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.

Memorial Hospital Of Carbon County (NPI 1710298757)

Memorial Hospital Of Carbon County is a critical access hospital provider located in Rawlins, Wyoming. This profile covers 0 Medicare and 32 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	Memorial Hospital Of Carbon County
Address	2221 Elm St
City	Rawlins
State	WY
ZIP	82301
Taxonomy	Critical Access Hospital
NPI Enumerated	June 24, 2010

Payer Source	Total Paid
Medicaid	$938.9K
Medicare	$0

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

32 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…	5,630	$50	$298.4K
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	$130	$177.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	720	$130	$94.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,340	$30	$79.5K
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.	1,360	$50	$69.5K
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…	950	$50	$51.4K
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.	270	$170	$45.8K
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…	610	$70	$44.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	2,800	$10	$36.4K
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…	140	$80	$10.5K

Showing 1–10 of 32

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

Memorial Hospital Of Carbon County — 3 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

32 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.	21	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.	12	30	610	$90	$246.9K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	13	10	700	$90	$188.5K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	4	10	60	$410	$139.2K
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…	80	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…	23	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.	11	20	110	$60	$54.1K
A0425	Ground mileage, per statute mile	13	20	540	$20	$45.7K
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…	13	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.	14	70	490	$40	$42.9K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Paul Stanton	CO	Orthopaedic Surgery of the Spine Physician	$562.5K	$0
Stephanie Wang	CO	Vascular & Interventional Radiology Physician	$532.9K	$810
Mark Slepian	AZ	Diagnostic Radiology Physician	$440.4K	$0
Aaron Moon	TX	Diagnostic Radiology Physician	$365.3K	$0
Herman Feringa	AK	Cardiovascular Disease Physician	$363.8K	$0
Craig Hancock	AZ	Diagnostic Radiology Physician	$330.9K	$120
James Taylor	ID	Diagnostic Radiology Physician	$292.3K	$0
Jeramie Rosales Rodriguez	MO	Psychiatry Physician	$2.1K	$289.9K
Charles Young	WY	Family Medicine Physician	$86.8K	$195.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
S48wy4, LLC	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$500.2K
High Plains Vision Center, LLC	WY	Optometrist	$0	$399K
Valence Health Corp PC	WY	Family Medicine Physician	$0	$253.9K
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$176.3K
Stephanie Chiu	WY	Family Medicine Physician	$174.1K	$0
Kari Skordas	WY	Clinical Social Worker	$0	$169.1K
Kristel Lessard	WY	Internal Medicine Physician	$141K	$0
Gary Mikesell	WY	Family Medicine Physician	$0	$118.5K
High Country Behavioral Health	WY	Community/Behavioral Health Agency	$0	$93.9K
Wojslaw Marciniak	WY	Physical Therapist	$72.8K	$0

Memorial Hospital Of Carbon County — 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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