Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Powder River Surgery Center (NPI 1063040731)

Field	Value
Entity Type	Organization
Organization	Powder River Surgery Center
Address	906 W 6th St Ste C
City	Gillette
State	WY
ZIP	82716
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 30, 2020

Payer Source	Total Paid
Medicare	$830K
Medicaid	$0

Key Findings

POWDER RIVER SURGERY CENTER’s Medicare activity is concentrated in major joint replacement and ophthalmic procedures, with the three highest-revenue CPTs (27447, 66984, 27130) accounting for 62.7% of total Medicare revenue. The top single code 27447 (knee replacement) contributes $208K (25.1% of Medicare revenue), while 66984 (cataract with intraocular lens) and 27130 (hip replacement) contribute $166.7K and $146K respectively, indicating a mixed ambulatory surgery center that handles both orthopedic arthroplasty and high-volume ophthalmology work. This code mix suggests the facility operates as a multi-specialty ambulatory surgical center rather than a clinic limited to one procedure type.

Revenue concentration on Medicare is high: the precomputed top-3 share of 62.7% signals dependency on a small set of high-value procedures for the bulk of reimbursement. The leading codes include high-dollar inpatient-style procedures (27447 and 27130) alongside a high-frequency ophthalmic code (66984), so the center’s financial performance is sensitive to volume changes or reimbursement shifts in these specific services. Stakeholders should regard the provider as exposed to pricing and utilization trends in joint arthroplasty and cataract surgery.

Medicaid billing is absent: the record shows Total Medicaid revenue: none (no Medicaid billing on file), meaning this provider operates effectively as a single-payer (Medicare) entity in the available dataset. Analysts evaluating payer contracting, access, or safety-net impact should note there is no in-file Medicaid footprint to compare against Medicare, limiting insights into this center’s role in state Medicaid networks or low-income patient access.

Competitive standing by code is mostly modest or typical nationally. For the top revenue drivers, 27447 ranks #6176 of 12089 (47th percentile) and 27130 ranks #4773 of 8062 (38th percentile), both described as typical, unremarkable volume; 66984 ranks somewhat higher at the 66th percentile (#5380 of 15965) indicating stronger relative cataract volume. The center is not a national outlier or dominant provider for its orthopedic codes, but its cataract service shows above-average activity versus peers.

There are a few notable relative outliers within the Medicare case mix that hint at specialty services beyond arthroplasty and cataract care. C9740 (transprostatic implant, 4+ implants) generates $87.4K and ranks #117 of 162 providers (24th percentile), and J1097 (ophthalmic irrigation solution) has 843 claims for $64.1K, suggesting significant ophthalmic procedural throughput. These entries reinforce that the facility supports both urologic implant cases and high-volume intraoperative ophthalmic supply use alongside its orthopedic workload.

Procedure-level pricing and utilization mix reflect both high-dollar low-frequency and low-dollar high-frequency dynamics at the center. High average paid/claim items like 27447 ($6,934 avg) and 27130 ($6,952 avg) drive the largest shares of revenue despite relatively small claim counts (30 and 21 claims respectively), while codes such as J1097 (843 claims at $76 avg) and J0585 (4K claims at $5 avg) contribute material but smaller shares. This mixed revenue structure suggests operational focus on episodic, high-revenue surgical cases supplemented by high-volume outpatient injectables/ophthalmic supplies.

Tenure and stability: the NPI was enumerated on 2020-03-30 (~6 years ago), indicating the center has been active for several years in Medicare data and likely has established referral patterns and operational workflows that support the observed mix of arthroplasty and ophthalmology services. This length of enumeration provides enough history for trend analysis but is short enough that recent strategic changes could still materially affect future case mix and payer exposure.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	30	$6,930	$208K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	200	$830	$166.7K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	20	$6,950	$146K
C9740	Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants	20	$5,460	$87.4K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	840	$80	$64.1K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	130	$200	$24.4K
52287	The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…	30	$640	$19.8K
J0585	Injection, onabotulinumtoxina, 1 unit	3,950	$10	$19.8K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	30	$490	$16.7K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	20	$1,070	$16.1K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Powder River Surgery Center — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	3	10	1,910	$80	$129.6K
C9740	1	10	20	$5,420	$81.4K
J0585	7	10	7,900	$1	$46.2K
66984	12	80	50	$410	$39.9K
27447	20	50	20	$1,010	$32.5K
27130	18	30	30	$1,190	$30.8K
64483	19	20	90	$200	$29.3K
52000	6	10	100	$160	$18.5K
64635	5	10	30	$400	$18.1K
45380	42	40	40	$210	$17K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Powder River Surgery Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Davis Home Health LLC	WY	Home Health Agency	$0	$3.5M
Youth Emergency Services, Inc.	WY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$2.4M
Campbell County Hospital District	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.3M
Campbell County Hospital District	WY	General Acute Care Hospital	$0	$1.9M
Big Horn Pediatrics	WY	Pediatrics Physician	$0	$1.5M
Campbell County Hospital District	WY	Urgent Care Clinic/Center	$0	$1.1M
Ladeana Brown	WY	Case Management Agency	$0	$1M
Campbell County Hospital District	WY	Pediatrics Physician	$0	$998.4K
Campbell County Hospital District	WY	Emergency Medicine Physician	$0	$964.2K
Valorie Hofmeister	WY	Case Manager/Care Coordinator	$0	$628.4K

Powder River Surgery Center — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References