Physician
Teton Valley Health Care INC
Teton Valley Health Care INC was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoTETON VALLEY HEALTH CARE INC
DRIGGS, ID 83422
DRIGGS, ID 83422
33aNPI1013264183assigned 08/08/2012
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$1.55M
24GClaims16,453
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Idaho
Rank by total paid#1 of 5
Median peer was paid$7K
This provider vs. median213×
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.
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 | 1,570 | $164K | |
| 2019 | 2,075 | $187K | |
| 2020 | 2,373 | $226K | |
| 2021 | 2,731 | $245K | |
| 2022 | 3,309 | $300K | |
| 2023 | 2,668 | $254K | |
| 2024incomplete | 1,727 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 10,148 | 9,116 | $1.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,006 | 3,759 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 1,955 | 1,809 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 80 | 78 | $234.52 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 146 | 145 | $38.68 |
| 81002 | 0% | 12 | 12 | $0.00 | |
| 0002A | 0% | 37 | 37 | $0.00 | |
| 91300 | 0% | 44 | 42 | $0.00 | |
| 0012A | 0% | 13 | 13 | $0.00 | |
| 91301 | 0% | 12 | 12 | $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 officialPAYNE, JILL (CHIEF OF COMPLIANCE)