Physician
Teton Nuclear Medicine Service LLC
Teton Nuclear Medicine Service LLC was paid $5K by Medicaid between Dec 2020 and Jul 2021, across 3 billing codes. Its largest line is 78264, — 58% of everything it billed.
33Billing provider infoTETON NUCLEAR MEDICINE SERVICE LLC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1265612543assigned 11/05/2007
33bProvider typeNuclear Cardiology Physician
28Total paid$5K
24GClaims53
24DCodes billed3
24AFirst – last monthDec 2020 – Jul 2021
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 | |
|---|---|---|---|
| 2020 | 13 | $730.92 | |
| 2021 | 40 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 78264 | 58% | 14 | 12 | $3K | |
| 93015 | 30% | 25 | 25 | $1K | |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | 11% | 14 | 12 | $532.04 |
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 officialDAVIS, DANNY (MANAGER)