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.

Wyoming Health Medical Group, LLC (NPI 1730324872)

Key Findings

Field	Value
Entity Type	Organization
Organization	Wyoming Health Medical Group, LLC
Address	1233 E 2nd St
City	Casper
State	WY
ZIP	82601
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 3, 2008

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

WYOMING HEALTH MEDICAL GROUP, LLC reports no Medicare billing on file and all recorded federal program revenue comes from Medicaid, with total Medicaid revenue of $1.8M. In practice this makes the provider effectively single-payer (Medicaid) in the available claims data, so analyses should treat Medicaid patterns as representative of its public-payor footprint rather than a split Medicare/Medicaid practice mix.

Revenue is highly concentrated in a small set of outpatient E/M services: the top three Medicaid codes by revenue account for 74.7% of the provider’s total Medicaid revenue. The single largest contributor is 99213, which alone generates $1.1M (60.7% of Medicaid revenue), indicating that routine established-patient office visits are the primary revenue driver for this group.

The code mix indicates a primary care–oriented internal medicine practice with high volume office visits and ancillary testing. High-volume E/M codes like 99213 and 99214 combined with preventive codes (99391/99392) and common diagnostic tests (87426, 87804, 87880) suggest the practice manages longitudinal outpatient care, vaccination and point-of-care infectious disease testing.

WYOMING HEALTH shows dominant statewide positioning on multiple specific Medicaid services: 99213 ranks #4 of 257 providers in-state (99th percentile; labeled an extreme outlier) and 87426 ranks #1 of 22 providers in-state (100th percentile; extreme outlier). These rankings indicate the provider is a major high-volume Medicaid provider for routine visits and COVID-19 antigen testing within Wyoming.

The practice is also a leading in-state provider for several dialysis-related monthly management codes (90961, 90960, 90962), with 90961 and 90960 both ranking #1 in-state for their code sets. While these ESRD-management codes represent smaller shares of total Medicaid revenue (each a few percent), their presence signals the practice delivers or coordinates ongoing chronic disease management including ESRD care.

Several point-of-care infectious disease rapid tests are unusually concentrated here: 87426 (SARS–CoV–2 antigen) and 87804 (influenza immunoassay) are both at or near the top of state rankings (87426 is an extreme outlier at the 100th percentile; 87804 ranks #1 of 49 providers, 100th percentile). This suggests the office operates substantial on-site testing capacity and workflows oriented to high-volume acute respiratory illness screening.

Although high-volume E/M work dominates revenue, a variety of service types appear in the top codes including hospital inpatient subsequent and discharge services (99232, 99238), preventive medicine (99391/99392), and limited critical care (99291). This mix implies the group provides both outpatient primary care and some inpatient or acute care coverage, likely as part of a broader clinic-hospital affiliation or cross-setting practice model.

The provider’s NPI has been enumerated since 2008-12-03 (~18 years), indicating a long-tenured presence in Casper, WY. That tenure combined with extremely high in-state volumes on multiple codes suggests established referral patterns and entrenched payer relationships within the state Medicaid market.

Medicaid: Complete Services Breakdown

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

56 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…	21,230	$50	$1.1M
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…	3,340	$40	$143.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	3,720	$30	$100.5K
90961	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…	1,330	$50	$70.4K
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.	1,050	$50	$53.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,760	$30	$45.9K
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…	520	$80	$39.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	2,020	$20	$36.4K
90960	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…	870	$40	$33.7K
99203	The provider sees a new 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 provider…	400	$80	$31K

Showing 1–10 of 56

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

Wyoming Health Medical 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	13	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…	5	10	480	$370	$184.7K
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…	21	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…	4	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…	5	10	350	$110	$66.7K
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…	15	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.	18	70	490	$40	$42.9K
90961	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…	1	10	680	$50	$35.8K
99204	The provider sees a new 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 provider…	29	30	30	$110	$35.2K
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…	18	40	170	$70	$34.1K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
Debra Griner	WY	Family Nurse Practitioner	$622.8K	$0
Banner Health Physicians West LLC	WY	Multi-Specialty Clinic/Center	$0	$368.9K
Platte County Hospital	WY	Rural Health Clinic/Center	$0	$344.5K
Matthew Rutman	NY	Urology Physician	$277.1K	$39.9K
Douglas Tangel	CO	Pulmonary Disease Physician	$276.3K	$0
Marjorie Wells	WY	Family Medicine Physician	$273.6K	$0
Kumari Usha	WI	Nephrology Physician	$258.2K	$0
Mary Burke	WY	Family Medicine Physician	$253.5K	$0
Jason Lloyd	WY	Family Medicine Physician	$241.3K	$0

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
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
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

Wyoming Health Medical Group, LLC — Billing Profile & Reimbursement Data

Sign up for Wyoming Health Medical Group, LLC — Billing Profile & Reimbursement Data policy alerts

Wyoming Health Medical Group, LLC — Billing Profile & Reimbursement Data

Sign up for Wyoming Health Medical 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