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    OpenPayerNPI Medicare & MedicaidSaint Alphonsus Regional Medical Center Inc
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    Saint Alphonsus Regional Medical Center Inc — Billing Profile & Reimbursement Data

    NPI 1184155426 · Boise, ID · General Acute Care Hospital

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    Saint Alphonsus Regional Medical Center Inc is a general acute care hospital provider located in Boise, Idaho. This profile covers 0 Medicare and 106 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSaint Alphonsus Regional Medical Center Inc
    Address1055 N Curtis Rd
    CityBoise
    StateID
    ZIP83706
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMarch 27, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    106 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.4,400$40$162.9K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.4,390$40$162.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…9,310$20$148.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.13,380$10$133.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…15,890$10$111.2K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.1,480$80$110.9K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.7,150$10$85.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…8,630$10$77.7K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…2,690$30$75.4K
    87086Culture, bacterial; quantitative, colony count, urine.7,240$10$57.9K

    Showing 1–10 of 106

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Idaho median

    106 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.20301,370$50$121.7K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…5102,270$30$87K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.11702,170$10$42.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.330520$30$40.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.330500$30$39.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…450940$10$34.2K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.310730$30$33.7K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.110100$70$30.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…11901,410$1$27.8K
    80074The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody.410140$40$20.4K

    Showing 1–10 of 106

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Saint Alphonsus Regional Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Alphonsus Regional Medical Center IncIDFamily Medicine Physician$0$32.6M
    Saint Alphonsus Regional Medical Center IncIDGeneral Acute Care Hospital$0$5.1M
    Saint Alphonsus Regional Medical Center IncIDGeneral Acute Care Hospital$0$4.2M
    James EarlIDRetina Specialist (Ophthalmology) Physician$3.1M$0
    Jasmit MinhasWAInternal Medicine Physician$965.4K$0
    Xiuqing RuNEHematology & Oncology Physician$275K$0
    Adam GrimaldiIDClinical Cardiac Electrophysiology Physician$247.1K$0
    Ryan WilliamsIDInternal Medicine Physician$224K$0
    Saint Alphonsus Caldwell Cancer Treatment Center LLCIDRadiation Therapy Radiologic Technologist$218.6K$0
    Jenny JinIDOrthopaedic Surgery Physician$205K$0

    Nearby Providers

    Other providers in the same ZIP code as Saint Alphonsus Regional Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Safeway IncIDCommunity/Retail Pharmacy$76.1M$330
    Albertsons LLCIDCommunity/Retail Pharmacy$29M$0
    American Drug Stores LLCIDCommunity/Retail Pharmacy$27.3M$0
    Vons Companies IncIDCommunity/Retail Pharmacy$12.7M$0
    Nai Saturn Eastern LLCIDCommunity/Retail Pharmacy$12.6M$0
    Smiles 4 KidsIDDentist$0$9.6M
    Acme Markets IncIDCommunity/Retail Pharmacy$9.5M$0
    Randalls Food & Drugs LPIDCommunity/Retail Pharmacy$6.7M$0
    Shaws Supermarkets IncIDCommunity/Retail Pharmacy$5.5M$0
    Tdandc LLCIDHome Health Agency$0$4.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Idaho Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Saint Alphonsus Regional Medical Center Inc — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho