Physician
Teton Pediatrics PC
Teton Pediatrics PC was paid $3K by Medicaid between Feb 2021 and Aug 2022, across 1 billing code. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.
33Billing provider infoTETON PEDIATRICS PC
JACKSON, WY 83001
JACKSON, WY 83001
33aNPI1790388213assigned 11/18/2020
33bProvider typePediatrics Physician
28Total paid$3K
24GClaims58
24DCodes billed1
24AFirst – last monthFeb 2021 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in Wyoming
Rank by total paid#26 of 27
Median peer was paid$113K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 13 | $757.76 | |
| 2022 | 45 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 100% | 58 | 56 | $3K |
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 officialHARDENBROOK, JACQUELIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Paintbrush Pediatrics, LC | Jackson, WY | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.