Medicaid Provider Spending

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

KOOTENAI HEALTH, INC.

NPI: 1992798409 · COEUR D ALENE, ID 83814 · General Acute Care Hospital · NPI assigned 08/30/2005

$6.94M
Total Medicaid Paid
383,803
Total Claims
296,548
Beneficiaries
264
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNESS, JON (CEO)
NPI Enumeration Date08/30/2005

Related Entities

Other providers sharing the same authorized official: NESS, JON

ProviderCityStateTotal Paid
KOOTENAI HEALTH, INC. COEUR D ALENE ID $6.64M
KOOTENAI HEALTH, INC. COEUR D ALENE ID $2.59M
KOOTENAI HEALTH, INC. COEUR D ALENE ID $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 107,832 $2.20M
2019 97,416 $2.04M
2020 66,895 $1.56M
2021 25,746 $301K
2022 28,353 $299K
2023 32,998 $307K
2024 24,563 $237K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 11,135 3,859 $585K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 308 270 $514K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,100 2,653 $435K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,593 3,350 $434K
99284 Emergency department visit for the evaluation and management, high severity 6,758 6,034 $429K
99283 Emergency department visit for the evaluation and management, moderate severity 5,512 5,014 $373K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,648 28,198 $330K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,701 1,636 $183K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,605 2,506 $172K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,282 2,067 $167K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,498 2,274 $159K
70450 Computed tomography, head or brain; without contrast material 2,949 2,726 $153K
87631 1,403 1,357 $152K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,128 2,778 $122K
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 2,346 1,987 $118K
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 2,144 2,028 $113K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,282 21,593 $107K
96361 Intravenous infusion, hydration; each additional hour 766 668 $95K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 471 452 $85K
80053 Comprehensive metabolic panel 16,223 13,481 $84K
92523 612 597 $83K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,281 1,404 $82K
92526 1,418 685 $78K
71046 Radiologic examination, chest; 2 views 6,661 6,117 $60K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,831 910 $56K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 385 371 $52K
76830 Ultrasound, transvaginal 773 736 $45K
71260 Computed tomography, thorax, diagnostic; with contrast material 699 660 $40K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 789 757 $39K
84112 495 436 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material 534 504 $35K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 657 562 $34K
97166 681 649 $34K
77067 Screening mammography, bilateral, including computer-aided detection 1,071 1,051 $33K
97162 837 809 $32K
90853 Group psychotherapy (other than of a multiple-family group) 503 78 $32K
80048 Basic metabolic panel (calcium, ionized) 7,588 6,142 $32K
71275 Computed tomographic angiography, chest, with contrast material 386 361 $31K
36415 Collection of venous blood by venipuncture 21,572 15,915 $30K
76705 Ultrasound, abdominal, real time with image documentation; limited 729 683 $30K
97161 595 577 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,241 6,930 $29K
J2469 Injection, palonosetron hcl, 25 mcg 223 129 $29K
80047 4,270 3,850 $28K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 385 368 $28K
76700 Ultrasound, abdominal, real time with image documentation; complete 579 562 $27K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 235 221 $27K
93017 444 432 $25K
92610 430 416 $25K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,028 981 $25K
99281 Emergency department visit for the evaluation and management, self-limited or minor 421 395 $24K
84443 Thyroid stimulating hormone (TSH) 3,382 3,091 $24K
82948 8,633 4,730 $23K
93976 152 145 $23K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,286 4,601 $22K
76770 470 454 $22K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 306 304 $22K
72125 Computed tomography, cervical spine; without contrast material 541 515 $21K
81025 4,281 3,957 $20K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 631 290 $20K
G0378 Hospital observation service, per hour 1,002 797 $20K
81003 11,184 9,646 $19K
76801 375 332 $19K
96375 Therapeutic injection; each additional sequential IV push 3,986 3,319 $19K
76642 567 468 $19K
84484 5,290 3,802 $18K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 817 563 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 379 333 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 192 190 $15K
83690 4,659 4,084 $15K
J3010 Injection, fentanyl citrate, 0.1 mg 5,886 3,967 $14K
83880 1,343 1,192 $13K
87040 2,272 1,222 $13K
97113 362 151 $13K
83735 4,760 3,583 $13K
85610 7,365 4,838 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 178 173 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 372 364 $11K
83605 2,276 1,862 $11K
80076 2,326 2,089 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 374 365 $11K
73221 89 87 $10K
83874 1,775 1,455 $10K
97750 241 222 $10K
71250 273 254 $10K
J2785 Injection, regadenoson, 0.1 mg 244 243 $10K
73562 705 607 $9K
73110 558 501 $9K
74018 767 674 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,555 6,486 $9K
70551 Magnetic resonance imaging, brain; without contrast material 115 108 $8K
73630 689 619 $8K
71045 Radiologic examination, chest; single view 2,385 2,080 $8K
73610 620 575 $8K
70486 163 156 $8K
84702 582 520 $8K
87086 Culture, bacterial; quantitative colony count, urine 1,767 1,653 $7K
99490 Ccm add 20min 1,527 1,414 $7K
87641 366 356 $7K
73130 540 450 $7K
73030 710 618 $7K
G0297 Low dose ct scan (ldct) for lung cancer screening 94 86 $6K
86850 1,047 906 $6K
96415 97 80 $6K
97116 298 125 $6K
20610 295 252 $6K
72110 353 337 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 172 171 $5K
82550 1,727 1,520 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,983 2,478 $5K
77066 Tomosynthesis, mammo 74 68 $5K
87430 441 427 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 144 143 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 359 336 $5K
87077 1,039 989 $5K
87186 900 862 $5K
85380 836 794 $5K
84520 1,911 1,774 $4K
73502 428 388 $4K
77065 Tomosynthesis, mammo 87 68 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 45 40 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 907 835 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,437 2,485 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 317 292 $4K
87070 672 591 $4K
82803 325 277 $4K
83036 Hemoglobin; glycosylated (A1C) 2,997 2,759 $4K
72141 45 41 $4K
86900 1,179 1,023 $4K
76536 57 57 $4K
36592 484 423 $4K
86901 1,179 1,024 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 617 567 $4K
74230 47 41 $3K
86140 1,090 955 $3K
85730 986 903 $3K
77002 105 97 $3K
J1453 Injection, fosaprepitant, 1 mg 19 14 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,132 3,642 $3K
86780 220 205 $3K
J1170 Injection, hydromorphone, up to 4 mg 2,737 1,761 $3K
70491 37 37 $3K
Q3014 Telehealth originating site facility fee 722 596 $3K
76819 Fetal biophysical profile; without non-stress testing 70 44 $3K
87081 465 450 $3K
93880 66 65 $3K
36416 3,165 1,570 $3K
77080 365 358 $2K
70544 26 26 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 59 55 $2K
87210 543 502 $2K
82728 381 344 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,569 1,040 $2K
80061 Lipid panel 501 471 $2K
87205 693 603 $2K
85027 1,691 1,306 $2K
87634 28 27 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 618 348 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 31 26 $2K
97535 Self-care/home management training, each 15 minutes 63 41 $2K
G0008 Administration of influenza virus vaccine 853 823 $2K
85651 608 538 $2K
90686 468 458 $2K
97010 579 233 $2K
84100 462 396 $2K
97165 27 25 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 141 110 $1K
92611 41 38 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 28 26 $1K
87075 210 177 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $1K
73080 87 80 $1K
82565 658 580 $1K
72050 54 46 $998.60
81001 2,344 2,065 $966.95
85055 43 36 $927.63
84145 45 44 $873.19
82731 16 16 $858.82
73140 64 58 $803.51
73590 69 64 $728.72
72100 43 40 $659.51
81002 325 269 $655.07
82570 972 868 $651.61
J0585 Injection, onabotulinumtoxina, 1 unit 14 13 $604.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,064 793 $593.72
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 29 $545.50
82962 480 432 $540.05
72082 14 14 $530.04
73090 47 41 $526.25
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 290 283 $520.02
84439 83 80 $500.87
J1650 Injection, enoxaparin sodium, 10 mg 236 63 $485.06
76937 35 27 $453.87
83615 95 77 $449.58
80069 179 135 $395.98
82947 93 77 $390.26
76870 14 14 $383.72
73564 33 29 $383.12
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 236 204 $345.43
G0009 Administration of pneumococcal vaccine 108 105 $297.49
72072 28 26 $281.43
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,701 1,523 $277.98
36591 125 64 $268.80
99152 177 158 $267.48
83540 135 125 $236.04
82274 28 27 $235.30
76857 13 12 $234.78
90670 16 15 $231.57
90662 208 198 $219.78
73521 12 12 $215.00
77063 Screening digital breast tomosynthesis, bilateral 1,070 1,050 $204.84
74022 13 13 $193.81
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 16 $187.58
83550 94 88 $174.14
74019 12 12 $164.75
85014 73 53 $162.49
82330 96 79 $152.95
85652 165 149 $144.36
77001 15 12 $132.26
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 543 507 $125.00
C1769 Guide wire 64 60 $123.26
85007 602 483 $121.34
96376 556 450 $110.24
80051 15 13 $108.49
99153 Mod sedat endo service >5yrs 57 49 $87.08
J7120 Ringers lactate infusion, up to 1000 cc 1,099 808 $75.14
0296T 12 12 $73.80
90732 15 15 $71.21
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 367 308 $70.66
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 278 255 $65.57
84156 53 37 $63.63
J2360 Injection, orphenadrine citrate, up to 60 mg 17 16 $56.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 27 $51.85
A9575 Injection, gadoterate meglumine, 0.1 ml 108 106 $50.52
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 54 54 $45.91
84550 14 12 $41.09
99487 Ccm add 20min 17 12 $40.59
Q9957 Injection, perflutren lipid microspheres, per ml 267 254 $40.33
J2270 Injection, morphine sulfate, up to 10 mg 266 224 $26.60
J1245 Injection, dipyridamole, per 10 mg 31 28 $18.90
J2704 Injection, propofol, 10 mg 1,096 988 $17.32
82077 121 109 $16.22
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $8.03
82043 24 24 $5.92
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 136 120 $5.09
84295 109 94 $1.56
82247 20 14 $1.56
84155 30 27 $1.56
84075 20 14 $1.56
82040 19 13 $1.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 20 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 13 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 15 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 83 74 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 29 25 $0.00
J0690 Injection, cefazolin sodium, 500 mg 248 194 $0.00
80320 167 142 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 15 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 98 80 $0.00
82435 94 80 $0.00
C1889 Implantable/insertable device, not otherwise classified 165 146 $0.00
84132 79 65 $0.00
J2060 Injection, lorazepam, 2 mg 16 13 $0.00
85018 15 12 $0.00