Medicaid Provider Spending

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

GRAND TETON GASTROENTEROLOGY, PA

NPI: 1154390938 · IDAHO FALLS, ID 83404 · Gastroenterology Physician · NPI assigned 03/15/2006

$333K
Total Medicaid Paid
3,892
Total Claims
3,750
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialLEMONS, MELISSA (BILLING SUPERVISOR)
NPI Enumeration Date03/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 260 $15K
2019 259 $14K
2020 1,221 $100K
2021 1,402 $129K
2022 750 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,937 1,845 $134K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 862 834 $93K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 731 722 $82K
45380 Colonoscopy, flexible; with biopsy, single or multiple 85 85 $15K
99152 255 252 $7K
99232 Subsequent hospital care, per day, moderate complexity 22 12 $1K