Medicaid Provider Spending

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

TETON VALLEY HEALTH CARE INC

NPI: 1477809622 · DRIGGS, ID 83422 · Ambulance · NPI assigned 07/25/2012

$63K
Total Medicaid Paid
4,500
Total Claims
3,550
Beneficiaries
14
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialPIQUET, LAURA (QUALITY SERVICES MANAGER)
NPI Enumeration Date07/25/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,792 $25K
2019 1,516 $17K
2020 1,192 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 440 341 $33K
80053 Comprehensive metabolic panel 1,005 794 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,098 852 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 31 26 $3K
36415 Collection of venous blood by venipuncture 1,456 1,112 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 64 53 $3K
84443 Thyroid stimulating hormone (TSH) 180 163 $2K
71046 Radiologic examination, chest; 2 views 42 39 $565.84
83036 Hemoglobin; glycosylated (A1C) 48 47 $459.06
80061 Lipid panel 35 35 $424.73
81001 63 52 $208.72
87400 12 12 $158.29
87086 Culture, bacterial; quantitative colony count, urine 12 12 $107.52
81003 14 12 $19.92