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    OpenPayerNPI Medicare & MedicaidCampbell County Hospital District
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    Campbell County Hospital District — Billing Profile & Reimbursement Data

    NPI 1881730141 · Gillette, WY · Substance Use Disorder Rehabilitation Clinic/Center

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    Campbell County Hospital District is a substance use disorder rehabilitation clinic/center provider located in Gillette, Wyoming. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCampbell County Hospital District
    Address501 S Burma Ave
    CityGillette
    StateWY
    ZIP82716
    TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
    NPI EnumeratedJanuary 30, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.3M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid outpatient behavioral health provider: there is no Medicare billing on file, and Total Medicaid revenue is $2.3M. The absence of Medicare activity means payer exposure and growth opportunities are concentrated almost entirely in Medicaid.

    Revenue is highly concentrated in a narrow set of outpatient behavioral codes: the precomputed top 3 Medicaid codes (H2019, 90837, 99214) account for 85.3% of the provider’s total Medicaid revenue. Those three codes individually are H2019 $1.1M (50.2%), 90837 $509.9K (22.3%), and 99214 $291.6K (12.8%), indicating most revenue is driven by therapeutic behavioral services, long psychotherapy sessions, and higher-complexity E/M visits.

    The code mix and taxonomy (Substance Use Disorder Rehabilitation Clinic/Center) point to an operation built around intensive outpatient behavioral services and psychotherapy: dominant revenues from H2019 (Therapeutic behavioral services) and 90837 (psychotherapy, 53+ minutes) plus substantial 99214 E/M activity suggest a workflow combining therapy slots with medical management and evaluation visits. Ancillary codes in the top 25 (e.g., H2010, G9012, H0031) further support a blended model of medication services, case management, and non-physician behavioral assessments.

    State-level competitive standing is mixed by code: the provider is a clear leader in long psychotherapy, with 90837 ranked #4 of 136 in-state (98th percentile; notably above typical state volume), signaling above-typical market share for that service. By contrast, H2019 ranks #13 of 171 (93th percentile; typical, unremarkable volume) and 99214 ranks #14 of 223 (94th percentile; typical, unremarkable volume), which indicate solid but not dominant placement for therapeutic behavioral services and mid-level E/M visits across the state.

    Claim volumes show heavy clinical throughput: 90837 has 8.4K claims, H2019 has 6.9K claims, and 99214 has 4.1K claims, all producing the majority of Medicaid revenue. These claim counts imply significant appointment capacity and staffing needs for psychotherapy and outpatient management, and they underscore reliance on high-frequency, session-based reimbursement rather than episodic inpatient care.

    The provider operates some telehealth and care-coordination functions at modest scale: Q3014 (telehealth originating site) appears with 487 claims and $8.3K revenue, and G9012 (case management) contributes $16.9K. These smaller but present revenue lines suggest the organization offers telehealth access and case management services as complementary components of its outpatient SUD/behavioral health mix.

    There is a notable billing anomaly in the top-25 list: 99484 shows 14 claims with $0 avg paid/claim and $0 revenue while ranking #1 of 1 in-state (0th percentile; no state peer comparison available). This pattern—claims recorded but no paid revenue—may reflect unreimbursed reporting, a non-billable submission, or other administrative/coverage nuances rather than clinical activity levels.

    The provider has an established presence by tenure: NPI enumerated on 2007-01-30 (~19 years ago), indicating long-standing enrollment in federal systems. Combined with $2.3M in Medicaid revenue and concentrated behavioral-health code production, the profile is consistent with an entrenched regional outpatient SUD/behavioral health clinic highly dependent on Medicaid payers for volume and revenue.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2019Therapeutic behavioral services, per 15 minutes6,910$170$1.1M
    90837In 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…8,360$60$509.9K
    99214The 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…4,110$70$291.6K
    99213The 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…2,980$40$131K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…2,190$50$118.2K
    G9012Other specified case management service not elsewhere classified390$40$16.9K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.160$100$15.6K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…360$40$13.2K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…110$120$12.6K
    H2010Comprehensive medication services, per 15 minutes510$20$10.7K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wyoming median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2019Therapeutic behavioral services, per 15 minutes13170840$80$192.2K
    G9012Other specified case management service not elsewhere classified2540460$50$97.8K
    90837In 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…4140350$70$81.5K
    99214The 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…14220400$50$79.3K
    99213The 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…40260420$30$67.2K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…540360$50$34.6K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…820100$70$25.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…324080$90$15.7K
    H0031Mental health assessment, by non-physician31020$90$11.5K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.53030$100$10.4K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Campbell County Hospital District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Campbell County Hospital DistrictWYGeneral Acute Care Hospital$0$1.9M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Campbell County Hospital DistrictWYUrgent Care Clinic/Center$0$1.1M
    Binh TranINRadiation Oncology Physician$1M$0
    Artin AharonianMDDiagnostic Radiology Physician$1M$0
    Campbell County Hospital DistrictWYPediatrics Physician$0$998.4K
    Campbell County Hospital DistrictWYEmergency Medicine Physician$0$964.2K
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Ryan Jean-baptisteCADiagnostic Radiology Physician$517K$47K
    Campbell County Hospital DistrictWYOxygen Equipment & Supplies (DME)$0$563.2K

    Nearby Providers

    Other providers in the same ZIP code as Campbell County Hospital District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Davis Home Health LLCWYHome Health Agency$0$3.5M
    Youth Emergency Services, Inc.WYEmotionally Disturbed Childrens' Residential Treatment Facility$0$2.4M
    Big Horn PediatricsWYPediatrics Physician$0$1.5M
    Ladeana BrownWYCase Management Agency$0$1M
    Powder River Surgery CenterWYAmbulatory Surgical Clinic/Center$830K$0
    Valorie HofmeisterWYCase Manager/Care Coordinator$0$628.4K
    Guardian Flight LLCWYAir Ambulance$554.5K$0
    Campbell County Hospital DistrictWYPediatrics Physician$0$410.5K
    Chantall CherryWYCase Management Agency$0$349.2K
    Campbell County Hospital DistrictWYHome Health Agency$0$289.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wyoming Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Campbell County Hospital District — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming