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.

Family Medical Center (NPI 1285612317)

Field	Value
Entity Type	Organization
Organization	Family Medical Center
Address	497 West Lott
City	Buffalo
State	WY
ZIP	82834
Taxonomy	Clinic/Center
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicaid	$32.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	510	$60	$29.2K
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,…	70	$40	$2.3K
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	$620
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.	10	$30	$340

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

Family Medical Center — 0 of 4 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

4 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…	120	260	420	$30	$67.2K
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.	72	70	490	$40	$42.9K
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,…	36	70	70	$20	$10.2K
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.	15	20	80	$10	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shaun Gonda	WY	Diagnostic Radiology Physician	$176.2K	$0
William Taylor	WY	Diagnostic Radiology Physician	$154.9K	$0
Timothy Olson	CO	Internal Medicine Physician	$112.1K	$0
Erica Rinker	WY	Family Medicine Physician	$78.8K	$0
Derek Gilbert	WY	Family Medicine Physician	$49.9K	$0
Luke Goddard	WY	Emergency Medicine Physician	$24.3K	$0
Jeffery Edstrom	WY	Certified Registered Nurse Anesthetist	$14.2K	$0

Nearby Providers

Other providers in the same ZIP code as Family Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counseling And Play Therapy Center LLC	WY	Counselor	$0	$846.5K
Kellie Jensen	WY	Clinical Social Worker	$0	$784.7K
Counseling And Play Therapy Center Of Wyoming, LLC	WY	Community/Behavioral Health Agency	$0	$530.3K
Wyoming Home Health Inc.	WY	Home Health Agency	$0	$527.1K
Rose Harriet	WY	Professional Counselor	$0	$276.9K
Buffalo Senior Center, Inc.	WY	Home Health Agency	$0	$193.9K
Johnson County Rural Health Care District	WY	Land Ambulance	$157K	$290
Johnson County Memorial Hospital	WY	Home Health Agency	$0	$119K
Stephanie Idalski	WY	Professional Counselor	$0	$100.8K
Rise Wyoming LLC	WY	Case Manager/Care Coordinator	$0	$62.2K

Family Medical Center — Billing Profile & Reimbursement Data

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Family 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

Related Providers

Nearby Providers

Frequently Asked Questions

References