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.

Northern Wyoming Surgical Center, LLC (NPI 1306826177)

Key Findings

Field	Value
Entity Type	Organization
Organization	Northern Wyoming Surgical Center, LLC
Address	732 Lindsay Ln
City	Cody
State	WY
ZIP	82414
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicare	$865.9K
Medicaid	$0

NORTHERN WYOMING SURGICAL CENTER, LLC appears to operate primarily as an ambulatory surgical center with a strong ophthalmology focus: code 66984 (cataract extraction with intraocular lens) generated $333.6K (38.5% of Medicare revenue) and 66982 contributed $64.2K (7.4%), while the ophthalmic irrigation drug J1097 accounted for $144.9K (16.7%). The mix of high-revenue cataract procedure codes plus a high-volume ophthalmic supply code indicates cataract surgery is a core service line driving a large share of Medicare revenue.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 68.4% of this provider's total Medicare revenue, and those top drivers are 66984 ($333.6K), J1097 ($144.9K), and 64483 ($113.7K). This level of concentration means a majority of Medicare dollars flow from a small set of procedures, increasing sensitivity to changes in volume, reimbursement, or utilization patterns for those services.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $865.9K and there is no Medicaid billing on file. The absence of Medicaid billing suggests either limited Medicaid contracting, a patient population skewed toward Medicare beneficiaries, or service lines that do not attract Medicaid patients, which is material for network and access analyses.

Competitive standing is mixed across service lines. For the primary cataract code 66984 the provider ranks #3366 of 15965 nationally (79th percentile) which is a solid but not dominant national position and is described as typical/unremarkable volume; by contrast the epidural transforaminal injection 64483 ranks #383 of 8202 (95th percentile) and is labeled notably above typical national volume, indicating a regional or specialty strength in spinal injection procedures.

Beyond ophthalmology, the code mix shows a multi-specialty ambulatory surgery footprint: meaningful Medicare revenues come from spine injections (64483: $113.7K; 62323: $16.4K), GI procedures (45380: $18.3K; 43239: $15.4K; G0121: $18.1K), hand surgery (64721: $23.7K) and small-volume orthopedics/arthroscopy (29881: $14K; 29880: $12.6K). This diversity suggests the center supports multiple surgical specialties rather than a single-procedure clinic, which may broaden referral sources but still leaves revenue concentrated in a few high-volume ophthalmic and pain-management codes.

The provider shows at least one statistical outlier relative to national peers: 64483 is explicitly characterized as "notably above typical national volume," signaling a clear above-average market share for transforaminal epidural injections. Most other top codes are described as "typical, unremarkable volume," indicating the center is a routine national participant for those services but not an outlier except in epidural injections.

Operational tenure is long-standing: the NPI was enumerated 2006-01-18 (~20 years ago), which supports that these billing patterns reflect an established practice rather than a new entrant. Longevity combined with a concentrated revenue profile makes historical trend monitoring useful for assessing stability and planning for payer negotiations.

From a risk and strategic viewpoint, reliance on a small set of high-revenue codes (68.4% from the top three) plus no Medicaid billing suggests both opportunity and vulnerability: the center likely has negotiating leverage around Medicare cataract and injection workflows, but it is also exposed if cataract volumes or reimbursement for 66984, J1097, or 64483 change. Analysts should prioritize monitoring volume trends and payer coverage for those specific codes when assessing future revenue risk.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	400	$830	$333.6K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	1,910	$80	$144.9K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	370	$310	$113.7K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	80	$820	$64.2K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	40	$620	$23.7K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	50	$400	$18.3K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	$410	$18.1K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	70	$240	$16.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	60	$250	$15.4K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	60	$260	$15.1K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Ddsp, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Hands 2 Help, LLC.	WY	Home Health Agency	$0	$2.9M
Big Horn Basin Childrens Clinic PC	WY	Pediatrics Physician	$0	$997.5K
West Park Hospital District	WY	Critical Access Hospital	$0	$950.8K
Guardian Flight LLC	WY	Air Ambulance	$738.8K	$0
West Park Hospital District	WY	Multi-Specialty Clinic/Center	$0	$726.1K
Cailyn Dallman	WY	Case Manager/Care Coordinator	$0	$630.7K
Barry Welch	WY	Ophthalmology Physician	$430.2K	$0
Allen Gee	WY	Neurology Physician	$344K	$0
Basin Vision Center, P. C.	WY	Optometrist	$0	$310.1K

Northern Wyoming Surgical Center, LLC — Billing Profile & Reimbursement Data

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Northern Wyoming Surgical Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	2	10	1,910	$80	$129.6K
66984	6	80	50	$410	$39.9K
66982	2	10	40	$600	$30.5K
64483	2	20	90	$200	$29.3K
45385	21	30	50	$300	$29.3K
64635	7	10	30	$400	$18.1K
45380	21	40	40	$210	$17K
64493	7	20	50	$190	$15.1K
43239	18	40	50	$120	$15K
29881	4	10	20	$910	$14.6K