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.

Black Hills Orthopedic & Spine Center Of Wyoming PC (NPI 1538644679)

Field	Value
Entity Type	Organization
Organization	Black Hills Orthopedic & Spine Center Of Wyoming PC
Address	2201 S Douglas Hwy Ste 120
City	Gillette
State	WY
ZIP	82718
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	September 25, 2018

Payer Source	Total Paid
Medicaid	$11.1K
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
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…	290	$30	$9.7K
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…	20	$80	$1.4K

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

Black Hills Orthopedic & Spine Center Of Wyoming PC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	151	260	420	$30	$67.2K
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…	42	60	40	$70	$15.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Black Hills Orthopedic & Spine Center Of Wyoming PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hills Orthopedic & Spine Center, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.7M
Jeffrey Marrs	SD	Orthopaedic Surgery Physician	$247.5K	$0
Samuel Mortimer	SD	Orthopaedic Surgery Physician	$217.8K	$0
Robert Woodruff	SD	Orthopaedic Surgery Physician	$187.8K	$0
Aaron Dykstra	SD	Orthopaedic Hand Surgery Physician	$171.5K	$0
Christian Gaffney	SD	Orthopaedic Surgery Physician	$171.1K	$0
Trevor Anderson	SD	Physical Medicine & Rehabilitation Physician	$168.2K	$0
Christopher Dietrich	SD	Physical Medicine & Rehabilitation Physician	$151.3K	$0
Steven Giuseffi	SD	Orthopaedic Surgery Physician	$145.7K	$0
Clark Duchene	SD	Orthopaedic Surgery Physician	$128.1K	$0

Nearby Providers

Other providers in the same ZIP code as Black Hills Orthopedic & Spine Center Of Wyoming PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sol Domus, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$8.8M
Wyoming Home Health Inc	WY	Home Health Agency	$0	$1.7M
Horng-chyi Lai	WY	Rheumatology Physician	$1.4M	$0
Heather Voigt	WY	Case Management Agency	$0	$926.8K
Atlas Therapy LLC	WY	Mental Health Counselor	$0	$755K
Andrea Snyder	WY	Case Manager/Care Coordinator	$0	$300.8K
Children's Developmental Services Of Campbell County	WY	Clinic/Center	$0	$281.3K
Meadowlark Counseling	WY	Psychologist	$0	$274.4K
Lukasz Kiljanek	WY	Nephrology Physician	$210.9K	$0
County Of Campbell	WY	Public Health or Welfare Agency	$11.4K	$194.4K

Black Hills Orthopedic & Spine Center Of Wyoming PC — Billing Profile & Reimbursement Data

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Black Hills Orthopedic & Spine Center Of Wyoming PC — Billing Profile & Reimbursement Data

Sign up for Black Hills Orthopedic & Spine Center Of Wyoming PC — 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