Medicaid Provider Spending

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

TETON VALLEY HEALTH CARE INC

NPI: 1013264183 · DRIGGS, ID 83422 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 08/08/2012

$1.55M
Total Medicaid Paid
16,453
Total Claims
15,023
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPAYNE, JILL (CHIEF OF COMPLIANCE)
NPI Enumeration Date08/08/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,727 $176K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,148 9,116 $1.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,006 3,759 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,955 1,809 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80 78 $234.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 146 145 $38.68
81002 12 12 $0.00
0002A 37 37 $0.00
91300 44 42 $0.00
0012A 13 13 $0.00
91301 12 12 $0.00