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.

Cheyenne Health & Wellness Center (NPI 1386632594)

Field	Value
Entity Type	Organization
Organization	Cheyenne Health & Wellness Center
Address	2508 East Fox Farm Road
City	Cheyenne
State	WY
ZIP	82007
Taxonomy	Community Health Clinic/Center
NPI Enumerated	October 11, 2005

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Key Findings

CHEYENNE HEALTH & WELLNESS CENTER is effectively a Medicaid-focused clinic: it has no Medicare billing on file and its lifetime Medicaid revenue is $2.8M, indicating the provider’s payer mix is overwhelmingly Medicaid and functionally single-payer in the available claims data. This suggests the center’s patient population and operations are concentrated on Medicaid-covered services rather than traditional Medicare beneficiaries.

Revenue concentration is extremely high: the single code T1015 accounts for $2.8M and 99.4% of this provider’s total Medicaid revenue, meaning nearly all Medicaid dollars flow through the all-inclusive clinic visit/encounter code. The precomputed top-3 codes collectively account for 100.0% of Medicaid revenue, highlighting a narrow billing base driven almost entirely by T1015.

The top code profile (T1015 – Clinic visit/encounter, all-inclusive) indicates CHEYENNE operates as a community health clinic delivering bundled, general ambulatory care and encounter-based services rather than a specialty procedure shop. The dominance of an all-inclusive clinic visit code aligns with the provider taxonomy (Community Health Clinic/Center) and implies routine primary care and visit-based service delivery is the core business model.

In-state competitive standing for the top revenue driver is modestly strong: T1015 volume places the provider #6 of 53 in Wyoming and in the 90th percentile, which signals higher-than-typical utilization of this clinic-encounter code among peers but not a statewide dominant position. The ranking reflects solid clinic visit throughput compared with other community health centers in the state, consistent with its role as a notable but not singular market participant.

Secondary Medicaid codes are negligible contributors to revenue: S0281 contributes $11.6K (0.4%) and D9999 contributes $5.6K (0.2%) of total Medicaid revenue, together making up the remaining 0.6%. Both codes rank relatively low among in-state providers (S0281 ranks #16 of 18 and D9999 ranks #5 of 6), indicating limited or routine use of care coordination and miscellaneous services beyond core clinic encounters.

Operational footprint is long-established: the NPI was enumerated on 2005-10-11 (~21 years ago), which suggests the center has sustained presence in the market and has likely built stable Medicaid-facing workflows and payer relationships over two decades. This tenure supports the observed concentrated Medicaid billing pattern rather than a newly opened or recently repurposed operation.

Several commonly billed outpatient and behavioral health codes appear on the claim list with claims volume but $0 reported Medicaid revenue (including 99213, 99214, 90837, 90834, 99212 and others), which may reflect bundling into T1015, alternative payment arrangements, or reporting conventions for the all-inclusive clinic visit code. Analysts should interpret the $0-paid entries as not contributing to recorded Medicaid revenue rather than as zero utilization, given the high claim counts for some of these codes.

Given the data, strategic implications center on sustaining and optimizing clinic-encounter services billed under T1015: any payer negotiations, quality reporting, or cost-management efforts should focus on the all-inclusive encounter model since it drives 99.4% of Medicaid revenue. Diversification of billed service lines appears limited, so expansion into separately reimbursed procedure codes or ancillary services would be the primary lever to broaden revenue sources beyond the current Medicaid encounter concentration.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	17,600	$160	$2.8M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2,330	$10	$11.6K
D9999	N/A	30	$200	$5.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	140	$0	$0
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	10	$0	$0
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	40	$0	$0
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,220	$0	$0
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,…	10	$0	$0
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…	7,220	$0	$0
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…	3,100	$0	$0

Showing 1–10 of 12

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

Cheyenne Health & Wellness Center — 0 of 3 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	50	1,690	$360	$3.3M
D9999	N/A	5	10	1,490	$450	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	93	170	840	$80	$192.2K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	16	20	13,160	$10	$190.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	17	140	350	$70	$81.5K
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…	24	220	400	$50	$79.3K
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…	17	260	420	$30	$67.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	29	40	360	$50	$34.6K
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,…	66	70	70	$20	$10.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	27	30	110	$10	$7.1K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cheyenne Health & Wellness Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Dowling	WY	Family Nurse Practitioner	$200.7K	$0
Vickie Richards	WY	Family Nurse Practitioner	$73.4K	$0

Nearby Providers

Other providers in the same ZIP code as Cheyenne Health & Wellness Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Respitech Home Health Care Inc	WY	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Meals On Wheels Of Cheyenne Inc.	WY	Case Management Agency	$0	$1.1M
Cheyenne-laramie County Health Department	WY	Public Health or Welfare Agency	$93.1K	$534.5K
Douglas Wilson	WY	Physical Therapist	$376.9K	$0
Stride Learning Center	WY	Clinic/Center	$0	$364.4K
Pain Consultants Of The Rockies, PC	WY	Pain Medicine (Anesthesiology) Physician	$0	$272.5K
Heather Roberts	WY	Family Nurse Practitioner	$237.6K	$0
Hope And Healing Counseling, LLC	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$217.9K
Pamela Webb	WY	Case Manager/Care Coordinator	$0	$193.2K

Cheyenne Health & Wellness Center — Billing Profile & Reimbursement Data

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Cheyenne Health & Wellness Center — 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