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.

Monument Health Network, Inc. (NPI 1417336637)

Field	Value
Entity Type	Organization
Organization	Monument Health Network, Inc.
Address	1121 Washington Blvd
City	Newcastle
State	WY
ZIP	82701
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 20, 2015

Payer Source	Total Paid
Medicaid	$94.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	960	$100	$94.3K
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…	480	$0	$0

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

Monument Health Network, Inc. — 0 of 1 code 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	31	50	1,690	$360	$3.3M
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…	124	260	420	$30	$67.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Monument Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$2M
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.8M
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$745.7K
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$737.5K
Monument Health Network, Inc.	SD	Family Medicine Physician	$0	$639K
Monument Health Network, Inc.	SD	General Acute Care Hospital	$0	$440.6K
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$357.7K
Rakesh Ponnapureddy	IA	Cardiovascular Disease Physician	$250.8K	$0
Ethan Levine	NY	Clinical Cardiac Electrophysiology Physician	$222.4K	$220
Monument Health Network, Inc.	SD	General Acute Care Hospital	$0	$214.2K

Nearby Providers

Other providers in the same ZIP code as Monument Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Weston County Hospital District	WY	Rural Health Clinic/Center	$0	$605.5K
Cambria Heights LLC	WY	Assisted Living Facility	$0	$332.1K
Rhoades Dental P.C.	WY	Dentist	$0	$100.8K
Volunteers Of America Northern Rockies	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$96.5K
Timothy Robinson	WY	Optometrist	$46K	$42K
Hometown Medical Clinic P.C.	WY	Family Medicine Physician	$0	$69.3K
Ashley Tupper	WY	Primary Care Nurse Practitioner	$59.5K	$0
John Haeberle	WY	Family Medicine Physician	$59.4K	$0
Weston County Hospital District	WY	Community/Retail Pharmacy	$42.6K	$0
Weston County Children's Center	WY	Developmental Disabilities Clinic/Center	$0	$31.6K

Monument Health Network, Inc. — Billing Profile & Reimbursement Data

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Monument Health Network, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References