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.

Care United Medical Center Of Laramie, LLC (NPI 1063720605)

Key Findings

Field	Value
Entity Type	Organization
Organization	Care United Medical Center Of Laramie, LLC
Address	3810 E Grand Ave
City	Laramie
State	WY
ZIP	82070
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	September 16, 2010

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

This provider reports no Medicare billing on file and $3.2M in lifetime Medicaid revenue, so its entire observed federal payer footprint is effectively Medicaid‑centric. The absence of Medicare activity suggests the provider’s operational and revenue exposure is concentrated in state Medicaid contracts rather than split across both federal payers.

Revenue is highly concentrated in a small set of codes: the precomputed top 3 Medicaid codes (99214, 99204, 0241U) account for 82.3% of this provider’s total Medicaid revenue. Those three codes alone drive the vast majority of the $3.2M Medicaid revenue, indicating limited diversification of revenue streams within the Medicaid population.

The code mix shows a high-volume ambulatory E/M focus: 99214 accounts for $1.8M revenue (55.5%) with 25.9K claims at $68 avg paid/claim, and 99204 contributes $587.4K revenue (18.5%) with 5.8K claims at $101 avg paid/claim. Together these E/M codes signal that CARE UNITED MEDICAL CENTER OF LARAMIE operates primarily as a high-throughput clinic providing moderate-to-lengthy new- and established-patient outpatient visits, consistent with its Multi‑Specialty Clinic/Center taxonomy.

Competitive standing for the top office-visit codes is dominant within Wyoming: 99214 ranks #1 of 223 providers in-state and is listed as an "extreme outlier" at the 100th percentile, and 99204 also ranks #1 of 30 providers and is an "extreme outlier" at the 100th percentile. 0241U likewise ranks #1 of 7 providers at the 100th percentile and is "notably above typical" state volumes, underlining a top-of-market position for the services that generate most of its revenue.

Beyond E/M visits, the practice reports notable diagnostic and rapid-test volume: 87811 produced $104.9K revenue (3.3%) across 3.6K claims and ranks #1 of 10 in-state (100th percentile; "notably above typical"), while 87804 is an extreme outlier (98th percentile) for influenza antigen testing. These lab/testing codes represent meaningful secondary revenue lines and suggest the clinic manages high patient throughput for acute respiratory illness and point-of-care testing in addition to scheduled visits.

While 99213 ($230.1K, 7.3%) appears at typical volumes relative to peers (26 of 257; 90th percentile), many lower-revenue codes (e.g., 99000 at $9.8K, 2.5K claims; 87880, 87426) indicate a mix of specimen handling and point-of-care diagnostic activity that complements the core E/M business. The presence of multiple testing codes and specimen preparation (99000) points to integrated in-office testing workflows rather than purely referral-based diagnostics.

Operational scale and reimbursement dynamics: the provider’s high claim counts for primary E/M codes (25.9K claims for 99214 and 5.8K for 99204) combined with modest avg paid/claim levels (e.g., $68 and $101) imply a throughput-driven model where volume compensates for Medicaid reimbursement rates. That mix suggests resource allocation priorities around front‑end intake, visit capacity, and rapid diagnostic processing to support large daily patient volumes.

The NPI was enumerated on 2010-09-16 (~16 years ago), reflecting a long-tenured presence in Laramie as a Multi‑Specialty Clinic/Center. Given its single-payer Medicaid concentration and outsized market ranks for key codes, the practice is both a dominant Medicaid provider for several office-visit services in-state and exposed to payer-concentration risk should Medicaid policy or rates change.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	25,860	$70	$1.8M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	5,820	$100	$587.4K
0241U	N/A	2,590	$100	$261.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,110	$50	$230.1K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	3,620	$30	$104.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1,330	$70	$98.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	940	$30	$28.2K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	880	$30	$28.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	1,990	$10	$17.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	490	$30	$14.7K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wyoming Distribution

Care United Medical Center Of Laramie, LLC — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1	220	400	$50	$79.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	26	260	420	$30	$67.2K
0241U	N/A	1	10	70	$100	$50.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	68	70	490	$40	$42.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	1	30	30	$110	$35.2K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1	10	270	$30	$18.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	3	20	330	$30	$16.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	5	10	230	$30	$16.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	40	80	$90	$15.7K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2	60	40	$70	$15.1K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Icco, LLC	OR	Urgent Care Clinic/Center	$0	$11.3M
Icco, LLC	OR	Family Medicine Physician	$0	$2.5M
Jillian Webb	WA	Family Nurse Practitioner	$176.6K	$20.9K
Denise Fain	OR	Family Nurse Practitioner	$127.1K	$0
Susan Rugh	OR	Family Nurse Practitioner	$107.5K	$0
Norma Soffa	OR	Family Nurse Practitioner	$87.5K	$0
Courtney Gordon	WY	Physician Assistant	$57.6K	$0
Victoria Shultz	OR	Physician Assistant	$57.4K	$0
Katelyn Morris	NV	Physician Assistant	$53.3K	$0
Billie Kaskasuto	OR	Family Nurse Practitioner	$53K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Home Health Care Inc	WY	Home Health Agency	$0	$2.6M
Gem City Bone & Joint PC	WY	Ambulatory Surgical Clinic/Center	$1.3M	$0
Elite Medical Supplies, LLC	WY	Durable Medical Equipment & Medical Supplies	$0	$1.3M
James A Boucher & Sue E Lowe Ptr	WY	Optometrist	$0	$444.4K
Martha Nesslinger	WY	Counselor	$0	$415.2K
Step-by-step Family Therapy A Professional Corporation	WY	Multi-Specialty Clinic/Center	$0	$333.8K
John Horberg	WY	Orthopaedic Trauma Physician	$301.5K	$270
Grand Avenue Urgent Care, LLC	WY	Urgent Care Clinic/Center	$0	$264.3K
Eric Harris	WY	Orthopaedic Surgery of the Spine Physician	$207.3K	$0
Samuel Ecker	WY	Dermatology Physician	$206.2K	$0

Care United Medical Center Of Laramie, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References