TETON SPORTS & SPINE IMAGING, LLC
Magnetic Resonance Imaging (MRI) Clinic/Center · JACKSON, WY
Organization Active NPI 1427574987
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 467 | 2,486 | $1,151,939 | $86,051 | $64,122 |
| 2023 | 521 | 665 | $1,154,780 | $91,928 | $69,827 |
| 2022 | 544 | 690 | $1,164,515 | $98,253 | $73,102 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 72148 | Mri scan of lower spinal canal without contrast | 228 | $122 | $90 |
| 73221 | Mri scan of arm joint without contrast | 126 | $141 | $99 |
| 72141 | Mri scan of upper spinal canal without contrast | 92 | $118 | $91 |
| 73721 | Mri scan of leg joint without contrast | 32 | $137 | $99 |
| 72158 | Mri scan of lower spinal canal before and after contrast | 27 | $217 | $161 |
| 72146 | Mri scan of middle spinal canal without contrast | 21 | $115 | $89 |
| 70553 | Mri scan of brain before and after contrast | 17 | $216 | $168 |
| 72195 | Mri scan of pelvis without contrast | 14 | $163 | $117 |
| 70551 | Mri scan of brain without contrast | 11 | $129 | $103 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | ✓ | — | — |
| Radiology Clinic/Center | 261QR0200X | — | — |
Other Magnetic Resonance Imaging (MRI) Clinic/Center providers in Wyoming
- NPI 1154490233
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See all Magnetic Resonance Imaging (MRI) Clinic/Center providers in Wyoming →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.