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.

University Of Wyoming (NPI 1558657650)

Field	Value
Entity Type	Organization
Organization	University Of Wyoming
Address	1522 E A St
City	Casper
State	WY
ZIP	82601
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 27, 2011

Payer Source	Total Paid
Medicaid	$14.8M
Medicare	$0

Key Findings

This provider effectively operates as a single-payer Medicaid entity: there is no Medicare billing on file and total Medicaid revenue is $14.8M. The absence of Medicare activity means analyses should treat UNIVERSITY OF WYOMING as Medicaid-focused for payer mix and utilization benchmarking.

Medicaid revenue is extremely concentrated in a small set of FQHC-specific codes: the top three Medicaid codes (T1015, S0281, G0467) account for 99.3% of this provider's total Medicaid revenue. In particular, T1015 alone accounts for $13.9M (93.8% of Medicaid revenue), while S0281 contributes $637.8K (4.3%) and G0467 contributes $172.9K (1.2%).

The code mix and descriptions indicate this is operating as a federally qualified health center with a bundled, primary-care and care-coordination model: T1015 is an all-inclusive clinic visit/encounter, G0467 is an FQHC visit for established patients, and S0281 is a medical home program code for comprehensive care coordination and planning. Together these codes point to high-volume ambulatory primary care with an active care-management/medical home program rather than specialty procedural revenue streams.

Competitive standing is mixed by code: T1015 volume (39.8K claims, $349 avg paid/claim, $13.9M revenue) ranks #4 of 53 providers in-state (94th percentile; typical, unremarkable volume for this code), indicating the provider is a solid but not dominant routine clinic-volume participant. By contrast, G0467 (6.9K claims, $25 avg paid/claim, $172.9K revenue) ranks #1 of 5 providers in-state (100th percentile; notably above typical state volume) and S0281 (127.6K claims, $5 avg paid/claim, $637.8K revenue) ranks #2 of 18 (94th percentile; notably above typical state volume), signaling relative strength in FQHC-specific bundled visits and care-coordination services within Wyoming.

Several codes show atypical utilization patterns that merit attention: 99213 appears as an extreme outlier with 23.7K claims at $1 avg paid/claim for $23.7K revenue (0.2% of Medicaid revenue) and ranks #3 of 257 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), suggesting unusually high claim counts for low-paid office E/M encounters. Analysts should examine whether these high-claim, low-reimbursement E/M entries reflect workflow, billing practice, or reporting aggregation rather than primary revenue drivers.

There is also notable billing for inpatient/observation E/M services relative to peers: 99238 (580 claims, $54 avg paid/claim, $31.3K revenue) ranks #1 of 15 providers in-state (100th percentile; notably above typical state volume for this code) and 99222 (70 claims, $41 avg paid/claim, $2.9K revenue) ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume). These ranks indicate the provider bills hospital discharge and initial inpatient E/M services at above-typical state levels, implying either hospital-affiliated activity or contractual arrangements that include inpatient-related encounters.

Operational detail: several high-claim codes show zero or near-zero paid amounts on file (for example 81003: 920 claims, $0 avg paid/claim, $0 revenue; 36415: 660 claims, $0 avg paid/claim, $0 revenue; 90686: 97 claims, $0 avg paid/claim, $0 revenue). This pattern is consistent with services bundled into per-visit FQHC payments or separately reported but not paid by Medicaid fee-for-service, and it reinforces that the financials are dominated by bundled visit codes rather than standalone lab or vaccine reimbursements.

The provider has an established presence: the NPI was enumerated on 2011-06-27 (~15 years ago), indicating a long-tenured FQHC operation. Given the $14.8M Medicaid revenue concentrated in visit and care-coordination codes, payers and contracting teams should prioritize T1015 and S0281/G0467 in reimbursement negotiations and utilization management, as those codes will drive most financial impact.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	39,840	$350	$13.9M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	127,570	$10	$637.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	6,920	$30	$172.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	580	$50	$31.3K
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…	23,750	$1	$23.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	540	$40	$19.5K
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…	2,020	$10	$10.1K
0241U	N/A	70	$90	$5.8K
D9999	N/A	20	$230	$5K
0001A	N/A	100	$30	$3.1K

Showing 1–10 of 39

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

University Of Wyoming — 4 of 16 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	50	1,690	$360	$3.3M
D9999	N/A	6	10	1,490	$450	$1.3M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2	20	13,160	$10	$190.1K
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…	136	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…	44	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…	3	260	420	$30	$67.2K
0241U	N/A	4	10	70	$100	$50.4K
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…	14	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.	20	70	490	$40	$42.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1	10	680	$20	$36.7K

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Wyoming, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$5.5M
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$733.4K
Jonathon Medina	WY	Family Medicine Physician	$155.4K	$0
Mesha Dunn	WY	Family Medicine Physician	$145.7K	$0
Jerry Mclain	NE	Family Medicine Physician	$111.6K	$0
Erica Costello	WY	Medical Physician Assistant	$77.5K	$0
Tabitha Thrasher	WY	Family Medicine Physician	$35.8K	$0
Beth Robitaille	WY	Family Medicine Physician	$33.2K	$0
Jeremy Gates	WY	Surgery Physician	$22.5K	$0
Jessica Warren	WY	Family Nurse Practitioner	$14.6K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Wyoming, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

University Of Wyoming — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References