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.

William Ketcham (NPI 1184668857)

Field	Value
Entity Type	Individual
Organization	William Ketcham
Address	800 E 20th St
City	Cheyenne
State	WY
ZIP	82001
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$247.7K
Medicaid	$0

Key Findings

WILLIAM KETCHAM’s billed services align with a diagnostic radiology practice that mixes high-end oncologic imaging, routine breast screening, and general CT scanning; the three largest Medicare revenue drivers are 78815 (PET/CT), 77067 (screening mammography), and 74177 (CT abdomen/pelvis with contrast), which match an operation offering both advanced functional imaging and high-volume anatomic studies. The presence of PET/CT and multiple CT/MRI codes in the top line-up suggests access to PET radiotracer supplies and cross-sectional imaging capability rather than a purely office-based X‑ray service.

Revenue concentration is notable: the top 3 Medicare codes (78815, 77067, 74177) account for 48.8% of this provider’s total Medicare revenue, while total Medicare revenue is reported as $247.7K. This concentration means a small set of advanced imaging procedures drives nearly half of the Medicare dollars attributed to the NPI.

This provider is effectively single‑payer in the claims data: Medicare revenue is $247.7K and there is none below — this provider has no Medicaid billing on file. The absence of Medicaid activity indicates the provider’s public-payer exposure is concentrated on Medicare patients in the available records, which will limit Medicaid-based comparative analysis.

Tenure is long-standing: the NPI was enumerated on 2006-06-15 (~20 years ago), indicating the provider has operated under this NPI for roughly two decades. That length of enumeration supports the interpretation that observed patterns reflect an established practice rather than transient billing activity.

Competitive standing across specific services is mixed. For high-revenue 78815 the provider ranks #2168 of 6566 (67th percentile), and for 77067 ranks #7134 of 15198 (53th percentile), both described as typical, unremarkable volumes nationally; by contrast 74177 ranks #4145 of 23621 (82th percentile), putting the provider well above many peers for CT abdomen/pelvis with contrast and suggesting relative strength in that CT anatomic area.

The practice shows particular relative strength in chest and vascular CTs: 71275 (CTA chest) ranks #2104 of 19107 (89th percentile) and simple chest radiograph 71046 ranks #5088 of 47284 (89th percentile), both characterized as higher-than-typical national volumes. Those high percentiles indicate the provider performs chest imaging and CT angiography at a scale above most national peers, supporting a competitive position for thoracic vascular imaging.

A portion of the provider’s Medicare revenue is driven by higher-priced advanced imaging per claim: 78815 has an average paid/claim of $616, 72197 averages $280 paid/claim, and 74178 averages $166 paid/claim. This mix of high‑reimbursement procedures alongside large-volume, lower-paid screening studies (for example, 77067 at $111 avg paid/claim and 77063 at $47 avg paid/claim) implies the practice balances revenue between a smaller number of high-value studies and greater numbers of routine screening exams.

There are also services where the provider’s national footprint is relatively small: 72197 (pelvic MRI with and without contrast) ranks #3543 of 4732 (22th percentile) and 77065 (diagnostic unilateral mammography) ranks #6427 of 9312 (30th percentile), both noted as lower-than-typical volumes. These lower percentiles suggest limited activity in certain specialized MRI and some diagnostic mammography procedures compared with national peers, signaling potential areas where the practice is not a major provider.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	100	$620	$59.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	240	$110	$26.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	240	$80	$18.1K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	240	$50	$11.1K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	50	$220	$10.3K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	150	$70	$9.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	250	$30	$7.1K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	50	$120	$6.3K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	120	$50	$5.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	90	$60	$5.6K

Showing 1–10 of 75

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 75 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

William Ketcham — 1 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. state median

75 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78815	5	10	50	$650	$75K
A9552	5	10	70	$260	$29.5K
77067	15	40	210	$80	$23.8K
78452	23	20	70	$210	$13.7K
74177	8	40	150	$80	$12.5K
77063	14	40	200	$40	$10.9K
70553	16	30	60	$130	$7.8K
72197	9	10	20	$190	$6.3K
71250	17	30	100	$50	$6K
72148	17	50	40	$90	$6K

Showing 1–10 of 75

Related Providers

Other providers that share a Tax Identification Number (TIN) with William Ketcham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Cheyenne Regional Physicians Group, LLC	WY	Medical Oncology Physician	$0	$5.1M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Memorial Hospital Of Laramie County	WY	General Acute Care Hospital	$0	$4M
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K

Nearby Providers

Other providers in the same ZIP code as William Ketcham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magic City Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Cheyenne Habilitation & Therapeutic Center, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Specialty Counseling & Consulting	WY	Community/Behavioral Health Agency	$0	$8.2M
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$5.5M
Cheyenne Surgical Center LLC	WY	Ambulatory Surgical Clinic/Center	$567.4K	$4.5M
Goodwill Industries Of Wy, Inc.	WY	Case Management Agency	$0	$3.9M
American Medical Response Ambulance Service Inc	WY	Ambulance	$1.4M	$2.3M
Summit Medical Group, LLC	WY	Emergency Medicine Physician	$0	$3.7M
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$3.3M
Frontier Access & Mobility Systems, Inc	WY	Customized Equipment (DME)	$0	$2.7M

William Ketcham — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References