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.

Washakie Medical Center (NPI 1255368593)

Washakie Medical Center is a critical access hospital provider located in Worland, Wyoming. This profile covers 0 Medicare and 11 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	Washakie Medical Center
Address	400 S 15th St
City	Worland
State	WY
ZIP	82401
Taxonomy	Critical Access Hospital
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicaid	$280.6K
Medicare	$0

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
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1,280	$140	$182.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	580	$150	$86.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	220	$40	$9.3K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	20	$40	$860
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	560	$1	$560
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	20	$30	$540
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	40	$10	$460
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	290	$1	$290
82550	The lab analyst measures the amount of total creatine kinase in a patient specimen. Creatine kinase, or CK, is an enzyme found in various tissue and cell types such as the heart, brain, or muscles…	10	$1	$20
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	190	$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

Washakie Medical Center — 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14	30	1,430	$110	$429.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	18	30	610	$90	$246.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9	20	110	$60	$54.1K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	9	10	110	$90	$37.3K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	6	10	120	$70	$32.4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	16	20	500	$10	$15.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	26	30	110	$10	$7.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	17	30	200	$1	$2.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	13	30	430	$1	$1.5K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	2	10	190	$1	$170

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M Obadah Al Chekakie	KS	Clinical Cardiac Electrophysiology Physician	$308.9K	$0
Travis Graham	WY	Diagnostic Radiology Physician	$208.9K	$0
Mohamed Sfaxi	NJ	Diagnostic Radiology Physician	$194.8K	$0
Marc Paul	MD	Diagnostic Radiology Physician	$150.8K	$0
William Wong	CA	Diagnostic Radiology Physician	$130.5K	$0
Cristina Cavazos	NC	Diagnostic Radiology Physician	$115.7K	$9.3K
Delphia Clarke	MN	Diagnostic Radiology Physician	$124.7K	$0
Rajesh Bhojwani	VA	Diagnostic Radiology Physician	$120.3K	$0
Gil Narvaez-soto	FL	Diagnostic Radiology Physician	$113.1K	$0
Kevin Simonelic	SD	Internal Medicine Physician	$97.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hot Springs County Hospital District	WY	Rural Health Clinic/Center	$0	$689.3K
Caring Hearts Case Management	WY	Case Management Agency	$0	$606.9K
Guardian Flight LLC	WY	Air Ambulance	$573.6K	$0
Worland Dental Clinic, PC	WY	General Practice Dentistry	$0	$409.5K
Cowboy Medical Group PC	WY	Rural Health Clinic/Center	$0	$265K
John Thurston	WY	Family Medicine Physician	$185.7K	$0
Cloud Peak Counseling Center	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$168.8K
Washakie County Senior Citizens Center	WY	Case Management Agency	$0	$153.3K
Carl Cottrell	WY	Optometrist	$43.1K	$69.9K
Charles Wassum	WY	Physical Therapist	$110.3K	$0

Washakie Medical Center — 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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