TETON COUNTY HOSPITAL DISTRICT
Community/Retail Pharmacy · JACKSON, WY
Organization Active NPI 1952823783
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 71 | 150 | $11,815 | $9,399 | $9,399 |
| 2023 | 50 | 100 | $6,828 | $5,566 | $5,566 |
| 2022 | 121 | 264 | $21,774 | $14,728 | $14,728 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 69 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 65 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | R10167 | 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.