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NPI 1174520993 · Casper, WY · Ambulatory Surgical Clinic/Center
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Central Wyoming Outpatient Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Casper, Wyoming. This profile covers 29 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Central Wyoming Outpatient Surgery Center, LLC |
| Address | 1201 E 3rd St |
| City | Casper |
| State | WY |
| ZIP | 82601 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $835.8K |
| Medicare | $631.3K |
CENTRAL WYOMING OUTPATIENT SURGERY CENTER, LLC is classified as an Ambulatory Surgical Clinic/Center and its Medicare CPT mix shows a multi‑specialty procedural footprint: high-volume GI endoscopy codes (45385, 43239, 45380) sit alongside ophthalmology (66984, 67108, 67042), urology (52356, 52332) and assorted ENT/orthopedic procedures, indicating the center operates as a general ASCs serving several surgical specialties rather than focusing on a single niche. The presence of both cataract surgery (66984) and multiple endoscopy and urology codes suggests scheduling and equipment capacity consistent with a multi-service outpatient OR/endoscopy suite.
Revenue and payer mix are skewed toward Medicaid in absolute scale: the provider reported Total Medicare revenue of $631.3K versus Total Medicaid revenue of $835.8K, so Medicaid represents the larger single-payer revenue stream for this site. Because material billing exists for both payers, the center is not single-payer but leans Medicaid in scale.
Revenue concentration differs sharply by payer: the top three Medicare codes by revenue account for 26.9% of Medicare receipts, showing Medicare revenue is distributed across many procedures; by contrast, the top three Medicaid codes account for 100.0% of Medicaid revenue, reflecting extreme concentration of Medicaid receipts. In practice the Medicaid book of business is effectively concentrated in a single code line (see 41899 below), while Medicare receipts are more dispersed across endoscopy, ophthalmology, and urology.
The Medicaid revenue is almost entirely driven by code 41899 (311 claims, $2688 avg paid/claim, $836K revenue), which represents 100.0% of the provider's Total Medicaid revenue and ranks #3 of 8 providers in-state (71th percentile; typical, unremarkable volume for this code). This indicates the center is a meaningful in‑state biller for that unspecified dental/odontologic procedure category and that any operational or contracting changes affecting 41899 would materially impact Medicaid revenue.
On the Medicare side, the single largest code is 45385 (175 claims, $410 avg paid/claim, $71.8K revenue — 11.5% of this provider's total Medicare revenue), which ranks #1776 of 16310 providers nationally (89th percentile; typical, unremarkable volume for this code). That placement and claim volume signal solid local volume in colonoscopic polypectomy without implying national dominance in the procedure.
Other top Medicare contributors such as 66984 (59 claims, $836 avg paid/claim, $49.3K revenue — 7.9% of Medicare revenue) and 43239 (221 claims, $214 avg paid/claim, $47.3K revenue — 7.5% of Medicare revenue) confirm a mix of higher‑unit‑payment ophthalmic surgery and higher‑frequency GI diagnostic/therapeutic cases; collectively these three codes make up the precomputed 26.9% share of Medicare revenue, so no single Medicare procedure dominates the practice. National rank entries for most Medicare codes are described as “typical, unremarkable volume for this code,” which characterizes the center as a modest regional participant rather than a national leader for those services.
The provider has been enumerated since 2005-07-07 (~21 years ago), indicating long tenure in the market; combined with the multi‑specialty case mix and the substantial Medicaid concentration in 41899, this suggests an established ASC with stable referral relationships in both surgical and dental‑adjacent services. Analysts should treat longevity as a supporting factor for operational stability but weigh the Medicaid concentration risk when modeling revenue sensitivity.
A few statistical notes temper interpretation of competitive standing: many Medicare codes are labeled “typical, unremarkable volume for this code,” so national percentiles do not indicate outsized dominance, and select codes (for example 26060 shows rank #1 of 1 providers nationally with no national peer volume comparison available) reflect extremely small or unique peer sets where rank is not a reliable indicator of scale. Where ranks show small denominators (e.g., 23405 at 54 of 64 providers) or single‑provider comparisons, treat those placements as sparse‑peer artifacts rather than proof of market leadership.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 180 | $410 | $71.8K |
| 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… | 60 | $840 | $49.3K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 220 | $210 | $47.3K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 30 | $1,660 | $46.4K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 140 | $320 | $43.7K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 60 | $640 | $35.7K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 60 | $560 | $35.5K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 20 | $1,490 | $26.7K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 70 | $370 | $25.7K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 20 | $1,700 | $25.5K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
29 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 25 | 80 | 50 | $410 | $39.9K |
| 45385 | 6 | 30 | 50 | $300 | $29.3K |
| 67042 | 1 | 10 | 20 | $1,490 | $22.4K |
| 67108 | 1 | 10 | 20 | $1,250 | $19.9K |
| 31267 | 1 | 10 | 20 | $1,080 | $17.3K |
| 45380 | 7 | 40 | 40 | $210 | $17K |
| 67041 | 2 | 10 | 20 | $1,080 | $16.1K |
| 43239 | 8 | 40 | 50 | $120 | $15K |
| 23405 | 2 | 10 | 10 | $1,240 | $14.8K |
| 43248 | 9 | 10 | 50 | $170 | $14.8K |
Showing 1–10 of 29
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 310 | $2,690 | $836K |
How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wyoming median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 3 | 10 | 110 | $1,770 | $828.4K |
Other providers in the same ZIP code as Central Wyoming Outpatient Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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