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    OpenPayerNPI Medicare & MedicaidMemorial Hospital Of Converse County
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    Memorial Hospital Of Converse County — Billing Profile & Reimbursement Data

    NPI 1356496491 · Douglas, WY · General Practice Physician

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    Memorial Hospital Of Converse County is a general practice physician provider located in Douglas, Wyoming. This profile covers 43 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMemorial Hospital Of Converse County
    Address111 S 5th St
    CityDouglas
    StateWY
    ZIP82633
    TaxonomyGeneral Practice Physician
    NPI EnumeratedJanuary 25, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$107.3K
    Medicaid$78.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…80$150$11.8K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.110$100$10.5K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.80$110$8.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.40$170$6.4K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…20$200$4.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…260$20$4.2K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.50$90$4.2K
    70549The provider performs magnetic resonance angiography of the vessels of the neck and surrounding areas without contrast and then takes images again using contrast.20$220$3.7K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.120$30$3.6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.60$60$3.5K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    741773340150$80$12.5K
    7055383060$130$7.8K
    712502230100$50$6K
    72148105040$90$6K
    71275303070$70$5.7K
    74178152030$160$5.7K
    704503140150$30$5.7K
    74176233060$70$5.1K
    73221324030$100$3.8K
    71260314070$50$3.7K

    Showing 1–10 of 43

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99282The 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.1,260$40$44K
    99283The 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.470$60$27.4K
    99284The 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.30$100$2.5K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.270$10$2.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…40$40$1.5K
    99214The 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…30$10$300
    99281The provider sees a patient for the lowest level emergency department visit.10$20$270
    99213The 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…30$10$130

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wyoming median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.25301,430$110$429.5K
    99283The 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.2230610$90$246.9K
    99214The 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…195220400$50$79.3K
    99213The 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…232260420$30$67.2K
    99282The 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.420110$60$54.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1010920$10$16.5K
    99281The provider sees a patient for the lowest level emergency department visit.31030$80$12.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…132090$20$10.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Memorial Hospital Of Converse County, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Angelo SantiagoWYSpecialist$1.1M$0
    Memorial Hospital Of Converse CountyWYCritical Access Hospital$0$981.5K
    James HaugCODiagnostic Radiology Physician$326.9K$0
    Noman MalikGADiagnostic Radiology Physician$326.1K$0
    John SielatyckiCOOrthopaedic Surgery of the Spine Physician$300.2K$0
    Nathan HannemannCODiagnostic Radiology Physician$210K$2K
    Joseph SchoeberWYFamily Medicine Physician$204.9K$0
    Daniel PossleyCOOrthopaedic Surgery Physician$203.7K$0
    Joseph MickelsonWYFamily Medicine Physician$196.2K$0
    Dennis BurtonFLDiagnostic Radiology Physician$179.1K$2.7K

    Nearby Providers

    Other providers in the same ZIP code as Memorial Hospital Of Converse County, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Platte Physical Therapy Services, Inc.WYPhysical Therapist$0$819.5K
    New Beginnings Counseling LLCWYProfessional Counselor$0$599.4K
    Lincare Inc.WYDurable Medical Equipment & Medical Supplies$0$318K
    Charles MangusWYPhysical Therapist$257.6K$0
    High Country Behavioral HealthWYMental Health Clinic/Center (Including Community Mental Health Center)$0$226.7K
    Nathaniel EakinsWYPhysical Therapist$141.6K$0
    Mark MurphyWYOrthopaedic Surgery Physician$133.1K$0
    Emily CookWYOccupational Therapist$126.7K$0
    Aaron BernalWYPhysical Therapist$115.5K$0
    Bonnie RichardsWYOccupational Therapist$84.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wyoming Distribution
    Memorial Hospital Of Converse County — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming
    Medicaid Revenue by Year vs. Wyoming Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Memorial Hospital Of Converse County — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming