76801 <1% 347 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 740 $19K
81025 <1% 2,811 $19K
80048 Basic metabolic panel (calcium, ionized) <1% 5,321 $18K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 142 $17K
96375 Therapeutic injection; each additional sequential IV push <1% 2,765 $17K
87634 <1% 193 $15K
76642 <1% 442 $15K
80061 Lipid panel <1% 5,245 $15K
97161 <1% 311 $15K
81001 <1% 7,377 $14K
81003 <1% 10,251 $14K
J2704 Injection, propofol, 10 mg <1% 4,261 $14K
84702 <1% 906 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 244 $14K
83036 Hemoglobin; glycosylated (A1C) <1% 7,024 $13K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 25 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 282 $13K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 85 $13K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 133 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 346 $13K
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,449 $12K
85610 <1% 7,373 $12K
70551 Magnetic resonance imaging, brain; without contrast material <1% 117 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,097 $11K
83605 <1% 1,499 $11K
85027 <1% 3,049 $10K
83735 <1% 3,619 $10K
30140 <1% 13 $10K
82728 <1% 1,601 $10K
87077 <1% 2,129 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 305 $9K
82248 <1% 2,089 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,985 $9K
41899 Unlisted procedure, dentoalveolar structures <1% 12 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 666 $9K
87186 <1% 1,641 $9K
73630 <1% 1,024 $9K
73610 <1% 840 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,895 $8K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,699 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,932 $8K
71250 <1% 214 $8K
73130 <1% 575 $8K
72100 <1% 691 $8K
87040 <1% 962 $8K
85730 <1% 1,867 $7K
85379 <1% 988 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,577 $7K
86850 <1% 1,006 $7K
74018 <1% 604 $7K
82550 <1% 1,579 $7K
86140 <1% 1,917 $6K
73030 <1% 762 $6K
97116 <1% 336 $6K
73562 <1% 495 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 539 $6K
82607 <1% 1,721 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,168 $6K
62370 <1% 145 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 340 $5K
84466 <1% 848 $5K
87430 <1% 400 $5K
86900 <1% 1,328 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 142 $5K
73502 <1% 644 $5K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 996 $5K
86901 <1% 1,326 $4K
87210 <1% 928 $4K
90715 <1% 226 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 112 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,408 $4K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,269 $4K
82553 <1% 625 $4K
J0780 Injection, prochlorperazine, up to 10 mg <1% 556 $4K
87070 <1% 655 $4K
20610 <1% 372 $4K
73564 <1% 516 $4K
77066 Tomosynthesis, mammo <1% 53 $4K
73110 <1% 285 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 56 $3K
87280 <1% 228 $3K
82803 <1% 171 $3K
87081 <1% 425 $3K
87420 <1% 220 $3K
97163 <1% 54 $3K
90834 Psychotherapy session, about 45 minutes <1% 565 $3K
83540 <1% 1,026 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 171 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 228 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 215 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 198 $2K
85652 <1% 1,789 $2K
82570 <1% 1,821 $2K
G0008 Administration of influenza virus vaccine <1% 1,528 $2K
G0378 Hospital observation service, per hour <1% 145 $2K
84100 <1% 656 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 727 $2K
76536 <1% 30 $2K
87486 <1% 72 $2K
87581 <1% 72 $2K
J2550 Injection, promethazine hcl, up to 50 mg <1% 953 $2K
70496 <1% 14 $2K
87481 <1% 13 $2K
82784 <1% 133 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 433 $2K
73560 <1% 181 $2K
90686 <1% 954 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 758 $2K
70498 <1% 12 $2K
93296 <1% 403 $2K
72040 <1% 175 $2K
84156 <1% 535 $1K
90837 Psychotherapy session, about an hour <1% 217 $1K
82746 <1% 328 $1K
77080 <1% 151 $1K
82043 <1% 962 $1K
70486 <1% 24 $1K
77065 Tomosynthesis, mammo <1% 29 $1K
87340 <1% 49 $1K
83615 <1% 258 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,878 $1K
87046 <1% 43 $1K
73590 <1% 139 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 536 $1K
99213 Doctor's office visit, returning patient (routine) <1% 12 $1K
97014 <1% 81 $1K
87205 <1% 371 $1K
73090 <1% 58 $1K
87511 <1% 13 $960.00
97166 <1% 12 $943.92
87427 <1% 82 $932.40
J7050 Infusion, normal saline solution, 250 cc <1% 761 $891.30
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 401 $852.11
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 69 $835.78
84132 <1% 175 $827.94
51798 <1% 24 $814.66
86787 <1% 24 $800.52
87015 <1% 182 $791.26
G0009 Administration of pneumococcal vaccine <1% 203 $786.21
97165 <1% 12 $785.46
J2060 Injection, lorazepam, 2 mg <1% 1,111 $724.63
J1644 Injection, heparin sodium, per 1000 units <1% 540 $707.47
82247 <1% 120 $672.18
76770 <1% 14 $658.89
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 636 $653.29
82565 <1% 126 $602.61
84481 <1% 27 $581.65
90662 <1% 273 $576.62
80164 <1% 75 $536.77
74220 <1% 12 $536.50
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 13 $522.00
11720 <1% 531 $521.96
86780 <1% 24 $515.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 194 $514.92
90732 <1% 32 $477.52
77063 Screening digital breast tomosynthesis, bilateral <1% 1,192 $454.56
73080 <1% 38 $450.33
86762 <1% 12 $448.00
Q3014 Telehealth originating site facility fee <1% 348 $443.80
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 568 $438.36
J1630 Injection, haloperidol, up to 5 mg <1% 508 $438.33
83970 <1% 16 $434.15
86039 <1% 52 $433.02
83516 <1% 30 $426.91
82950 <1% 14 $422.50
85007 <1% 130 $411.86
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,136 $402.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 13 $389.97
87045 <1% 42 $377.64
86803 <1% 57 $302.73
93017 <1% 25 $280.14
87269 <1% 24 $266.40
87272 <1% 24 $266.40
97802 <1% 118 $261.59
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 146 $235.33
90460 Immunization administration through 18 years of age via any route, first or only component <1% 12 $195.00
85300 <1% 26 $188.01
82140 <1% 20 $178.09
J1815 Injection, insulin, per 5 units <1% 102 $175.51
72070 <1% 15 $173.38
J8540 Dexamethasone, oral, 0.25 mg <1% 143 $169.14
J3370 Injection, vancomycin hcl, 500 mg <1% 32 $157.89
J8597 Antiemetic drug, oral, not otherwise specified <1% 1,534 $149.86
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,874 $144.34
93299 <1% 177 $138.95
85018 <1% 50 $135.10
73620 <1% 13 $117.69
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 165 $107.39
87075 <1% 19 $106.15
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 110 $102.62
87177 <1% 12 $89.01
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 41 $88.85
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting <1% 122 $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 <1% 240 $87.50
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 178 $87.50
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 52 $82.90
84153 <1% 15 $79.17
84550 <1% 24 $74.76
94060 <1% 13 $71.43
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 99 $68.76
J1040 Injection, methylprednisolone acetate, 80 mg <1% 25 $68.59
80177 <1% 15 $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 <1% 329 $61.23
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 18 $60.30
73552 <1% 13 $57.48
90791 Psychiatric diagnostic evaluation <1% 41 $53.89
94726 <1% 27 $49.43
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 12 $48.22
97010 <1% 1,061 $40.00
86431 <1% 13 $35.00
80178 <1% 14 $29.36
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 25 $22.22
93922 <1% 14 $20.86
91320 <1% 16 $19.42
J1171 Injection, hydromorphone, 0.1 mg <1% 20 $11.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 39 $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 <1% 382 $7.99
96376 <1% 122 $7.68
90653 <1% 40 $5.26
82962 <1% 101 $4.51
A9270 Non-covered item or service 0% 52 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 133 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 13 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 12 $0.00
90694 0% 121 $0.00
90656 0% 48 $0.00
90480 0% 16 $0.00
97597 0% 17 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 0% 486 $0.00
94729 0% 51 $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 0% 18 $0.00
0124A 0% 41 $0.00
11721 0% 18 $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)
Parent organizationSAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Same official

Other billing entities under CHECKETTS, BRIAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.