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.

Gem City Bone & Joint PC (NPI 1366412397)

Field	Value
Entity Type	Organization
Organization	Gem City Bone & Joint PC
Address	1909 Vista Dr
City	Laramie
State	WY
ZIP	82070
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicaid	$24.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	420	$40	$16.9K
99204	The provider sees a new 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 provider…	40	$70	$2.7K
99203	The provider sees a new 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 provider…	30	$60	$2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	40	$30	$1.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	20	$30	$650
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…	20	$20	$440
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,…	20	$20	$300

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

Gem City Bone & Joint PC — 0 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	35	40	1,590	$50	$181.4K
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…	44	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…	129	260	420	$30	$67.2K
99204	The provider sees a new 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 provider…	14	30	30	$110	$35.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	22	20	180	$20	$22.7K
99203	The provider sees a new 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 provider…	32	60	40	$70	$15.1K
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,…	58	70	70	$20	$10.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gem City Bone & Joint PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gem City Bone & Joint PC	WY	Ambulatory Surgical Clinic/Center	$1.3M	$0
John Horberg	WY	Orthopaedic Trauma Physician	$301.5K	$270
Trevin Thurman	FL	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$246.3K	$0
Eric Harris	WY	Orthopaedic Surgery of the Spine Physician	$207.3K	$0
Premier Surgical Center, LLC	WY	Ambulatory Surgical Clinic/Center	$120.8K	$85.5K
Matthew Fournier	WY	Orthopaedic Surgery Physician	$196.9K	$0
Mark Mckenna	WY	Orthopaedic Surgery Physician	$193.5K	$0
Daniel Levene	WY	Orthopaedic Surgery Physician	$163.6K	$0
Thomas Bienz	WY	Orthopaedic Hand Surgery Physician	$139K	$0
Todd Hammond	WY	Interventional Pain Medicine Physician	$134.3K	$0

Nearby Providers

Other providers in the same ZIP code as Gem City Bone & Joint PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care United Medical Center Of Laramie, LLC	WY	Multi-Specialty Clinic/Center	$0	$3.2M
Quality Home Health Care Inc	WY	Home Health Agency	$0	$2.6M
Elite Medical Supplies, LLC	WY	Durable Medical Equipment & Medical Supplies	$0	$1.3M
James A Boucher & Sue E Lowe Ptr	WY	Optometrist	$0	$444.4K
Martha Nesslinger	WY	Counselor	$0	$415.2K
Step-by-step Family Therapy A Professional Corporation	WY	Multi-Specialty Clinic/Center	$0	$333.8K
Grand Avenue Urgent Care, LLC	WY	Urgent Care Clinic/Center	$0	$264.3K
Samuel Ecker	WY	Dermatology Physician	$206.2K	$0
Leah Rasmussen	WY	Psychiatric/Mental Health Nurse Practitioner	$23.3K	$170.7K
Kristina Rutherford	WY	Case Manager/Care Coordinator	$0	$159.2K

Gem City Bone & Joint PC — Billing Profile & Reimbursement Data

Sign up for Gem City Bone & Joint PC — Billing Profile & Reimbursement Data policy alerts

Gem City Bone & Joint PC — Billing Profile & Reimbursement Data

Sign up for Gem City Bone & Joint PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References