Physician
Teton Retinal Institute PA
Teton Retinal Institute PA was paid $19K by Medicaid between Mar 2018 and Nov 2024, across 2 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 81% of everything it billed.
33Billing provider infoTETON RETINAL INSTITUTE PA
AMMON, ID 83406
AMMON, ID 83406
33aNPI1437274057assigned 03/20/2007
33bProvider typeOphthalmology Physician
28Total paid$19K
24GClaims609
24DCodes billed2
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Idaho
Rank by total paid#17 of 22
Median peer was paid$43K
This provider vs. median0.4×
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 | 55 | $1K | |
| 2019 | 60 | $1K | |
| 2020 | 130 | $3K | |
| 2021 | 125 | $6K | |
| 2022 | 112 | $4K | |
| 2023 | 73 | $1K | |
| 2024incomplete | 54 | $781.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 81% | 312 | 291 | $15K |
| 92134 | 19% | 297 | 283 | $4K |
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 officialMOFFETT, DARRYL (PRESIDENT)