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.

Teton County Hospital District (NPI 1487818605)

Field	Value
Entity Type	Organization
Organization	Teton County Hospital District
Address	625 E Broadway Ave
City	Jackson
State	WY
ZIP	83001
Taxonomy	General Practice Physician
NPI Enumerated	July 16, 2008

Payer Source	Total Paid
Medicaid	$549.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,360	$110	$266.1K
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…	2,560	$70	$184.5K
99336	N/A	570	$110	$63.5K
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…	270	$50	$14.2K
99335	N/A	110	$70	$8.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$160	$4.6K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	60	$50	$3.2K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	60	$50	$2.8K
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…	80	$30	$2.5K

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

Teton County Hospital District — 3 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	34	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…	158	260	420	$30	$67.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3	10	180	$100	$52.2K
99336	N/A	1	10	20	$110	$16.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1	40	80	$90	$15.7K
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…	16	30	110	$10	$7.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	2	10	30	$130	$5.8K
99335	N/A	1	10	60	$70	$4.2K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	1	10	60	$50	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Hayes	UT	Radiation Oncology Physician	$329.8K	$0
Robert Isaak	IA	Radiation Oncology Physician	$172.7K	$0
Michael Menolascino	WY	Internal Medicine Physician	$146.4K	$0
Glenn Burnett	WY	Internal Medicine Physician	$135.7K	$0
Cathie Overmyer	WY	Internal Medicine Physician	$130.2K	$750
Ted Morgan	WY	Urology Physician	$129.5K	$0
Christopher Duncan	UT	Physical Medicine & Rehabilitation Physician	$115.3K	$0
Benjamin Solomon	UT	Hematology & Oncology Physician	$112.1K	$0
Thomas Bunch	MN	Cardiovascular Disease Physician	$111.7K	$0
Gary Johnson	UT	Urology Physician	$107.3K	$0

Nearby Providers

Other providers in the same ZIP code as Teton County Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heather Thomas	WY	Case Manager/Care Coordinator	$0	$492.1K
La Familia Counseling Services	WY	Professional Counselor	$0	$417.9K
Teton Outpatient Services LLC	WY	Ambulatory Surgical Clinic/Center	$400.5K	$0
Tbt, LLC	WY	Community/Behavioral Health Agency	$0	$363.6K
Afton Cobb	WY	MOHS-Micrographic Surgery Physician	$357.5K	$0
William Lighthart	WY	Adult Reconstructive Orthopaedic Surgery Physician	$293.1K	$0
Mary Roberts	WY	Case Manager/Care Coordinator	$0	$268.5K
Christopher Hills	WY	Orthopaedic Surgery Physician	$221.5K	$0
Jennifer Bradof	WY	Clinical Social Worker	$25.7K	$135.6K
Karin L Klee Md	WY	Pediatrics Physician	$0	$145.4K

Teton County Hospital District — Billing Profile & Reimbursement Data

Sign up for Teton County Hospital District — Billing Profile & Reimbursement Data policy alerts

Teton County Hospital District — Billing Profile & Reimbursement Data

Sign up for Teton County Hospital District — 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