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.

Wind River Family & Community Healthc Care (NPI 1285006379)

Field	Value
Entity Type	Organization
Organization	Wind River Family & Community Healthc Care
Address	14 Great Plains Road
City	Arapahoe
State	WY
ZIP	82510
Taxonomy	Federal Public Health Clinic/Center
NPI Enumerated	October 28, 2015

Payer Source	Total Paid
Medicaid	$93.7M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file and lifetime Medicaid revenue is $93.7M, making Medicaid the sole payer driving recorded fee-for-service revenue. The absence of Medicare activity indicates a single-payer operational footprint in the available claims data rather than a mixed Medicare/Medicaid practice profile.

Revenue is extraordinarily concentrated in a small number of codes: the top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue. T1015 alone represents $87.8M (93.7% of Medicaid revenue), while D9999 contributes $5.9M (6.2%) and D8999 accounts for $23K (0.0%).

T1015 billing behavior defines the business model: T1015 (Clinic visit/encounter, all-inclusive) is by far the revenue driver and suggests this site operates as a comprehensive clinic or community health center where many individual services are bundled into an all-inclusive clinic encounter. The Federal Public Health Clinic/Center taxonomy and the dominance of T1015 together point to a primary-care–centric, integrated service model rather than a procedure-oriented specialty practice.

The provider is a statewide dominant participant for its primary revenue code: T1015 ranks #1 of 53 providers in-state and sits in the 100th percentile as an extreme outlier, indicating volumes far above typical state activity for that code. D9999 also ranks #1 of 6 providers in-state and is at the 100th percentile (notably above typical state volume), confirming the organization’s unusually large share of certain Medicaid billing categories within Wyoming.

A number of commonly billed clinical and diagnostic codes show high claim counts but $0 avg paid/claim (for example, 99213 with 46.9K claims, 99212 with 12.6K claims, and 87635 with 7.1K claims). When combined with the dominant T1015 all-inclusive billing, this pattern is consistent with front-end encounter tracking or bundled payment capture where individual service payments are recorded under the all-inclusive clinic code rather than as separate paid line items.

The presence of dental, behavioral health, immunization, ophthalmology, and laboratory codes in the top-25 Medicaid code list (examples include D0150, 90837, 90471, 92012, 87651) indicates a multi-disciplinary service mix at the clinic. This breadth aligns with the Federal Public Health Clinic/Center taxonomy and supports a one-stop community health model offering primary care, oral health, mental health, vaccinations, vision screening, and point-of-care lab testing.

D8999’s rank and percentile are unique and not comparable to state peers: D8999 is listed as #1 of 1 providers in-state with a 0th percentile and the note that no state peer volume comparison is available, implying this code’s use is unique to this provider in the dataset. Because D8999 contributes only $23K (0.0% of Medicaid revenue), it is not a material revenue driver despite being a unique billing line in-state.

This provider’s NPI tenure is long enough to establish operational stability: the NPI was enumerated on 2015-10-28 (~11 years ago), which supports the interpretation that the observed high-volume, concentrated billing pattern is an established business practice rather than a short-term anomaly.

Medicaid: Complete Services Breakdown

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	162,990	$540	$87.8M
D9999	N/A	10,660	$550	$5.9M
D8999	N/A	60	$360	$23K
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…	7,960	$1	$8K
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.	10	$100	$1.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	500	$1	$500
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	270	$1	$270
0071A	N/A	40	$0	$0
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	160	$0	$0
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.	240	$0	$0

Showing 1–10 of 85

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

Wind River Family & Community Healthc Care — 3 of 7 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	50	1,690	$360	$3.3M
D9999	N/A	1	10	1,490	$450	$1.3M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	14	20	530	$40	$129.4K
D8670	N/A	7	10	370	$130	$90.6K
D2392	Post 2 surface resin‑based composite	11	30	230	$90	$87.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	14	140	350	$70	$81.5K
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…	9	220	400	$50	$79.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	29	40	470	$30	$75.1K
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	260	420	$30	$67.2K
D1351	Sealant - per tooth	20	30	200	$30	$64.6K

Showing 1–10 of 85

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wind River Family & Community Healthc Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Johnson	UT	Pediatric Dentistry	$0	$309.9K
White Buffalo Recovery Center	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$235K
Eric Sawyers	WY	Nephrology Physician	$90.9K	$0
Paul Ebbert	WY	Family Medicine Physician	$35.3K	$0
Jordan Belser	WY	Nurse Practitioner	$24.5K	$0
Elizabeth Marshall	WY	Internal Medicine Physician	$20K	$0
Samuel Cross	WY	Family Medicine Physician	$17.4K	$0
Dwayne Booth	WY	Podiatrist	$15.7K	$0
James Campbell	WY	Physician Assistant	$9.6K	$0
Armando Sanchez Burgos	PR	General Practice Physician	$5.1K	$0

Nearby Providers

Other providers in the same ZIP code as Wind River Family & Community Healthc Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexa Callison-burch	WY	Physician Assistant	$6K	$0

Wind River Family & Community Healthc Care — Billing Profile & Reimbursement Data

Sign up for Wind River Family & Community Healthc Care — Billing Profile & Reimbursement Data policy alerts

Wind River Family & Community Healthc Care — Billing Profile & Reimbursement Data

Sign up for Wind River Family & Community Healthc Care — Billing Profile & Reimbursement Data policy alerts

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