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.

Casper Children's Center, LLC (NPI 1114333127)

Key Findings

Field	Value
Entity Type	Organization
Organization	Casper Children's Center, LLC
Address	2222 E 2nd St
City	Casper
State	WY
ZIP	82609
Taxonomy	Pediatrics Physician
NPI Enumerated	July 10, 2014

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

CASPER CHILDREN'S CENTER, LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $4M, indicating the practice’s patient mix and reimbursement footprint are concentrated in state Medicaid populations rather than Medicare beneficiaries. The provider’s NPI was enumerated on 2014-07-10 (~12 years ago), so this is an established pediatric practice with a multi-year presence in Casper, WY.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 46.9% of total Medicaid revenue, signaling that a small set of services—chiefly E/M office visits, respiratory/multiplex lab testing, and developmental testing—drive nearly half of the practice’s Medicaid receipts. This level of concentration implies operational focus and scheduling capacity oriented around those core services.

Office-based pediatric E/M visits are a leading revenue stream: 99214 generated $839.5K (21.6% of Medicaid revenue) with 10.2K claims and ranks #7 of 223 in-state (97th percentile). That placement and volume indicate the provider sees a high volume of established, moderate-complexity visits relative to Wyoming peers and operates as a major ambulatory pediatric primary care site.

High-volume respiratory and infectious disease testing is a distinctive service line: codes 87633 and 87631 (multiplex respiratory NAATs) together contribute substantial revenue—87633 produced $649.9K (16.7% of Medicaid revenue) and ranks #1 of 5 providers in-state (100th percentile), while 87631 produced $208.1K (5.4%) and ranks #1 of 9 (100th percentile). These ranks and dollar amounts show the provider is a regional leader in molecular respiratory diagnostics for pediatric patients.

Behavioral/developmental testing and coordination services are an important component of care: 96112 accounts for $331.1K (8.5% of Medicaid revenue) with 3.2K claims and ranks #1 of 1 providers in-state, and S0281 (medical home/care coordination) produced $221.7K (5.7%). Together these codes suggest the practice offers formal developmental assessment and care-management capabilities, supporting higher-touch outpatient pediatric services beyond routine visits.

Preventive care and immunization delivery remain material volumes: 99392 ($120.9K, 3.1%) and vaccination administration 90460 ($213.9K, 5.5%) show routine well-child visits and immunization programs are active components of clinical throughput. These codes’ state ranks (99392 at 88th percentile, 90460 at 96th percentile) indicate above-typical preventive service volume relative to peers.

The practice shows multiple code-level outliers relative to state peers: several lab and procedural codes are labeled as notably above typical state volume or 100th-percentile leaders (e.g., 87633, 87631, 87798, 96112, 99490). In plain terms, CASPER CHILDREN'S CENTER is frequently at or near the top of Wyoming providers for a range of pediatric testing, developmental assessment, and care coordination services, suggesting differentiated clinical capabilities or test-processing volume.

Operational breadth includes ancillary supplies and respiratory equipment: high claim counts for items like A7005 ($55.8K), E0570 ($37.7K), and 99070 ($55K) indicate the practice dispenses or uses durable medical equipment and supplies routinely as part of pediatric respiratory and outpatient care. These revenues are smaller shares individually but reflect systematic use of ancillary items across many encounters.

Medicaid: Complete Services Breakdown

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

68 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…	10,240	$80	$839.5K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	1,350	$480	$649.9K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	3,220	$100	$331.1K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	44,340	$10	$221.7K
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.	5,480	$40	$213.9K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	1,480	$140	$208.1K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	2,990	$70	$197.1K
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…	2,480	$60	$151.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,510	$80	$120.9K
87486	The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…	2,970	$40	$112.9K

Showing 1–10 of 68

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

Casper Children's Center, LLC — 14 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	1	10	3,220	$100	$330.1K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	7	20	13,160	$10	$190.1K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	1	10	60	$410	$139.2K
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…	7	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…	49	260	420	$30	$67.2K
87581	The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.	1	10	1,510	$40	$56.2K
87486	The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…	1	10	1,520	$40	$56.2K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	1	10	2,070	$30	$55.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8	50	280	$70	$43.2K
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.	4	70	490	$40	$42.9K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M
Elie Fahed	WY	Medical Oncology Physician	$1.9M	$0

Casper Children's Center, 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

Nearby Providers

Frequently Asked Questions

References