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.

Gregory P Clifford Md PC (NPI 1851439681)

Field	Value
Entity Type	Organization
Organization	Gregory P Clifford Md PC
Address	1320 Bishop Randall Dr
City	Lander
State	WY
ZIP	82520
Taxonomy	Personal Emergency Response Attendant
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and therefore reports no Medicare revenue; all reported public-payor activity comes through Medicaid, with total Medicaid revenue of $1.8M. The absence of Medicare activity makes this effectively a single-payer Medicaid billing profile for analysis and benchmarking purposes.

Revenue is highly concentrated: the top three Medicaid codes (99284, 99285, 99283) account for 99.8% of the provider's total Medicaid revenue, indicating a narrow service mix driving nearly all receipts. Those three codes are clearly the operational and financial core of the practice.

Code-level revenue shows 99284 at 9.5K claims, $90 avg paid/claim, $851.3K revenue (46.9% of total Medicaid revenue); 99285 at 6.1K claims, $112 avg paid/claim, $677.6K revenue (37.3%); and 99283 at 5.1K claims, $55 avg paid/claim, $283K revenue (15.6%). These figures point to the bulk of billing coming from emergency-department evaluation and management services across low-, moderate-, and high-acuity visit levels.

The claim mix (dominance of 99284/99285/99283) and the CPT descriptions for those codes indicate the provider operates with an emergency-department/urgent-evaluation service profile, managing a range of acuity from low to high medical decision making. Ancillary procedures are minimal in revenue terms: 93010 appears with 821 claims and only $4.1K revenue (0.2% of Medicaid revenue), which suggests EKG interpretation is billed but is a very small contributor to overall income.

Competitive standing in-state is modest-to-strong for the high-acuity ED code: 99285 ranks #3 of 15 providers in-state (86th percentile) and is described as "typical, unremarkable volume for this code," implying the provider is a relatively prominent but not dominant in-state participant for high-acuity ED visits. 99284 and 99283 rank #6 of 25 (79th percentile) and #6 of 34 (85th percentile) respectively and are also labeled "typical, unremarkable volume for this code," indicating above-average volume without an outlier designation.

The provider's NPI was enumerated on 2007-02-02 (~19 years ago), reflecting long-standing enrollment in the NPI system; this tenure suggests a stable billing history to evaluate but does not by itself reveal practice scale or affiliations.

Given the payer mix (no Medicare, $1.8M Medicaid) and the heavy reliance on emergency E/M codes, the business implications are that operational capacity, staffing, and clinical workflows are likely oriented toward episodic acute care visits rather than longitudinal primary-care or procedural services. Any evaluation of expansion, contracting, or utilization management should focus on ED visit volumes and acuity mix.

Statistical standing across reported codes shows no flagged outlier behavior in the provided labels: each of the top codes is annotated as "typical, unremarkable volume for this code," and even the low-revenue EKG code (93010) sits near the middle of statewide peers (46th percentile). This profile indicates an emergency-oriented provider with consistent, state-level typical volumes rather than extreme deviations from peer patterns.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	9,460	$90	$851.3K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	6,050	$110	$677.6K
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.	5,150	$60	$283K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	820	$10	$4.1K

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

Gregory P Clifford Md PC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6	30	1,430	$110	$429.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3	20	240	$110	$395K
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.	6	30	610	$90	$246.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	8	10	920	$10	$16.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gregory P Clifford Md PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremy Newman	WY	Emergency Medicine Physician	$41.7K	$0
Thomas Rangitsch	WY	Emergency Medicine Physician	$39.2K	$0
Gregory Clifford	WY	Emergency Medicine Physician	$35.6K	$0

Nearby Providers

Other providers in the same ZIP code as Gregory P Clifford Md PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Frontier Wyoming, L.L.C.	WY	Home Health Agency	$0	$2.5M
Lander Medical Clinic, PC	WY	Family Medicine Physician	$0	$2.1M
Eh Health Home Health Of The Northwest, LLC	WY	Home Health Agency	$0	$2M
Guardian Flight LLC	WY	Air Ambulance	$699K	$586.5K
Jessica West	WY	Case Manager/Care Coordinator	$0	$964.6K
Knell Access Management	WY	In Home Supportive Care Agency	$0	$893.6K
Wyoming Path Behavioral Health, LLC	WY	Community/Behavioral Health Agency	$0	$836.8K
Fremont County Pediatric Clinic	WY	Pediatrics Physician	$0	$629.4K

Gregory P Clifford Md PC — Billing Profile & Reimbursement Data

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Gregory P Clifford Md PC — Billing Profile & Reimbursement Data

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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