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.

Cheyenne Regional Physicians Group, LLC (NPI 1659458008)

Field	Value
Entity Type	Organization
Organization	Cheyenne Regional Physicians Group, LLC
Address	214 E 23rd St
City	Cheyenne
State	WY
ZIP	82001
Taxonomy	Medical Oncology Physician
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $5.1M in lifetime Medicaid revenue, making its current billing footprint effectively single‑payer Medicaid rather than a dual Medicare/Medicaid operation. Analysts should treat comparisons to national Medicare peer sets as not applicable for this provider because Medicare activity is absent from the claims record.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 65.8% of this provider's total Medicaid revenue, driven mainly by 99213 ($1.8M, 35.9%), 90460 ($802.6K, 15.8%), and 99214 ($717.4K, 14.1%). This concentration indicates that a small set of office visit and vaccine administration services dominate the provider’s Medicaid revenue base.

The code mix (large volumes of 99213 and 99214 plus high revenue for vaccine code 90460) suggests the provider operates primarily as a high-volume ambulatory practice focused on routine E/M visits and immunizations rather than specialty oncology procedures. Preventive medicine codes 99391 ($466.6K) and 99392 ($240.5K) further reinforce an emphasis on well‑patient visits and preventive care in the Medicaid population.

Competitive standing within Wyoming is strong on core outpatient codes: 99213 ranks #2 of 257 providers in-state and is identified as an extreme outlier (100th percentile), while 90460 ranks #1 of 73 providers in-state and is an extreme outlier (100th percentile). 99214 ranks #6 of 223 (98th percentile) and is described as notably above typical state volume; together these positions indicate market dominance for routine office visits and pediatric/adolescent vaccine administration.

Beyond E/M and immunizations, the practice reports very high volumes in several ancillary/preventive services that are statewide outliers: 93010 (22.1K claims, $132.4K revenue) ranks #1 of 14 providers (100th percentile; extreme outlier), and 90686 (5K claims, $5K revenue) also ranks #1 of 61 (100th percentile). These entries indicate the provider delivers a broad set of outpatient services that extend past simple office visits, including routine ECG interpretation and mass influenza vaccination activity.

S0281 (medical home program) activity is sizable (85.9K claims, $515.4K; 10.1% of Medicaid revenue) and ranks #3 of 18 in-state (88th percentile), showing formal care coordination billing alongside high volumes of preventive and E/M services. The simultaneous high volumes in medical home, preventive (99391/99392), and vaccine codes point to organized, longitudinal outpatient care workflows rather than episodic specialty procedures.

Several behavioral health and assessment codes appear in the mix at modest levels (90837 $77.1K, 96110 $10.7K, 90792 $14.8K), indicating the practice also bills for psychotherapy and developmental/behavioral screening services in addition to primary outpatient care. These services are generally in the mid-to-upper range of state provider ranks (typical to unremarkable volumes), suggesting a multi-disciplinary ambulatory model.

The provider’s NPI was enumerated on 2006-11-01 (~20 years ago), which represents a long-tenured presence in the market; that tenure combined with the high statewide ranks on several codes suggests established referral patterns or scale in delivering pediatric/preventive and routine E/M services to the Medicaid population. For payers evaluating network capacity or contracting, this provider should be considered a longstanding, high-volume Medicaid ambulatory resource in Wyoming for immunizations and routine office-based care.

Medicaid: Complete Services Breakdown

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

72 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…	31,430	$60	$1.8M
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.	16,380	$50	$802.6K
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…	11,570	$60	$717.4K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	85,910	$10	$515.4K
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…	6,140	$80	$466.6K
99392	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…	2,860	$80	$240.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22,070	$10	$132.4K
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…	960	$80	$77.1K
0241U	N/A	590	$100	$60.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	640	$80	$53.8K

Showing 1–10 of 72

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

Cheyenne Regional Physicians Group, LLC — 7 of 25 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8	10	310	$80	$275.5K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3	20	13,160	$10	$190.1K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	4	10	480	$370	$184.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	9	20	530	$40	$129.4K
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…	34	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…	6	220	400	$50	$79.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	40	40	470	$30	$75.1K
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…	2	260	420	$30	$67.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6	10	350	$110	$66.7K
0241U	N/A	2	10	70	$100	$50.4K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cheyenne Regional Physicians Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital Of Laramie County	WY	General Acute Care Hospital	$0	$4M
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$3.3M
Kristi Mizelle	VA	Rheumatology Physician	$1.5M	$0
Niraj Pahlajani	TX	Radiation Oncology Physician	$1.4M	$0
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$743.2K
Michel Skaf	WY	Cardiovascular Disease Physician	$616.1K	$0
Eric Hoyer	WY	Diagnostic Radiology Physician	$534.9K	$0
Herman Feringa	AK	Cardiovascular Disease Physician	$363.8K	$0
Mark Dziemianowicz	CO	Radiation Oncology Physician	$293.3K	$0
Douglas Tangel	CO	Pulmonary Disease Physician	$276.3K	$0

Nearby Providers

Other providers in the same ZIP code as Cheyenne Regional Physicians Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magic City Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Cheyenne Habilitation & Therapeutic Center, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Specialty Counseling & Consulting	WY	Community/Behavioral Health Agency	$0	$8.2M
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$5.5M
Cheyenne Surgical Center LLC	WY	Ambulatory Surgical Clinic/Center	$567.4K	$4.5M
Goodwill Industries Of Wy, Inc.	WY	Case Management Agency	$0	$3.9M
American Medical Response Ambulance Service Inc	WY	Ambulance	$1.4M	$2.3M
Summit Medical Group, LLC	WY	Emergency Medicine Physician	$0	$3.7M
Frontier Access & Mobility Systems, Inc	WY	Customized Equipment (DME)	$0	$2.7M
Love Care & Dignity, Inc.	WY	Clinical Psychologist	$0	$2.3M

Cheyenne Regional Physicians Group, LLC — Billing Profile & Reimbursement Data

Sign up for Cheyenne Regional Physicians Group, LLC — Billing Profile & Reimbursement Data policy alerts

Cheyenne Regional Physicians Group, LLC — Billing Profile & Reimbursement Data

Sign up for Cheyenne Regional Physicians Group, LLC — Billing Profile & Reimbursement Data policy alerts

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