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.

Hot Springs County Hospital District (NPI 1174524607)

Field	Value
Entity Type	Organization
Organization	Hot Springs County Hospital District
Address	156 N. 6th Street
City	Basin
State	WY
ZIP	82410
Taxonomy	Family Medicine Physician
NPI Enumerated	August 9, 2005

Payer Source	Total Paid
Medicaid	$411.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	3,140	$130	$411.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	40	$10	$410
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…	1,310	$0	$0

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

Hot Springs County Hospital District — 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	20	50	1,690	$360	$3.3M
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…	76	260	420	$30	$67.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	8	10	70	$20	$6.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hot Springs County Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Hot Springs County Hospital District	WY	Rural Health Clinic/Center	$0	$1.1M
Hot Springs County Hospital District	WY	Rural Health Clinic/Center	$0	$689.3K
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Eric Hoyer	WY	Diagnostic Radiology Physician	$534.9K	$0
Shawn Ahmed	MN	Diagnostic Radiology Physician	$505K	$0
Brian Lagreca	MT	Ophthalmology Physician	$381.6K	$0
Scott Sullivan	CT	Diagnostic Radiology Physician	$219K	$0
Matthew Fournier	WY	Orthopaedic Surgery Physician	$196.9K	$0
Michael Seymour	CO	Diagnostic Radiology Physician	$196K	$490

Nearby Providers

Other providers in the same ZIP code as Hot Springs County Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Big Horn County Hospital District	WY	Rural Health Clinic/Center	$0	$337.4K
Whitney Neves	WY	Physical Therapist	$114.2K	$0
Andrew Roberts	WY	Family Medicine Physician	$40.8K	$0
Big Horn Basin Counseling Services	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.1K
South Big Horn County Hospital District	WY	Critical Access Hospital	$0	$11.3K

Hot Springs County Hospital District — Billing Profile & Reimbursement Data

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Hot Springs County Hospital District — 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