GRAND TETON GASTROENTEROLOGY, PA
NPI: 1154390938
· IDAHO FALLS, ID 83404
· 207RG0100X
$333K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
260 |
$15K |
| 2019 |
259 |
$14K |
| 2020 |
1,221 |
$100K |
| 2021 |
1,402 |
$129K |
| 2022 |
750 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,937 |
1,845 |
$134K |
| 43239 |
|
862 |
834 |
$93K |
| 99204 |
|
731 |
722 |
$82K |
| 45380 |
|
85 |
85 |
$15K |
| 99152 |
|
255 |
252 |
$7K |
| 99232 |
|
22 |
12 |
$1K |