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.

S48wy4, LLC (NPI 1770088130)

Field	Value
Entity Type	Organization
Organization	S48wy4, LLC
Address	606 23rd St
City	Rawlins
State	WY
ZIP	82301
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	March 28, 2018

Payer Source	Total Paid
Medicaid	$500.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	4,780	$80	$368.1K
H0038	Self‑help/peer services, per 15 minutes	1,770	$40	$67.1K
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…	500	$70	$34.6K
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…	330	$50	$17.7K
G9012	Other specified case management service not elsewhere classified	230	$40	$8.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	60	$70	$4K

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

S48wy4, LLC — 1 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	19	170	840	$80	$192.2K
G9012	Other specified case management service not elsewhere classified	32	40	460	$50	$97.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	115	140	350	$70	$81.5K
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…	104	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…	140	260	420	$30	$67.2K
H0038	Self‑help/peer services, per 15 minutes	1	20	170	$30	$13K

Nearby Providers

Other providers in the same ZIP code as S48wy4, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital Of Carbon County	WY	Critical Access Hospital	$0	$938.9K
High Plains Vision Center, LLC	WY	Optometrist	$0	$399K
Charles Young	WY	Family Medicine Physician	$86.8K	$195.4K
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

S48wy4, LLC — Billing Profile & Reimbursement Data

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S48wy4, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References