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.

Emergency Medical Physicians PC (NPI 1720310709)

Field	Value
Entity Type	Organization
Organization	Emergency Medical Physicians PC
Address	1233 E 2nd St
City	Casper
State	WY
ZIP	82601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 2, 2010

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $4.1M in lifetime Medicaid revenue, making its visible payer footprint effectively single-payer Medicaid rather than a mixed Medicare/Medicaid practice. Analysts should treat conclusions as Medicaid-centric because Medicare activity is absent from the record.

The NPI for EMERGENCY MEDICAL PHYSICIANS PC is enumerated 2010-02-02 (~16 years ago), indicating long-standing enrollment and an established presence in the local market; tenure supports interpretation of stable operational patterns rather than a newly formed billing entity.

Revenue is highly concentrated in three emergency department evaluation-and-management codes: 99285 ($2.4M, 58.2%), 99284 ($1.6M, 38.0%), and 99283 ($117.3K, 2.9%); precomputed totals show the top 3 Medicaid codes account for 99.1% of this provider's total Medicaid revenue. This concentration indicates nearly all Medicaid dollars flow from ED E/M services rather than procedure-based or outpatient specialty billing.

Code mix and the top revenue drivers identify the operation as an emergency medicine practice focused on acute care encounters: 99285 (high medical decision making) and 99284 (moderate decision making) together dominate reported Medicaid revenue, suggesting routine handling of moderate-to-high acuity ED visits rather than low-acuity urgent care or procedural specialties. The relatively small share from 99283 reinforces that lower-acuity ED visits are a minor revenue source for this provider.

On statewide competitive standing, the provider ranks #1 of 15 for 99285 and #1 of 25 for 99284, both at the 100th percentile with labels of "notably above typical state volume"; this positions the group as a dominant in-state biller for high-acuity ED E/M codes. By contrast, the provider's use of 99283 ranks #11 of 34 (70th percentile), which is characterized as typical and unremarkable within the state peer set.

There are modest ancillary and critical-care code volumes: 93010 appears with 5.7K claims and $28.7K revenue (rank #2 of 14, 92th percentile) reflecting routine ECG interpretation workflows tied to ED care, while 99291 shows 77 claims and $7.4K (rank #2 of 2) indicating occasional critical care billing but very limited revenue contribution. These patterns suggest the organization primarily bills standard ED E/M and some ECG reading activity, with critical care services reported infrequently.

Operational and reimbursement risk is concentrated because the two leading codes, 99285 and 99284 (58.2% and 38.0% respectively), drive the majority of Medicaid revenue; changes in Medicaid E/M reimbursement policies, documentation requirements, or case-mix could materially affect the provider's topline. From a contracting or utilization management perspective, payers should prioritize review of high-acuity ED encounters and related documentation given their outsized revenue impact.

Non-revenue reporting codes appear in the profile (for example, G9744 with 220 claims and $0 revenue), indicating the provider also records eligibility/quality-related activity alongside paid claims. Such zero-dollar codes are part of the administrative record and may reflect quality/eligibility flags rather than payment drivers, so analysts should separate revenue-bearing service trends from administrative code usage when benchmarking performance.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	21,990	$110	$2.4M
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.	18,070	$90	$1.6M
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.	2,170	$50	$117.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5,750	$10	$28.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	80	$100	$7.4K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	250	$1	$1K
G9744	Patient not eligible due to active diagnosis of hypertension	220	$0	$0

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

Emergency Medical Physicians PC — 2 of 6 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

7 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.	1	30	1,430	$110	$429.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1	20	240	$110	$395K
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.	11	30	610	$90	$246.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	2	10	920	$10	$16.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2	10	100	$120	$12.4K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	10	250	$1	$1K
G9744	Patient not eligible due to active diagnosis of hypertension	1	10	210	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Medical Physicians PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Binder	WY	Family Medicine Physician	$95.3K	$0
Ryan Benson	WY	Emergency Medicine Physician	$85.3K	$0
Kayla Whitson	WY	Emergency Medicine Physician	$80.6K	$0
Eugene Duquette	WY	Family Medicine Physician	$79K	$0
Alexander Colgan	IA	Emergency Medicine Physician	$76.5K	$0
David Tarullo	WY	Emergency Medicine Physician	$70.5K	$0
Ronald Iverson	WY	Emergency Medicine Physician	$65.6K	$0
Morgan Johnson	WY	Emergency Medicine Physician	$65.1K	$0
Nathan Cook	WY	Emergency Medicine Physician	$62.2K	$0
Jonna Cubin	WY	Emergency Medicine Physician	$61.1K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Medical Physicians PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Emergency Medical Physicians PC — Billing Profile & Reimbursement Data

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Emergency Medical Physicians PC — Billing Profile & Reimbursement Data

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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