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.

Lander Medical Clinic, PC (NPI 1932299690)

Key Findings

Field	Value
Entity Type	Organization
Organization	Lander Medical Clinic, PC
Address	745 Buena Vista
City	Lander
State	WY
ZIP	82520
Taxonomy	Family Medicine Physician
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

LANDER MEDICAL CLINIC, PC reports no Medicare billing on file and total Medicaid revenue of $2.1M, making its publicly visible payer footprint essentially single‑payer at the Medicaid level rather than split between Medicare and Medicaid. Analysts should treat Medicaid as the primary revenue source when modeling this provider’s financial exposure and market role.

Revenue is highly concentrated: the top 3 Medicaid codes by revenue account for 82.3% of this provider's total Medicaid revenue. Those top contributors are S0281 ($788.3K, 38.1%), 99213 ($778K, 37.6%), and 90460 ($136.3K, 6.6%), indicating that a very large share of payments comes from a small set of services.

The code mix points to a primary care / family medicine practice organized around medical home and high-volume established outpatient visits. Heavy billing for S0281 (medical home program, comprehensive care coordination and planning) plus large volumes of 99213 (low‑complexity established office visits) and presence of 99214/99215 and pediatric immunization codes suggests the clinic’s operations emphasize care coordination, frequent E/M visits, and routine vaccinations consistent with Family Medicine taxonomy.

S0281 is a clear statewide outlier: the provider ranks #1 of 18 in-state for S0281 and is described as 100th percentile and notably above typical state volume for this code, signaling dominance in Medicaid medical‑home billing locally. 99213 also registers at a high relative position (rank #8 of 257; 97th percentile; notably above typical state volume), which supports the view that this clinician is a major source of routine established‑visit volume in the state’s Medicaid population. In contrast, 90460 ranks #8 of 73 (90th percentile) but is characterized as typical, unremarkable volume for that vaccine code.

The prominence of S0281 revenue implies the practice derives substantial dollars from Medicaid’s care‑coordination/medical‑home reimbursement stream rather than from high‑margin procedures or diagnostics. This pattern suggests operational emphasis on care‑management workflows and recurring, programmatic billing rather than episodic procedure volume; changes to Medicaid medical‑home eligibility or payment methodology would therefore materially affect revenue.

Because the practice shows no Medicare billing on file, its payer mix is heavily skewed toward Medicaid and it is exposed to state Medicaid policy and rate changes more than to Medicare rule changes. For payers and competitors, this makes LANDER MEDICAL CLINIC a Medicaid‑centric provider whose utilization and reimbursement sensitivity are tied to Wyoming Medicaid program rules and participation incentives.

The provider’s NPI was enumerated on 2006-10-13 (~20 years ago), indicating an established presence in the market; combined with very large Medicaid claim counts for top codes (for example, 131.4K claims for S0281 and 15.3K claims for 99213), this tenure likely reflects sustained patient panels and long‑running participation in state programs.

Ancillary services and diagnostics contribute only modestly to revenue relative to the top codes: preventive medicine (99391 $95.6K, 4.6%), basic lab panels and CBCs (85025 $8.1K; 80053 $3K), and several immunization codes appear in the mix but at much smaller dollar shares. Overall the profile is consistent with a visit‑based primary care practice with limited high‑revenue ancillary lines, reinforcing the business case for a care‑coordination/medical‑home operational model rather than a procedure‑driven specialty practice.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	131,390	$10	$788.3K
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	$50	$778K
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.	2,900	$50	$136.3K
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…	2,120	$60	$133.7K
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…	1,270	$80	$95.5K
90837	In 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…	700	$50	$35.4K
99392	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…	450	$70	$33.1K
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,…	240	$40	$9.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	100	$90	$9K
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…	1,610	$10	$8.1K

Showing 1–10 of 40

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

Lander Medical Clinic, PC — 2 of 25 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	1	20	13,160	$10	$190.1K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	3	10	860	$10	$110.5K
90837	In 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…	46	140	350	$70	$81.5K
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…	40	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…	8	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…	6	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.	8	70	490	$40	$42.9K
99392	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…	11	40	170	$70	$34.1K
90792	In 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…	13	20	100	$70	$25.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	16	30	100	$60	$17.8K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamie Giesbrandt	NM	Diagnostic Radiology Physician	$385.5K	$0
Andrew Mcalpin	WY	Internal Medicine Physician	$235.1K	$0
Clinton Mcmahill	WY	Internal Medicine Physician	$227.5K	$0
James Hutchison	WY	Physician Assistant	$196.1K	$0
Kacie Gallo	WY	Family Medicine Physician	$162K	$0
Broc White	WY	Family Medicine Physician	$131.1K	$0
Demar Hill	WY	Family Medicine Physician	$111.3K	$0
Julia Fairbank	WY	Physician Assistant	$100.3K	$0
Erica Strandberg	WY	Family Medicine Physician	$78.2K	$0
Tras Pfeifer	WY	Physician Assistant	$57.2K	$0

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
Eh Health Home Health Of The Northwest, LLC	WY	Home Health Agency	$0	$2M
Gregory P Clifford Md PC	WY	Personal Emergency Response Attendant	$0	$1.8M
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

Lander Medical Clinic, 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