Physician
Teton Valley Health Care, INC
Teton Valley Health Care, INC was paid $771K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoTETON VALLEY HEALTH CARE, INC
VICTOR, ID 83455
VICTOR, ID 83455
33aNPI1801143029assigned 08/07/2012
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$771K
24GClaims6,899
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Idaho
Rank by total paid#2 of 6
Median peer was paid$129K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2018 | 523 | $69K | |
| 2019 | 923 | $87K | |
| 2020 | 1,134 | $121K | |
| 2021 | 1,348 | $147K | |
| 2022 | 1,486 | $163K | |
| 2023 | 1,000 | $113K | |
| 2024incomplete | 485 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 4,691 | 4,262 | $767K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,595 | 1,469 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 513 | 471 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | 45 | $214.41 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | 13 | $14.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 40 | 40 | $0.00 |
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 officialPAYNE, JILL PAYNE (CHIEF OF COMPLIANCE)