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.

Memorial Hospital Of Laramie County (NPI 1285621839)

Key Findings

Field	Value
Entity Type	Organization
Organization	Memorial Hospital Of Laramie County
Address	214 E 23rd St
City	Cheyenne
State	WY
ZIP	82001
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2005

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

This provider is effectively a Medicaid-only billing entity: there is no Medicare revenue on file while total Medicaid revenue is $4M. The absence of any Medicare billing makes Medicaid the de facto payer driving all recorded fee-for-service activity and financial flows in the dataset for this facility.

Revenue is highly concentrated in a small group of ED and outpatient E/M codes: the top three Medicaid codes (99283, 99282, 99214) together account for 71.6% of the provider's total Medicaid revenue. Individually those codes are reported as 99283 = $1.7M (42.6%), 99282 = $669.8K (17.0%), and 99214 = $470K (11.9%), indicating that a small set of services produces the bulk of billed Medicaid dollars.

The code mix points to an emergency-department–centric operating profile with substantial outpatient evaluation-and-management volume. High revenue and claim counts for 99283 and 99282, plus meaningful volume for 99284 and 99214, suggest this facility manages large numbers of low-to-moderate acuity ED visits and ongoing outpatient follow-up rather than being driven by high-acuity inpatient E/M encounters.

State competitive standing for emergency services is dominant: 99282 ranks #1 of 22 providers in-state (100th percentile; extreme outlier) and 99283 ranks #2 of 34 (97th percentile; extreme outlier). Those rank positions indicate this hospital is a major, above-typical volume provider for core ED E/M services in Wyoming.

Ancillary service patterns support a high-throughput ED and outpatient practice: 80053 (CMP) shows 14.4K claims and $28.8K revenue and ranks #1 of 31 in-state (100th percentile; extreme outlier), while 36415 (phlebotomy) shows 16.9K claims and $16.9K revenue and ranks #1 of 53 (100th percentile; extreme outlier). Strong volumes in IV administration codes (96374, 96361) and wound debridement (97597) further point to in-house lab, infusion, and wound-care capacity aligned with frequent ED and ambulatory procedures.

Behavioral health services are also present in the outpatient mix: 90833 (3.8K claims, $71.7K) ranks #3 of 16 (87th percentile; typical, unremarkable volume) and psychiatric evaluation codes 90791 and 90792 appear with material counts and above-typical ranks. This indicates an integrated or co-located behavioral health offering that contributes modest but visible Medicaid revenue.

The provider’s revenue profile carries concentration risk because 71.6% of Medicaid revenue is tied to the top three codes; business continuity, payer negotiations, or shifts in ED utilization could materially affect topline Medicaid receipts. That same concentration, however, creates operational clarity about where capacity, quality metrics, and coding review efforts will have the most impact.

The NPI tenure shows long-standing operation: NPI enumerated 2005-09-29 (~21 years ago). That multi-decade presence combined with the facility’s statewide outlier rankings for several codes suggests an established role in the regional safety-net and emergency care delivery ecosystem.

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	16,790	$100	$1.7M
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.	10,800	$60	$669.8K
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…	9,790	$50	$470K
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.	1,440	$130	$192.3K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	5,650	$30	$192K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,110	$70	$137.4K
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…	1,850	$50	$92.4K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	1,550	$60	$86.7K
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…	3,780	$20	$71.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2,930	$20	$61.5K

Showing 1–10 of 82

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

Memorial Hospital Of Laramie County — 9 of 25 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

82 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.	12	30	1,430	$110	$429.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	9	20	240	$110	$395K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	10	310	$80	$275.5K
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.	2	30	610	$90	$246.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	3	10	60	$410	$139.2K
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…	3	20	530	$40	$129.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	2	10	3,690	$30	$100.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3	10	320	$60	$84.7K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	1	10	1,990	$30	$83K
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…	8	220	400	$50	$79.3K

Showing 1–10 of 82

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheyenne Regional Physicians Group, LLC	WY	Medical Oncology Physician	$0	$5.1M
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$3.3M
Kristi Mizelle	VA	Rheumatology Physician	$1.5M	$0
Niraj Pahlajani	TX	Radiation Oncology Physician	$1.4M	$0
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$743.2K
Michel Skaf	WY	Cardiovascular Disease Physician	$616.1K	$0
Eric Hoyer	WY	Diagnostic Radiology Physician	$534.9K	$0
Herman Feringa	AK	Cardiovascular Disease Physician	$363.8K	$0
Mark Dziemianowicz	CO	Radiation Oncology Physician	$293.3K	$0
Douglas Tangel	CO	Pulmonary Disease Physician	$276.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magic City Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Cheyenne Habilitation & Therapeutic Center, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Specialty Counseling & Consulting	WY	Community/Behavioral Health Agency	$0	$8.2M
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$5.5M
Cheyenne Surgical Center LLC	WY	Ambulatory Surgical Clinic/Center	$567.4K	$4.5M
Goodwill Industries Of Wy, Inc.	WY	Case Management Agency	$0	$3.9M
American Medical Response Ambulance Service Inc	WY	Ambulance	$1.4M	$2.3M
Summit Medical Group, LLC	WY	Emergency Medicine Physician	$0	$3.7M
Frontier Access & Mobility Systems, Inc	WY	Customized Equipment (DME)	$0	$2.7M
Love Care & Dignity, Inc.	WY	Clinical Psychologist	$0	$2.3M

Memorial Hospital Of Laramie County — 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