Clinic
Grand Teton Surgical Center LLC
Grand Teton Surgical Center LLC was paid $344K by Medicaid between Jan 2018 and Oct 2020, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 54% of everything it billed.
33Billing provider infoGRAND TETON SURGICAL CENTER LLC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1841295227assigned 06/14/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$344K
24GClaims2,884
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Idaho
Rank by total paid#15 of 34
Median peer was paid$126K
This provider vs. median2.7×
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 | 1,088 | $77K | |
| 2019 | 893 | $97K | |
| 2020 | 903 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 54% | 1,140 | 1,018 | $187K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 42% | 635 | 576 | $145K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.5% | 29 | 29 | $9K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | <1% | 929 | 655 | $2K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 20 | 12 | $2K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 131 | 78 | $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 officialWELLARD, TERESA (DIRECTOR OF NURSING)