GRAND TETON SURGICAL CENTER LLC
NPI: 1841295227
· IDAHO FALLS, ID 83404
· 261QA1903X
$344K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,088 |
$77K |
| 2019 |
893 |
$97K |
| 2020 |
903 |
$171K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
|
1,140 |
1,018 |
$187K |
| 45380 |
|
635 |
576 |
$145K |
| 45385 |
|
29 |
29 |
$9K |
| G8907 |
Pt doc no events on discharg |
929 |
655 |
$2K |
| 66984 |
|
20 |
12 |
$2K |
| G8918 |
Pt w/o preop order iv ab pro |
131 |
78 |
$0.00 |