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.

Platte County Hospital (NPI 1235670092)

Field	Value
Entity Type	Organization
Organization	Platte County Hospital
Address	201 14th St Annex Bldg
City	Wheatland
State	WY
ZIP	82201
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 13, 2017

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Key Findings

PLATTE COUNTY HOSPITAL appears effectively single‑payer in the available federal data: there is no Medicare billing on file and the provider reports $1.9M in lifetime Medicaid revenue. Its taxonomy is Rural Health Clinic/Center, which aligns with the Medicaid-only revenue profile shown in the dataset.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and that revenue is entirely attributable to T1015. T1015 shows 8K claims, $240 avg paid/claim and $1.9M revenue, meaning the clinic’s Medicaid receipts are driven by a single all‑inclusive clinic encounter code.

The code mix and descriptions indicate a primary outpatient, bundled‑visit operation consistent with an RHC. T1015 (Clinic visit/encounter, all‑inclusive) as the sole revenue driver suggests the clinic bills bundled encounter fees rather than itemized Medicaid payments for many individual E/M and lab services.

Several commonly billed E/M and lab codes appear with meaningful claim counts but report $0 paid/claim and $0 revenue, which suggests those services may be reported for encounter tracking, quality, or bundling rather than producing separate Medicaid payments. Examples include 99213 (2.6K claims, $0 avg paid/claim), 99214 (1.8K claims, $0 avg paid/claim), 1111F (617 claims, $0 avg paid/claim), and 87880 (316 claims, $0 avg paid/claim).

Competitive standing within Wyoming is modest: T1015 ranks #12 of 53 providers in-state (79th percentile), indicating the clinic has a typical, unremarkable volume position for that bundled clinic code rather than being a statewide dominant payer. By contrast, 99213 ranks #45 of 257 providers in-state (83th percentile) on claim volume despite generating no Medicaid revenue here, signaling above‑median activity on that E/M code but not as a separate revenue source.

Operationally, claim volumes (8K claims for T1015, plus 2.6K claims for 99213 and 1.8K for 99214) point to steady outpatient throughput for a rural clinic. Those volumes are consistent with an RHC model providing ongoing primary care and nursing‑facility follow‑up rather than episodic specialty services.

The provider’s NPI was enumerated 2017-03-13 (~9 years ago), indicating it has several years of billing history available for trend analysis; analysts should compare longitudinal encounter counts and the persistence of bundle billing to detect shifts in service mix or reimbursement approach.

For payers and contracting analysts, the extreme revenue concentration in T1015 creates both a negotiation focus and an analytic risk: reimbursement and utilization evaluations should prioritize encounter pricing and the extent to which lab and E/M activity are bundled under T1015 versus paid separately, given many listed codes show claims but $0 Medicaid revenue.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	8,030	$240	$1.9M
1111F	No Summary found for this code	620	$0	$0
3074F	No Summary found for this code	40	$0	$0
3078F	No Summary found for this code	40	$0	$0
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	20	$0	$0
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.	70	$0	$0
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	320	$0	$0
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…	2,610	$0	$0
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…	1,800	$0	$0
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	20	$0	$0

Showing 1–10 of 11

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

Platte County Hospital — 0 of 1 code 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	12	50	1,690	$360	$3.3M
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…	50	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…	45	260	420	$30	$67.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	15	20	90	$20	$10.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	11	10	90	$30	$8.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	21	50	230	$10	$5.5K
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.	29	50	100	$10	$5.1K
1111F	No Summary found for this code	3	10	360	$0	$0
3074F	No Summary found for this code	8	10	80	$0	$0
3078F	No Summary found for this code	6	10	160	$0	$0

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Platte County Hospital	WY	Rural Health Clinic/Center	$0	$344.5K
Platte County Hospital	WY	Critical Access Hospital	$0	$207.7K
Robert Cline	WA	Certified Registered Nurse Anesthetist	$82.5K	$0
Steven Weiss	CO	Critical Care Medicine (Internal Medicine) Physician	$76.7K	$0
John Ullrich	WY	Surgery Physician	$69.5K	$0
Mark Ryzewicz	WY	Orthopaedic Surgery Physician	$67K	$0
Karl Boehm	WY	Emergency Medicine Physician	$49.7K	$0
Daniel Surdam	WY	Emergency Medicine Physician	$44.3K	$0
Jensen Stock	WY	Family Medicine Physician	$36.1K	$0
Shauna Kohler	WY	Certified Registered Nurse Anesthetist	$34.5K	$0

Nearby Providers

Other providers in the same ZIP code as Platte County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Hope Counseling And Consulting, LLC	WY	Counselor	$0	$232.6K
Respitech Home Health Care Inc	WY	Durable Medical Equipment & Medical Supplies	$0	$224K
Amy Jones	WY	Professional Counselor	$0	$131.1K
Platte County Public Health	WY	Public Health or Welfare Agency	$63.1K	$47.5K
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$109.4K
Jones Counseling, LLC	WY	Professional Counselor	$0	$77.9K
Mind Of Peace Counseling	WY	Multi-Specialty Clinic/Center	$0	$71.3K
Jaime Hazen	WY	Optometrist	$63.5K	$0
Services For Seniors Program, Inc	WY	Case Management Agency	$0	$55.2K
Banner Health Physicians West LLC	WY	Multi-Specialty Clinic/Center	$0	$46.8K

Platte County Hospital — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References