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.

Teton Outpatient Services LLC (NPI 1689651481)

Key Findings

Field	Value
Entity Type	Organization
Organization	Teton Outpatient Services LLC
Address	150 Buffalo Way
City	Jackson
State	WY
ZIP	83001
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 22, 2005

Payer Source	Total Paid
Medicare	$400.5K
Medicaid	$0

This provider is effectively single-payer in the public programs: Total Medicare revenue is $400.5K while Total Medicaid revenue is none (no Medicaid billing on file), indicating there is no Medicaid activity on file and Medicare accounts for the entirety of reported public-payer receipts. That concentration will shape analyses of payer mix, access, and reimbursement exposure since Medicaid is not contributing to observed revenue.

Revenue is highly concentrated in a small set of procedures: the precomputed top 3 Medicare codes by revenue account for 67.2% of this provider's total Medicare revenue. The three leading codes are 64483 ($143.9K, 35.9%), 66984 ($81.7K, 20.4%), and 23430 ($43.8K, 10.9%), which together drive the majority of billed Medicare dollars.

The code mix and taxonomy (Ambulatory Surgical Clinic/Center) point to a mixed outpatient surgical practice with a strong interventional pain component and significant ophthalmology and orthopedic casework. High revenue from 64483 and measurable volume in 64493 and 20610 indicate routine use of epidural/transforaminal injections and other pain-management joint injections, while 66984 (cataract/IOL insertion) and codes such as 23430, 29827, and 29880 show concurrent orthopedic and ophthalmologic surgical services performed in the outpatient setting.

64483 is a clear national outlier for this provider: it generated $143.9K (35.9% of Medicare revenue), and the provider ranks #204 of 8202 nationally (98th percentile) with the label notably above typical national volume. This suggests the site is a major national-level performer for transforaminal epidural injection volume relative to peers, which likely defines a core clinical capability or referral focus.

By contrast, 66984 and 23430 show typical or modest engagement relative to national peers. 66984 produced $81.7K (20.4%) and ranks #7946 of 15965 (50th percentile) indicating unremarkable cataract procedure volume nationally, while 23430 produced $43.8K (10.9%) and ranks #507 of 811 (31th percentile), positioning the provider as a modest participant for biceps tendon repair within the smaller cohort of surgeons who bill that code.

Beyond the top three, Medicare revenue is distributed across a range of outpatient surgical and procedural codes, each contributing single-digit shares: examples include 29827 ($34.5K, 8.6%), 29880 ($20.4K, 5.1%), 45385 ($17.1K, 4.3%), 64493 ($13.1K, 3.3%), and 64721 ($12.3K, 3.1%). This spread indicates a multi-specialty procedural footprint rather than dependence on a single ancillary service line beyond the dominant 64483.

The provider’s national tenure is long-standing: NPI enumerated 2005-12-22 (~21 years ago), which supports the interpretation that observed billing patterns are established rather than transitional. That tenure, combined with a concentrated Medicare revenue base and no Medicaid billing, suggests an entrenched outpatient surgical operation whose financial performance in public programs hinges primarily on Medicare volume.

Operational and market implications: because Medicare constitutes essentially all reported public-payer revenue ($400.5K) and Medicaid shows no activity, the provider’s public-payer financial exposure is concentrated and could be sensitive to changes in Medicare reimbursement or referral patterns for high-volume codes like 64483. Analysts should treat Medicaid-related market access and network positioning as unknown or absent when comparing payers or constructing competitive maps.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	490	$290	$143.9K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	100	$810	$81.7K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	10	$3,130	$43.8K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	20	$1,500	$34.5K
29880	In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…	20	$1,070	$20.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	50	$380	$17.1K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	50	$270	$13.1K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	20	$620	$12.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$350	$10.2K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	20	$430	$8.2K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teton County Hospital District	WY	General Practice Physician	$0	$549.7K
Heather Thomas	WY	Case Manager/Care Coordinator	$0	$492.1K
La Familia Counseling Services	WY	Professional Counselor	$0	$417.9K
Tbt, LLC	WY	Community/Behavioral Health Agency	$0	$363.6K
Afton Cobb	WY	MOHS-Micrographic Surgery Physician	$357.5K	$0
William Lighthart	WY	Adult Reconstructive Orthopaedic Surgery Physician	$293.1K	$0
Mary Roberts	WY	Case Manager/Care Coordinator	$0	$268.5K
Christopher Hills	WY	Orthopaedic Surgery Physician	$221.5K	$0
Jennifer Bradof	WY	Clinical Social Worker	$25.7K	$135.6K
Karin L Klee Md	WY	Pediatrics Physician	$0	$145.4K

Teton Outpatient Services LLC — Billing Profile & Reimbursement Data

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Teton Outpatient Services LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	14	80	50	$410	$39.9K
64483	1	20	90	$200	$29.3K
45385	15	30	50	$300	$29.3K
29827	4	10	20	$970	$19.4K
23430	1	10	10	$1,230	$17.2K
45380	26	40	40	$210	$17K
64493	10	20	50	$190	$15.1K
43239	27	40	50	$120	$15K
29880	2	10	20	$760	$12.9K
64721	11	20	20	$440	$12.2K