Grand Teton Gastroenterology, PA

Grand Teton Gastroenterology, PA was paid $333K by Medicaid between Jan 2018 and Aug 2022, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoGRAND TETON GASTROENTEROLOGY, PA
IDAHO FALLS, ID 83404

33aNPI1154390938assigned 03/15/2006

33bProvider typeGastroenterology Physician

28Total paid$333K

24GClaims3,892

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Gastroenterology Physician providers in Idaho

Rank by total paid#2 of 11

Median peer was paid$5K

This provider vs. median70×

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	260	$15K
2019	259	$14K
2020	1,221	$100K
2021	1,402	$129K
2022	750	$75K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	1,937	1,845	$134K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	28%	862	834	$93K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	25%	731	722	$82K
45380	Colonoscopy, flexible; with biopsy, single or multiple	4.6%	85	85	$15K
99152		2.2%	255	252	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	22	12	$1K

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 officialLEMONS, MELISSA (BILLING SUPERVISOR)