Physician
Teton Radiology Diagnostic a Series of Teton Group Enterprise
Teton Radiology Diagnostic a Series of Teton Group Enterprise was paid $114K by Medicaid between Oct 2018 and Nov 2024, across 13 billing codes. Its largest line is 73721, Magnetic resonance imaging, any joint of lower extremity; without contrast material — 64% of everything it billed.
33Billing provider infoTETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1013085604assigned 12/01/2006
33bProvider typePediatric Radiology Physician
28Total paid$114K
24GClaims1,047
24DCodes billed13
24AFirst – last monthOct 2018 – Nov 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13 | $2K | |
| 2019 | 14 | $2K | |
| 2020 | 147 | $22K | |
| 2021 | 85 | $11K | |
| 2022 | 482 | $40K | |
| 2023 | 261 | $30K | |
| 2024incomplete | 45 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 64% | 434 | 407 | $74K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 11% | 90 | 87 | $13K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 10% | 137 | 137 | $12K |
| 73221 | 3.7% | 25 | 25 | $4K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 3.1% | 12 | 12 | $4K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.8% | 25 | 24 | $2K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 1.7% | 13 | 13 | $2K |
| 76376 | 1.2% | 87 | 84 | $1K | |
| 76536 | <1% | 12 | 12 | $960.29 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 13 | 12 | $817.92 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 38 | 38 | $774.68 |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 24 | 24 | $611.48 |
1 more codes
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 137 | $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 officialHODEL, MICHAEL (GENERAL MANAGER)