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.

Powell Valley Health Care Inc (NPI 1497753115)

Field	Value
Entity Type	Organization
Organization	Powell Valley Health Care Inc
Address	777 Avenue H
City	Powell
State	WY
ZIP	82435
Taxonomy	Critical Access Hospital
NPI Enumerated	July 8, 2005

Payer Source	Total Paid
Medicaid	$172.4K
Medicare	$0

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
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	610	$130	$80.5K
99281	The provider sees a patient for the lowest level emergency department visit.	600	$80	$49K
A0425	Ground mileage, per statute mile	300	$60	$19.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	140	$90	$12.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	$150	$5.7K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	340	$10	$2K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	20	$80	$1.8K
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…	60	$20	$1.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	520	$1	$520
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	20	$10	$120

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

Powell Valley Health Care Inc — 1 of 10 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
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30	30	610	$90	$246.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6	20	110	$60	$54.1K
A0425	Ground mileage, per statute mile	13	20	540	$20	$45.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	4	10	120	$110	$27.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	5	10	160	$70	$13.1K
99281	The provider sees a patient for the lowest level emergency department visit.	1	10	30	$80	$12.7K
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…	17	30	110	$10	$7.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	20	30	200	$1	$2.3K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	2	10	180	$10	$1.8K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	10	10	80	$10	$1.7K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Powell Valley Healthcare Inc	WY	Family Medicine Physician	$0	$336.3K
Meghan Mckeon	MO	Diagnostic Radiology Physician	$318.9K	$0
John Sielatycki	CO	Orthopaedic Surgery of the Spine Physician	$300.2K	$0
George Knight	MT	Diagnostic Radiology Physician	$141.3K	$0
John Brandon	MT	Diagnostic Radiology Physician	$126.3K	$0
Jarett Thelen	MT	Diagnostic Radiology Physician	$123.2K	$800
Derek Wille	WY	Family Medicine Physician	$120.6K	$0
Zachary Bland	MT	Vascular & Interventional Radiology Physician	$118.9K	$0
Scott Paulsen	MT	Diagnostic Radiology Physician	$110.2K	$0
Tara Bowman Seitz	MT	Diagnostic Radiology Physician	$106.7K	$0

Nearby Providers

Other providers in the same ZIP code as Powell Valley Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brittney Hyland	WY	Home Health Registered Nurse	$0	$1.8M
Angel Foster	WY	Developmentally Disabled Services Day Training Agency	$0	$684.9K
Bighorn Valley Health Center Incorporated	WY	Federally Qualified Health Center (FQHC)	$0	$570.6K
Benjamen Bennett	WY	Case Manager/Care Coordinator	$0	$526.1K
Jessica Campbell	WY	Case Management Agency	$0	$487.5K
Positive Progressions, LLC	WY	Clinical Social Worker	$0	$475.4K
Chrysalis Treatment Center, Inc.	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$440.6K
Brian O'neill	WY	Psychiatric/Mental Health Nurse Practitioner	$15.4K	$320K
Lael Beachler	WY	Foot & Ankle Surgery Podiatrist	$308.9K	$0
Marneta Welborn	WY	Mental Health Counselor	$0	$178.3K

Powell Valley Health Care Inc — Billing Profile & Reimbursement Data

Sign up for Powell Valley Health Care Inc — Billing Profile & Reimbursement Data policy alerts

Powell Valley Health Care Inc — Billing Profile & Reimbursement Data

Sign up for Powell Valley Health Care Inc — 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