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 Family Medicine LLC (NPI 1174764757)

Field	Value
Entity Type	Organization
Organization	Big Horn Family Medicine LLC
Address	316 N 10th St
City	Worland
State	WY
ZIP	82401
Taxonomy	Family Medicine Physician
NPI Enumerated	March 12, 2009

Payer Source	Total Paid
Medicaid	$19.6K
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
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…	460	$40	$16.6K
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…	60	$50	$3.1K

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 Family Medicine 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
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…	107	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…	202	260	420	$30	$67.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Zimmerman	WY	Emergency Medicine Physician	$37.2K	$0

Nearby Providers

Other providers in the same ZIP code as Big Horn Family Medicine LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hot Springs County Hospital District	WY	Rural Health Clinic/Center	$0	$689.3K
Caring Hearts Case Management	WY	Case Management Agency	$0	$606.9K
Guardian Flight LLC	WY	Air Ambulance	$573.6K	$0
Worland Dental Clinic, PC	WY	General Practice Dentistry	$0	$409.5K
Washakie Medical Center	WY	Critical Access Hospital	$0	$280.6K
Cowboy Medical Group PC	WY	Rural Health Clinic/Center	$0	$265K
John Thurston	WY	Family Medicine Physician	$185.7K	$0
Cloud Peak Counseling Center	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$168.8K
Washakie County Senior Citizens Center	WY	Case Management Agency	$0	$153.3K
Carl Cottrell	WY	Optometrist	$43.1K	$69.9K

Big Horn Family Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Big Horn Family Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Big Horn Family Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Big Horn Family Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References