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.

City Of Casper-natrona County Health Department (NPI 1184740979)

Field	Value
Entity Type	Organization
Organization	City Of Casper-natrona County Health Department
Address	475 S. Spruce St
City	Casper
State	WY
ZIP	82601
Taxonomy	Case Management Agency
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Key Findings

CITY OF CASPER-NATRONA COUNTY HEALTH DEPARTMENT is organized under the Case Management Agency taxonomy and reports $1.5M in lifetime Medicaid revenue with no Medicare billing on file, making it effectively a Medicaid-focused provider in this dataset. This single-payer footprint means all observed billed activity and revenue are tied to Medicaid programs rather than Medicare.

The provider’s NPI was enumerated on 2007-03-22 (~19 years ago), indicating a long tenure in the market that may reflect established relationships with state Medicaid programs and continuity of service delivery.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes by revenue account for 100.0% of the provider’s total Medicaid revenue, with T2024 representing 66.7% and T1023 representing 33.3% of Medicaid revenue. This concentration indicates that a very small set of service lines drives the entirety of reported Medicaid receipts.

The top revenue-driving codes point to a focused service model: T2024 (Service assessment/plan of care development, waiver) and T1023 (Screening to determine appropriateness for participation in a specified program) are both assessment and intake-oriented activities, consistent with case management and waiver program administration rather than direct clinical treatment. Together these codes suggest the organization operates primarily as an assessor/screener for Medicaid waiver and program eligibility services.

Billing patterns show high volume with relatively modest unit payments: T2024 has 4.3K claims at an average paid per claim of $234 yielding $1M in revenue, while T1023 has 4.2K claims at an average paid per claim of $120 yielding $506.9K. The mix of several thousand encounters with mid-to-low average payments is consistent with routine program assessment and screening workflows rather than episodic, high-cost procedures.

Competitive standing varies by code: for T1023 the provider ranks #1 of 19 in-state and is at the 100th percentile (described as notably above typical state volume), which positions it as the state leader for screening/eligibility encounters. This suggests strength and possible specialization in program screening services relative to in-state peers.

By contrast, for T2024 the provider ranks #5 of 37 in-state and sits at the 89th percentile (characterized as typical, unremarkable volume), indicating it is a meaningful but not dominant provider of waiver assessment/plan-of-care services within the state. The disparity in rank between the two top codes highlights a dominant position in screening (T1023) paired with a solid but more routine role in plan development (T2024).

The combination of single-payer dependence (Medicaid-only reporting) and concentration of 100.0% of Medicaid revenue in a very small set of assessment/screening codes creates both operational focus and revenue concentration risk: changes to Medicaid program rules, reimbursement rates, or referral patterns for T1023 or T2024 could materially affect the provider’s $1.5M Medicaid revenue base. Conversely, the top-ranked position in T1023 represents a potential leverage point for contracting or programmatic bids tied to screening and eligibility services.

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
T2024	Service assessment/plan of care development, waiver	4,340	$230	$1M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	4,220	$120	$506.9K

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

City Of Casper-natrona County Health Department — 1 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
T2024	Service assessment/plan of care development, waiver	5	40	1,280	$40	$502.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1	20	390	$120	$111.8K

Nearby Providers

Other providers in the same ZIP code as City Of Casper-natrona County Health Department, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

City Of Casper-natrona County Health Department — Billing Profile & Reimbursement Data

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City Of Casper-natrona County Health Department — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References