TETON COUNTY HOSPITAL DISTRICT
NPI: 1487818605
· JACKSON, WY 83001
· 273Y00000X
$551K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
111 |
$7K |
| 2019 |
61 |
$6K |
| 2020 |
61 |
$5K |
| 2021 |
948 |
$95K |
| 2022 |
1,457 |
$133K |
| 2023 |
1,855 |
$156K |
| 2024 |
1,600 |
$150K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,355 |
1,781 |
$267K |
| 99214 |
|
2,563 |
2,125 |
$185K |
| 99336 |
|
572 |
387 |
$64K |
| 99213 |
|
267 |
237 |
$14K |
| 99335 |
|
113 |
80 |
$8K |
| 99205 |
Prolong outpt/office vis |
29 |
28 |
$5K |
| 99349 |
|
60 |
23 |
$3K |
| 99417 |
Prolong home eval add 15m |
55 |
39 |
$3K |
| 87635 |
|
79 |
71 |
$3K |