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.

University Of Wyoming (NPI 1770681439)

Field	Value
Entity Type	Organization
Organization	University Of Wyoming
Address	820 E 17th St
City	Cheyenne
State	WY
ZIP	82001
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and all reported public-payer activity is through Medicaid, with total Medicaid revenue of $5.5M. The absence of Medicare revenue makes UNIVERSITY OF WYOMING effectively a single-payer (Medicaid) billing entity in the available dataset, so Medicare-level service mix and competitiveness cannot be assessed from claims data here.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.7% of the provider's total Medicaid revenue, and a single code, T1015, drives the lion's share at $5.2M (95.0% of Medicaid revenue). That concentration indicates the organization's financial performance is highly sensitive to reimbursement or policy changes affecting T1015.

The taxonomy as a Federally Qualified Health Center (FQHC) and the dominance of T1015 (T1015 – Clinic visit/encounter, all-inclusive: 15.1K claims, $348 avg paid/claim, $5.2M revenue) point to a primary-care, bundled-visit operating model where FQHC-style per-visit bundles are the primary revenue driver. The secondary presence of S0281 (48.8K claims, $5 avg paid/claim, $244.1K revenue) signals that care coordination and medical-home activities are an explicit billed service line, consistent with comprehensive primary care delivery at an FQHC.

Although T1015 contributes $5.2M and ranks #8 of 53 providers in-state (87th percentile), the dataset characterizes its volume as "typical, unremarkable volume for this code," so the provider shows above-average statewide volume for this service without being an extreme outlier. S0281 ranks #6 of 18 in-state (71th percentile) and 99213 ranks #15 of 257 in-state (95th percentile), and both are also labeled "typical, unremarkable volume for this code," indicating that while some ranks are high, the overall pattern falls within expected peer variation rather than representing anomalous billing concentration across many codes.

Payment-level detail shows very low average paid amounts on many line items outside T1015 — for example, 99213 has 8.1K claims at $2 avg paid/claim producing $16.1K revenue, 99214 has 841 claims at $3 avg paid/claim producing $2.5K revenue, and several CPT/HCPCS entries report $0 avg paid/claim (e.g., 91301, 90460, 99391, 96127). This mix is consistent with an FQHC billing structure where the all-inclusive visit code (T1015) captures most reimbursement while E/M and vaccine codes may be bundled, denied, or zero-paid in Medicaid adjudication.

The extreme dependence on a single Medicaid code (T1015 at 95.0% of Medicaid revenue) represents a business concentration risk: operational or policy changes that affect FQHC visit bundling, rate-setting, or T1015 eligibility could materially affect the provider's revenue. From a payer/contracting perspective, the provider is a predictable Medicaid-focused FQHC counterparty whose negotiation leverage and service footprint are tied closely to primary-care visit volumes.

NPI tenure indicates a long-standing presence: the NPI was enumerated on 2006-09-20 (~20 years ago). That longevity, combined with FQHC taxonomy and heavy reliance on bundled clinic visits and care coordination codes, suggests an established community-oriented primary care operator rather than a hospital-based or specialty-focused billing entity.

Because there is no Medicare activity on file, comparative judgments about national Medicare competitiveness are not possible; instead, statewide Medicaid metrics provide the only peer context. Analyses of market share, network planning, or payment-model experiments should treat UNIVERSITY OF WYOMING as a Medicaid-centric FQHC with substantial exposure to T1015 reimbursement dynamics.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	15,080	$350	$5.2M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	48,830	$10	$244.1K
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…	8,060	$1	$16.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	270	$20	$5.8K
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…	110	$40	$4.9K
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…	840	$1	$2.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10	$60	$820
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.	80	$0	$0
91301	N/A	30	$0	$0
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	30	$0	$0

Showing 1–10 of 11

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

University Of Wyoming — 0 of 7 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	50	1,690	$360	$3.3M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	6	20	13,160	$10	$190.1K
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…	86	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…	15	260	420	$30	$67.2K
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…	47	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.	58	70	490	$40	$42.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	4	10	680	$20	$36.7K
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…	9	20	210	$20	$16.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	14	20	70	$50	$6K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	23	30	90	$1	$1.8K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Wyoming, 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
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$733.4K
Jonathon Medina	WY	Family Medicine Physician	$155.4K	$0
Mesha Dunn	WY	Family Medicine Physician	$145.7K	$0
Jerry Mclain	NE	Family Medicine Physician	$111.6K	$0
Erica Costello	WY	Medical Physician Assistant	$77.5K	$0
Tabitha Thrasher	WY	Family Medicine Physician	$35.8K	$0
Beth Robitaille	WY	Family Medicine Physician	$33.2K	$0
Jeremy Gates	WY	Surgery Physician	$22.5K	$0
Jessica Warren	WY	Family Nurse Practitioner	$14.6K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Wyoming, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magic City Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Cheyenne Habilitation & Therapeutic Center, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Specialty Counseling & Consulting	WY	Community/Behavioral Health Agency	$0	$8.2M
Cheyenne Regional Physicians Group, LLC	WY	Medical Oncology Physician	$0	$5.1M
Cheyenne Surgical Center LLC	WY	Ambulatory Surgical Clinic/Center	$567.4K	$4.5M
Memorial Hospital Of Laramie County	WY	General Acute Care Hospital	$0	$4M
Goodwill Industries Of Wy, Inc.	WY	Case Management Agency	$0	$3.9M
American Medical Response Ambulance Service Inc	WY	Ambulance	$1.4M	$2.3M
Summit Medical Group, LLC	WY	Emergency Medicine Physician	$0	$3.7M
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$3.3M

University Of Wyoming — Billing Profile & Reimbursement Data

Sign up for University Of Wyoming — Billing Profile & Reimbursement Data policy alerts

University Of Wyoming — Billing Profile & Reimbursement Data

Sign up for University Of Wyoming — 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