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NPI 1447480561 · Casper, WY · Federally Qualified Health Center (FQHC)
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Community Health Center Of Central Wyoming, Inc. is a federally qualified health center (fqhc) provider located in Casper, Wyoming. This profile covers 0 Medicare and 66 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Community Health Center Of Central Wyoming, Inc. |
| Address | 5000 Blackmore Rd |
| City | Casper |
| State | WY |
| ZIP | 82609 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | July 23, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $15.3M |
| Medicare | $0 |
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, INC. is effectively single‑payer in these records: there is no Medicare billing on file while reported Medicaid revenue totals $15.3M, indicating the organization’s commercial/Medicare exposure is either absent in these data or negligible compared with Medicaid. This billing profile is consistent with an FQHC that primarily serves Medicaid populations in its service area.
Revenue concentration is extremely high: the top three Medicaid codes account for 97.3% of the provider’s total Medicaid revenue, showing that a very small set of service lines drives nearly all billed Medicaid dollars. This concentration suggests operational focus and financial dependence on a few bundled clinic and coordination services rather than a broad mix of high‑priced procedural codes.
T1015 is the dominant revenue driver by a large margin: T1015 generates $13.6M (88.6% of the provider’s Medicaid revenue) and the provider ranks #3 of 53 in the state (96th percentile). That combination—an FQHC visit/encounter code accounting for the vast majority of revenue and top‑quartile state rank—indicates this clinic operates a high‑volume, all‑inclusive clinic model delivering bundled primary care services to Medicaid beneficiaries.
The two other top contributors are D9999 ($931.1K, 6.1% of Medicaid revenue, rank #2 of 6, 80th percentile) and S0281 ($409.2K, 2.7% of Medicaid revenue, rank #4 of 18, 82nd percentile). D9999’s presence as the second largest line suggests non‑standard or miscellaneous billable services are material to revenue, while S0281 and related S0280 activity indicate substantive investment in medical home care coordination and maintenance services.
Competitive standing across key codes is strong within Wyoming for several services: the provider ranks at or near the top for T1015 (#3/53, 96th percentile), S0280 (#1/3, 100th percentile), and shows prominent statewide placement for select E/M codes (e.g., 99214 ranks #4/223, 99th percentile). These ranks characterize the center as a major in‑state provider of bundled FQHC visits and primary care management services, rather than a modest or occasional biller.
Operational mix skews toward high volumes of low‑unit‑price services: S0281 and S0280 show very large claim counts (68.2K and 56.7K claims respectively) with low average paid/claim ($6), and several preventive, vaccine, and brief assessment codes appear with many claims but $0 reported paid. This pattern is consistent with a community health center model emphasizing routine primary care, preventive services, care coordination, and population health activities delivered at scale.
The provider’s NPI was enumerated on 2009‑07‑23 (~17 years ago), indicating substantial tenure in the market; long standing enrollment combined with concentrated Medicaid revenue suggests entrenched local relationships with Medicaid plans and sustained role as a safety‑net primary care provider.
Several individual codes are flagged as statistical outliers or notably above typical state volume: 99214 is labeled an extreme outlier (17.9K claims) and 99202 is noted as notably above typical state volume (rank #1 of 14). These anomalously high volumes for particular E/M codes warrant attention when benchmarking utilization patterns, staffing needs, or care‑delivery models relative to peers.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
66 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 48,640 | $280 | $13.6M |
| D9999 | N/A | 3,230 | $290 | $931.1K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 68,200 | $10 | $409.2K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 56,660 | $10 | $339.9K |
| 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… | 17,920 | $1 | $35.8K |
| 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… | 15,980 | $1 | $16K |
| 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… | 60 | $110 | $7.1K |
| 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… | 2,160 | $1 | $4.3K |
| 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… | 180 | $20 | $3.9K |
| 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,… | 440 | $1 | $440 |
Showing 1–10 of 66
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
66 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3 | 50 | 1,690 | $360 | $3.3M |
| D9999 | N/A | 2 | 10 | 1,490 | $450 | $1.3M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 4 | 20 | 13,160 | $10 | $190.1K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1 | 10 | 860 | $10 | $110.5K |
| 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… | 20 | 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… | 4 | 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… | 5 | 260 | 420 | $30 | $67.2K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 79 | 100 | 130 | $30 | $46.4K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 10 | 50 | 280 | $70 | $43.2K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 6 | 70 | 490 | $40 | $42.9K |
Showing 1–10 of 66
Other providers in the same ZIP code as Community Health Center Of Central Wyoming, Inc., ranked by combined Medicare and Medicaid revenue.
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