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.

Powell Valley Healthcare Inc (NPI 1699721316)

Powell Valley Healthcare Inc is a family medicine physician provider located in Powell, Wyoming. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Powell Valley Healthcare Inc
Address	777 Avenue H
City	Powell
State	WY
ZIP	82435
Taxonomy	Family Medicine Physician
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$336.3K
Medicare	$0

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

19 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…	2,670	$60	$165.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1,330	$50	$69.3K
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…	550	$90	$48.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	990	$10	$11.8K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	70	$110	$7.7K
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…	100	$70	$6.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	60	$90	$5.9K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	220	$30	$5.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	80	$60	$5.1K
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…	40	$70	$2.5K

Showing 1–10 of 19

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

Powell Valley Healthcare Inc — 0 of 17 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	23	30	1,430	$110	$429.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13	30	610	$90	$246.9K
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…	102	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…	44	260	420	$30	$67.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	14	20	110	$60	$54.1K
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…	34	50	280	$70	$43.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	24	40	360	$50	$34.6K
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…	29	40	170	$70	$34.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	23	30	100	$60	$17.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	6	20	140	$20	$9.3K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meghan Mckeon	MO	Diagnostic Radiology Physician	$318.9K	$0
John Sielatycki	CO	Orthopaedic Surgery of the Spine Physician	$300.2K	$0
Powell Valley Health Care Inc	WY	Critical Access Hospital	$0	$172.4K
George Knight	MT	Diagnostic Radiology Physician	$141.3K	$0
John Brandon	MT	Diagnostic Radiology Physician	$126.3K	$0
Jarett Thelen	MT	Diagnostic Radiology Physician	$123.2K	$800
Derek Wille	WY	Family Medicine Physician	$120.6K	$0
Zachary Bland	MT	Vascular & Interventional Radiology Physician	$118.9K	$0
Scott Paulsen	MT	Diagnostic Radiology Physician	$110.2K	$0
Tara Bowman Seitz	MT	Diagnostic Radiology Physician	$106.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brittney Hyland	WY	Home Health Registered Nurse	$0	$1.8M
Angel Foster	WY	Developmentally Disabled Services Day Training Agency	$0	$684.9K
Bighorn Valley Health Center Incorporated	WY	Federally Qualified Health Center (FQHC)	$0	$570.6K
Benjamen Bennett	WY	Case Manager/Care Coordinator	$0	$526.1K
Jessica Campbell	WY	Case Management Agency	$0	$487.5K
Positive Progressions, LLC	WY	Clinical Social Worker	$0	$475.4K
Chrysalis Treatment Center, Inc.	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$440.6K
Brian O'neill	WY	Psychiatric/Mental Health Nurse Practitioner	$15.4K	$320K
Lael Beachler	WY	Foot & Ankle Surgery Podiatrist	$308.9K	$0
Marneta Welborn	WY	Mental Health Counselor	$0	$178.3K

Powell Valley Healthcare Inc — Billing Profile & Reimbursement Data

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Powell Valley Healthcare Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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