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.

Shoshone Tribe (NPI 1790824530)

Field	Value
Entity Type	Organization
Organization	Shoshone Tribe
Address	11 Shipton Lane
City	Fort Washakie
State	WY
ZIP	82514
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$668.3K
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
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…	1,010	$660	$668.3K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	2,770	$0	$0
A4657	Syringe, with or without needle, each	960	$0	$0
J1756	Injection, iron sucrose, 1 mg	130	$0	$0
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	630	$0	$0
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	1,860	$0	$0
J2501	Injection, paricalcitol, 1 mcg	6,740	$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

Shoshone Tribe — 1 of 1 code 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
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…	1	10	480	$370	$184.7K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	2	10	2,770	$20	$65.1K
J1756	Injection, iron sucrose, 1 mg	2	10	130	$20	$8.2K
A4657	Syringe, with or without needle, each	2	10	960	$1	$2.2K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	1	10	630	$1	$60
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	1	10	1,860	$0	$0
J2501	Injection, paricalcitol, 1 mcg	1	10	6,740	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Us Health Dept Of Health & Human Services	WY	Federal Public Health Clinic/Center	$0	$26.1M
Susan Duncan	WY	Clinical Social Worker	$35.9K	$0

Shoshone Tribe — Billing Profile & Reimbursement Data

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Shoshone Tribe — 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