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.

North Big Horn Hospital (NPI 1750485793)

Field	Value
Entity Type	Organization
Organization	North Big Horn Hospital
Address	1115 Lane 12
City	Lovell
State	WY
ZIP	82431
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$607.6K
Medicare	$0

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
T1015	Clinic visit/encounter, all-inclusive	6,850	$90	$602.4K
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.	70	$60	$3.7K
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…	790	$1	$790
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.	10	$40	$570
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	40	$1	$110
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.	10	$0	$0
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…	1,550	$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

North Big Horn Hospital — 0 of 5 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
T1015	Clinic visit/encounter, all-inclusive	16	50	1,690	$360	$3.3M
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.	27	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…	90	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…	69	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.	20	20	110	$60	$54.1K
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.	72	70	490	$40	$42.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	14	20	90	$20	$10.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Big Horn Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Groover	MT	Adult Reconstructive Orthopaedic Surgery Physician	$370.4K	$0
Meghan Mckeon	MO	Diagnostic Radiology Physician	$318.9K	$0
Randy Folker	WI	Otolaryngology Physician	$146.4K	$25.3K
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
Zachary Bland	MT	Vascular & Interventional Radiology Physician	$118.9K	$0
Per Sommer	MT	Interventional Cardiology Physician	$115.6K	$0
Scott Paulsen	MT	Diagnostic Radiology Physician	$110.2K	$0
Tara Bowman Seitz	MT	Diagnostic Radiology Physician	$106.7K	$0

Nearby Providers

Other providers in the same ZIP code as North Big Horn Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tabitha Sockey	WY	Case Manager/Care Coordinator	$0	$559.4K
Charles Cordova	WY	Professional Counselor	$0	$285K
Lovell Dental	WY	General Practice Dentistry	$0	$160.8K
Lance Anderson	WY	General Practice Dentistry	$0	$152.7K
Brio & Balance LLC	WY	Professional Counselor	$0	$111.1K
Kathryn Winterholler	WY	Counselor	$0	$107.2K
Greg Burton	WY	Physical Therapist	$51.5K	$0
Michelle L Croft	WY	Social Worker	$0	$45.8K
Hoffman Snyder Tlc, LLC	WY	Surgery Physician	$0	$25.4K
North Big Horn Hospital District	WY	Critical Access Hospital	$0	$14.6K

North Big Horn Hospital — Billing Profile & Reimbursement Data

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North Big Horn Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References