TETON OUTPATIENT SERVICES LLC
Ambulatory Surgical Clinic/Center · JACKSON, WY
Organization Active NPI 1689651481
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 666 | 2,264 | $4,823,383 | $932,977 | $739,264 |
| 2023 | 646 | 1,865 | $3,965,071 | $813,567 | $647,516 |
| 2022 | 613 | 1,331 | $2,816,073 | $647,998 | $508,937 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 520 | $387 | $302 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 113 | $1,100 | $871 |
| 20610 | Aspiration and/or injection of fluid from large joint | 69 | $33 | $24 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 69 | $537 | $439 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 64 | $279 | $225 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 52 | $358 | $282 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 48 | $325 | $257 |
| 64721 | Release and/or relocation of hand nerve | 31 | $848 | $676 |
| 26055 | Incision of tendon covering of finger | 28 | $562 | $441 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 27 | $799 | $641 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 24 | $2,037 | $1,623 |
| 64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 21 | $444 | $338 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 0713016 | WY |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.