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.

Riverton Physician Practices, LLC (NPI 1205875614)

Field	Value
Entity Type	Organization
Organization	Riverton Physician Practices, LLC
Address	1005 College View Dr
City	Riverton
State	WY
ZIP	82501
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$98.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,280	$40	$47.3K
99203	The provider sees a new 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 provider…	470	$80	$36.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,610	$10	$9.7K
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…	140	$30	$4.4K
1036F	N/A	120	$0	$0
1160F	No Summary found for this code	90	$0	$0
3008F	No Summary found for this code	80	$0	$0
3074F	No Summary found for this code	50	$0	$0
3078F	No Summary found for this code	30	$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

Riverton Physician Practices, LLC — 0 of 4 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

9 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…	155	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…	78	260	420	$30	$67.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6	10	920	$10	$16.5K
99203	The provider sees a new 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 provider…	7	60	40	$70	$15.1K
1036F	N/A	4	10	120	$0	$0
1160F	No Summary found for this code	4	10	410	$0	$0
3008F	No Summary found for this code	2	10	730	$0	$0
3074F	No Summary found for this code	6	10	80	$0	$0
3078F	No Summary found for this code	7	10	160	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Riverton Physician Practices, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinton Mcmahill	WY	Internal Medicine Physician	$227.5K	$0
Anthony Williamson	SC	Neurology Physician	$175.5K	$0
Randy Folker	WI	Otolaryngology Physician	$146.4K	$25.3K
Jacob Rinker	WY	Surgery Physician	$142.7K	$0
Joseph Turner	WY	Family Medicine Physician	$57.3K	$0
Melissa Hertler	WY	Otolaryngology Physician	$53.2K	$0
Glen Hybarger	WY	Internal Medicine Physician	$34.3K	$0
Kelly Aguilar	ME	Hospitalist Physician	$27.5K	$0
Abdul-qader Alarhayem	TX	Vascular Surgery Physician	$25.8K	$0
Kari Sack	WY	Certified Registered Nurse Anesthetist	$11.2K	$0

Nearby Providers

Other providers in the same ZIP code as Riverton Physician Practices, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Entry Services	WY	Developmentally Disabled Services Day Training Agency	$0	$50.2M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$4.3M
Frontier Ambulance LLC	WY	Ambulance	$737.8K	$785.4K
Guardian Flight LLC	WY	Air Ambulance	$934.9K	$0
Reach Foundation	WY	Case Management Agency	$0	$927.5K
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$788K
Debra Stone	WY	Developmentally Disabled Services Day Training Agency	$0	$709.2K
Kinisha Pullen-shelsta	WY	Case Manager/Care Coordinator	$0	$661.2K
Riverton Vision Center P.C.	WY	Optometrist	$0	$606.2K
Wyoming Counseling Services PC	WY	Professional Counselor	$0	$595.8K

Riverton Physician Practices, LLC — Billing Profile & Reimbursement Data

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Riverton Physician Practices, LLC — 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