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    v1.0.28
    OpenPayerNPI Medicare & MedicaidClinton Mcmahill
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    Clinton Mcmahill — Billing Profile & Reimbursement Data

    NPI 1245556190 · Lander, WY · Internal Medicine Physician

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    Clinton Mcmahill is a internal medicine physician provider located in Lander, Wyoming. This profile covers 55 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationClinton Mcmahill
    Address745 Buena Vista Dr
    CityLander
    StateWY
    ZIP82520
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 18, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$227.5K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: lifetime Medicare revenue is $227.5K while Medicaid shows none (no Medicaid billing on file), indicating no Medicaid footprint to analyze. The NPI was enumerated on 2010-04-18 (~16 years ago), so this is a long‑tenured Medicare-billing clinician with a modest absolute Medicare revenue base.

    Revenue concentration is high within a small set of outpatient primary care codes: the precomputed top 3 Medicare codes by revenue account for 52.1% of this provider’s total Medicare revenue. Those three contributors are 99214 ($48.7K, 23.1%), 99490 ($35.4K, 16.8%), and G0439 ($25.7K, 12.2%), showing over half of Medicare receipts come from E/M, chronic care management, and annual wellness services.

    The code mix and volumes point to an ambulatory internal medicine practice oriented to longitudinal primary care and care coordination: 99214 appears with 560 claims ($48.7K) and 99213 with 328 claims ($19K), while chronic care management 99490 has 804 claims ($35.4K) and related codes 99457, 99454, and 99439 also generate material revenue. Together these entries suggest a workflow that emphasizes established patient visits, monthly care-management services, and remote physiologic monitoring.

    In addition to office visits and care-management, the provider bills for in‑office diagnostics and point-of-care services: 36415 shows 721 claims ($5.8K) for blood draws, echocardiography 93306 contributes $11.7K, and routine lab panels such as 80053 ($2.9K), 80061 ($2.6K), and 84443 ($2.6K) are present. The presence of mammography codes 77067 ($5.8K) and 77063 ($2.3K) and vascular ultrasound 93880 ($2.5K) indicates either onsite screening services or frequent referral capture for imaging within the practice’s outpatient scope.

    Competitive standing is mixed across services: core E/M and care‑coordination codes rank strongly nationally (99214 at #40259 of 479517 providers, 92th percentile; 99490 at #1447 of 16216 providers, 91th percentile; G0439 at #11870 of 105855 providers, 89th percentile) but are all described in the data as "typical, unremarkable volume for this code." By contrast, some diagnostic codes sit lower in national rank (e.g., 93306 at 26th percentile, 77067 at 22th percentile), suggesting the clinician is a relatively stronger performer on ambulatory care metrics than on specialty imaging.

    Operationally, claim volumes show a high throughput of routine services: 99490 has 804 claims and 36415 has 721 claims, supporting a practice model with frequent monthly care‑management encounters and substantial procedural throughput for basic services. These claim counts, paired with the modest $227.5K Medicare lifetime revenue, are consistent with a small or part‑time Medicare panel rather than a high‑revenue multispecialty group.

    Across the top 25 CPT list most entries are labeled in the source as "typical, unremarkable volume for this code," and there are no labels indicating extreme outlier activity. Coupled with the explicit note of no Medicaid billing on file, the profile describes a standard, Medicare‑centric internal medicine practice with routine use of CCM and RPM codes and no detectable atypical coding concentrations outside that pattern.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…560$90$48.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…800$40$35.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit200$130$25.7K
    99213The 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…330$60$19K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…90$130$11.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…70$120$8.6K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…240$40$8.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.720$10$5.8K
    77067The 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…50$130$5.8K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.120$40$4.4K

    Showing 1–10 of 55

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    55 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933062020300$100$29.6K
    770673040210$80$23.8K
    9921450780100$80$14.8K
    91320376050$120$13.9K
    G04393117070$120$13.1K
    99309354060$70$11.6K
    770633040200$40$10.9K
    99454310120$40$10.6K
    99457310100$40$10K
    99213122850110$60$9.9K

    Showing 1–10 of 55

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Riverton Memorial Hospital LLCWYRural Acute Care Hospital$0$4.7M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Center Of Central Wyoming IncWYFederally Qualified Health Center (FQHC)$0$2.8M
    Frontier Wyoming, L.L.C.WYHome Health Agency$0$2.5M
    Lander Medical Clinic, PCWYFamily Medicine Physician$0$2.1M
    Eh Health Home Health Of The Northwest, LLCWYHome Health Agency$0$2M
    Gregory P Clifford Md PCWYPersonal Emergency Response Attendant$0$1.8M
    Guardian Flight LLCWYAir Ambulance$699K$586.5K
    Jessica WestWYCase Manager/Care Coordinator$0$964.6K
    Knell Access ManagementWYIn Home Supportive Care Agency$0$893.6K
    Wyoming Path Behavioral Health, LLCWYCommunity/Behavioral Health Agency$0$836.8K
    Fremont County Pediatric ClinicWYPediatrics Physician$0$629.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wyoming Distribution
    Clinton Mcmahill — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming