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.

South Lincoln Hospital District (NPI 1235503459)

South Lincoln Hospital District is a family medicine physician provider located in Evanston, Wyoming. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	South Lincoln Hospital District
Address	195 Feather Way Ste 100
City	Evanston
State	WY
ZIP	82930
Taxonomy	Family Medicine Physician
NPI Enumerated	November 26, 2015

Payer Source	Total Paid
Medicaid	$148.9K
Medicare	$0

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

10 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…	1,640	$60	$93.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	350	$70	$25.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	510	$40	$21.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	30	$90	$2.6K
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…	20	$80	$2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$40	$1.6K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	70	$10	$920
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	40	$20	$770
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	50	$20	$750
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	20	$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

South Lincoln Hospital District — 0 of 9 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	67	260	420	$30	$67.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	22	50	280	$70	$43.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	36	70	490	$40	$42.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	32	40	170	$70	$34.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	17	30	260	$20	$15.8K
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…	38	60	40	$70	$15.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	44	70	70	$20	$10.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	33	50	100	$10	$5.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	14	20	80	$10	$2.4K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	31	40	110	$1	$20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Lincoln Hospital District	WY	Rural Health Clinic/Center	$0	$1.3M
Cory Maughan	UT	MOHS-Micrographic Surgery Physician	$303.1K	$0
South Lincoln Hospital District	WY	Rural Health Clinic/Center	$0	$141.3K
Christopher Haling	WY	Diagnostic Radiology Physician	$70.9K	$0
Paul Daniels	UT	Foot & Ankle Surgery Podiatrist	$67.9K	$2.5K
Pritam Neupane	CA	Pulmonary Disease Physician	$67.3K	$0
Catherine Depalma	WY	Pediatrics Physician	$0	$67K
Mark Conklin	CO	Orthopaedic Surgery Physician	$63.7K	$0
Brendan Fitzsimmons	WY	Family Medicine Physician	$43.3K	$0
Brenda Hatch	ID	Certified Registered Nurse Anesthetist	$36.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Regional Services, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Best Home Health & Hospice LLC	WY	Home Health Agency	$0	$6.3M
Best Home Health	WY	Home Health Agency	$0	$3.1M
Bridges Habilitation Services Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$1.5M
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$1M
Pioneer Counseling Services	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$904.8K
Delynda Henderson	WY	Case Manager/Care Coordinator	$0	$798.4K
Bear River Dental	WY	Dentist	$0	$658.9K
Compassionate Journey LLC	WY	Home Health Agency	$0	$611.7K
Uinta County Ambulance Service	WY	Land Ambulance	$254.8K	$268.1K

South Lincoln Hospital District — Billing Profile & Reimbursement Data

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South Lincoln 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

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