Physician
Teton Medical Group PLLC
Teton Medical Group PLLC was paid $2.11M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoTETON MEDICAL GROUP PLLC
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1154502615assigned 11/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.11M
24GClaims38,954
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#13 of 136
Median peer was paid$139K
This provider vs. median15×
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 | 6,207 | $293K | |
| 2019 | 6,192 | $286K | |
| 2020 | 5,875 | $299K | |
| 2021 | 6,673 | $356K | |
| 2022 | 6,322 | $360K | |
| 2023 | 4,253 | $290K | |
| 2024incomplete | 3,432 | $225K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 21,578 | 19,367 | $1.27M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 2,168 | 1,941 | $192K |
| 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 | 8.6% | 2,128 | 1,995 | $181K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 2,920 | 2,904 | $147K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 1,424 | 1,421 | $145K |
| 90461 | 4.1% | 1,970 | 1,964 | $86K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 348 | 348 | $34K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 116 | 115 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 810 | 679 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 666 | 331 | $9K |
| 87631 | <1% | 54 | 54 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 70 | 70 | $7K |
21 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 36 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99460 | <1% | 14 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 625 | $1K |
| 87420 | <1% | 71 | $932.40 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $824.46 |
| 90674 | <1% | 138 | $457.34 | |
| 36416 | <1% | 57 | $171.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 25 | $137.87 |
| 81003 | <1% | 15 | $24.62 | |
| 90670 | <1% | 1,072 | $10.60 | |
| 90648 | <1% | 622 | $6.15 | |
| 90680 | <1% | 594 | $5.89 | |
| 90723 | <1% | 516 | $5.12 | |
| 90698 | <1% | 315 | $3.10 | |
| 90686 | <1% | 263 | $2.54 | |
| 90633 | <1% | 143 | $1.41 | |
| 90744 | <1% | 76 | $0.76 | |
| 90710 | <1% | 52 | $0.50 | |
| 90661 | <1% | 25 | $0.24 | |
| 90671 | <1% | 18 | $0.13 |
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 officialJONES, RICHARD (OWNER)
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| WV Medical Services PC | Northport, AL | $693K |
| Mann Ear Nose & Throat Clinic PA | Cary, NC | $44K |
| Jones & Jones Medical Associates INC. | Apple Valley, CA | $4K |
| Pinelands Family Dental Care | Medford, NJ | $60.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.