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.

Hot Springs County Hospital District (NPI 1861550642)

Hot Springs County Hospital District is a critical access hospital provider located in Thermopolis, Wyoming. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hot Springs County Hospital District
Address	150 E Arapahoe St
City	Thermopolis
State	WY
ZIP	82443
Taxonomy	Critical Access Hospital
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$10.3K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	60	$50	$3.4K
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.	60	$50	$3.1K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	130	$10	$1.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	160	$10	$1.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	20	$10	$170
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	80	$1	$80
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	20	$1	$50
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$0	$0
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	110	$0	$0
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	10	$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

Hot Springs County Hospital District — 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	28	30	610	$90	$246.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	20	20	330	$30	$16.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	8	10	90	$30	$8.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	31	50	230	$10	$5.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	42	50	100	$10	$5.1K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	3	10	130	$10	$3.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	21	30	200	$1	$2.3K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	9	10	120	$10	$1.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	21	30	430	$1	$1.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	42	50	140	$1	$820

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Hot Springs County Hospital District	WY	Rural Health Clinic/Center	$0	$1.1M
Hot Springs County Hospital District	WY	Rural Health Clinic/Center	$0	$689.3K
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Eric Hoyer	WY	Diagnostic Radiology Physician	$534.9K	$0
Shawn Ahmed	MN	Diagnostic Radiology Physician	$505K	$0
Hot Springs County Hospital District	WY	Family Medicine Physician	$0	$411.5K
Brian Lagreca	MT	Ophthalmology Physician	$381.6K	$0
Scott Sullivan	CT	Diagnostic Radiology Physician	$219K	$0
Matthew Fournier	WY	Orthopaedic Surgery Physician	$196.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Big Horn Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$25.1M
Wyoming Pioneer Home	WY	Assisted Living Facility	$0	$2.2M
Community Home Health Services LLC	WY	Home Health Agency	$0	$610.3K
Wendy Carver	WY	Case Manager/Care Coordinator	$0	$198K
County Of Hot Springs	WY	Public Health or Welfare Agency	$46.8K	$42.2K
Red Rock Family Practice, Inc	WY	Rural Health Clinic/Center	$0	$82.8K
High Country Behavioral Health	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$73.5K
Dana Mcdermott	WY	Optometrist	$27.9K	$34K
Ryan Williams	WY	Physical Therapist	$60.8K	$0
Vicklund Inc.	WY	Pharmacy	$54.9K	$90

Hot Springs County Hospital District — Billing Profile & Reimbursement Data

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Hot Springs County Hospital District — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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