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.

Big Horn Basin Bone & Joint, LLC (NPI 1134249725)

Field	Value
Entity Type	Organization
Organization	Big Horn Basin Bone & Joint, LLC
Address	1728 8th St
City	Cody
State	WY
ZIP	82414
Taxonomy	Neurological Surgery Physician
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$19.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	360	$50	$18.8K
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…	10	$90	$1.1K

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

Big Horn Basin Bone & Joint, LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	137	260	420	$30	$67.2K
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…	50	60	40	$70	$15.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Big Horn Basin Bone & Joint, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glen Poffenbarger	WY	Neurological Surgery Physician	$251.5K	$0
Jared Lee	WY	Sports Medicine (Orthopaedic Surgery) Physician	$232.8K	$0
Kayla Nagle	WY	Surgical Physician Assistant	$55.6K	$0
Craig Edwards	WY	Surgical Physician Assistant	$55.2K	$0
Clint Merritt	WY	Physician Assistant	$51.4K	$0
Beth Cohen	MT	Medical Physician Assistant	$15.1K	$0

Nearby Providers

Other providers in the same ZIP code as Big Horn Basin Bone & Joint, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Ddsp, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Hands 2 Help, LLC.	WY	Home Health Agency	$0	$2.9M
Big Horn Basin Childrens Clinic PC	WY	Pediatrics Physician	$0	$997.5K
West Park Hospital District	WY	Critical Access Hospital	$0	$950.8K
Northern Wyoming Surgical Center, LLC	WY	Ambulatory Surgical Clinic/Center	$865.9K	$0
Guardian Flight LLC	WY	Air Ambulance	$738.8K	$0
West Park Hospital District	WY	Multi-Specialty Clinic/Center	$0	$726.1K
Cailyn Dallman	WY	Case Manager/Care Coordinator	$0	$630.7K
Barry Welch	WY	Ophthalmology Physician	$430.2K	$0
Allen Gee	WY	Neurology Physician	$344K	$0

Big Horn Basin Bone & Joint, LLC — Billing Profile & Reimbursement Data

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Big Horn Basin Bone & Joint, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References