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.

Todd Holmes (NPI 1588720544)

Field	Value
Entity Type	Individual
Organization	Todd Holmes
Address	1320 Bishop Randall Dr
City	Lander
State	WY
ZIP	82520
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicare	$28.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	310	$40	$11.4K
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…	150	$60	$8.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	50	$90	$4.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$60	$2.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Todd Holmes — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	63	190	90	$60	$11K
99239	47	90	50	$80	$6.9K
99222	160	160	30	$100	$3.7K
99231	3	100	50	$40	$2.9K
99221	7	30	20	$60	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health Medical Group-midlands	SC	Multi-Specialty Clinic/Center	$0	$77.6M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$58M
Central Iowa Hospital Corporation	IA	Clinical Medical Laboratory	$3M	$26.7M
Prisma Health-midlands	SC	General Acute Care Hospital	$0	$28.1M
Central Iowa Hospital Corporation	IA	Pediatrics Physician	$0	$25.4M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$14.7M
Central Iowa Hospital Corporation	IA	Emergency Medicine Physician	$0	$13.1M
Childrens Health Center	MI	Health Service Clinic/Center	$0	$7.3M
Prisma Health Tuomey	SC	Emergency Medicine Physician	$0	$6.8M
Prisma Health Medical Group-midlands	SC	Family Medicine Physician	$0	$3.6M

Nearby Providers

Other providers in the same ZIP code as Todd Holmes, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Frontier Wyoming, L.L.C.	WY	Home Health Agency	$0	$2.5M
Lander Medical Clinic, PC	WY	Family Medicine Physician	$0	$2.1M
Eh Health Home Health Of The Northwest, LLC	WY	Home Health Agency	$0	$2M
Gregory P Clifford Md PC	WY	Personal Emergency Response Attendant	$0	$1.8M
Guardian Flight LLC	WY	Air Ambulance	$699K	$586.5K
Jessica West	WY	Case Manager/Care Coordinator	$0	$964.6K
Knell Access Management	WY	In Home Supportive Care Agency	$0	$893.6K
Wyoming Path Behavioral Health, LLC	WY	Community/Behavioral Health Agency	$0	$836.8K

Todd Holmes — Billing Profile & Reimbursement Data

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Todd Holmes — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References