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.

Wyoming Surgical Center LLC (NPI 1942261573)

Key Findings

Field	Value
Entity Type	Organization
Organization	Wyoming Surgical Center LLC
Address	4140 Centennial Hills Blvd
City	Casper
State	WY
ZIP	82609
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicare	$281.3K
Medicaid	$0

WYOMING SURGICAL CENTER LLC reports total Medicare revenue of $281.3K and has no Medicaid billing on file (none below), making it effectively a single‑payer (Medicare) operation in the data set; the provider’s NPI was enumerated on 2006-03-31 (~20 years ago), indicating long tenure but a relatively modest Medicare revenue base.

Revenue concentration is high within a small set of services: the precomputed top-3 Medicare codes account for 42.5% of this provider’s total Medicare revenue. Those top three are 64483 (212 claims, $291 avg paid/claim, $61.7K revenue, 21.9%), 64493 (130 claims, $270 avg paid/claim, $35.1K revenue, 12.5%), and 29848 (47 claims, $482 avg paid/claim, $22.7K revenue, 8.1%), indicating a dependence on a mix of interventional spine/pain injections and a key arthroscopic procedure.

The code mix is consistent with an Ambulatory Surgical Clinic/Center that combines interventional pain management with minor orthopedic surgery: high-volume injection codes (64483, 64493, 62323) sit alongside procedure codes for wrist arthroscopy/carpal tunnel (29848, 64721) and foot surgery (28308). Several additional codes such as 64635 ($18.5K, 6.6%) and 20680 ($18.2K, 6.5%) further show the facility bills both image‑guided nerve/ablation procedures and orthopedic implant removals, supporting a hybrid pain/orthopedics service line.

For interventional pain procedures the provider shows relatively strong placement versus national peers: 64483 ranks #1017 of 8202 providers (87th percentile) and 64493 ranks #1063 of 7519 providers (86th percentile), though the chart labels both as "typical, unremarkable volume." This means the center performs these injections at above‑median frequency nationally while the source characterizes the volumes as not atypical for ambulatory settings.

Orthopedic and hand/wrist surgical codes show pockets of relative strength but not dominance: 29848 (wrist endoscopic carpal tunnel release) ranks #389 of 1333 (69th percentile), and 28308 (metatarsal osteotomy) ranks #68 of 274 (74th percentile), both described as "typical, unremarkable volume." These rankings suggest modest regional specialization in certain procedures (notably foot surgery given the smaller national cohort) rather than national leadership.

Many billed services are higher‑frequency, lower‑paid injection and arthrocentesis codes (e.g., 20611: 144 claims, $37 avg paid/claim, $5.3K revenue; 20610: 87 claims, $24 avg paid/claim, $2.1K revenue), while a smaller set of procedures generate larger per‑claim payments (e.g., 29827: $1663 avg paid/claim, $18.3K revenue). This mix is typical for an ASC that combines clinic-based injection encounters with episodic operative cases, and it drives the uneven revenue contributions seen in the top‑3 concentration.

The absence of any Medicaid revenue (none below) creates payer concentration risk: the provider’s entire reported public‑payer billing is Medicare ($281.3K) with no Medicaid line to diversify public payor mix. For payer/provider analysts, that single‑payer exposure is relevant for contract negotiations and access patterns, especially in a state like WY where Medicaid participation can affect case referrals.

Taken together, the practice appears established (NPI enumerated 2006-03-31 (~20 years ago)) but modest in scale based on total Medicare receipts of $281.3K; it occupies a mid‑to‑upper tier of activity for certain interventional pain and select orthopedic codes (many of which are labeled in the data as "typical, unremarkable volume") rather than being a major national outlier or dominant provider across multiple service lines.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	210	$290	$61.7K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	130	$270	$35.1K
29848	The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.	50	$480	$22.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	40	$520	$18.5K
28308	The provider performs an osteotomy of any metatarsal bone other than the first. He may or may not lengthen, shorten, or correct an angular deformity of the metatarsal. He performs the procedure to…	30	$660	$18.3K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	10	$1,660	$18.3K
20680	Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…	20	$830	$18.2K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	40	$440	$17.7K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	40	$250	$11.2K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	20	$630	$10.6K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M

Wyoming Surgical Center LLC — Billing Profile & Reimbursement Data

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Wyoming Surgical Center LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64483	7	20	90	$200	$29.3K
29827	11	10	20	$970	$19.4K
64635	4	10	30	$400	$18.1K
64493	3	20	50	$190	$15.1K
64721	15	20	20	$440	$12.2K
28308	1	10	30	$430	$11.5K
29848	1	10	20	$440	$11.4K
G0260	5	10	30	$200	$10.4K
20680	1	10	20	$460	$8.4K
26055	2	20	20	$300	$8.2K