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.

Castle Rock Special Hospital District (NPI 1952457996)

Field	Value
Entity Type	Organization
Organization	Castle Rock Special Hospital District
Address	1400 Uinta Dr
City	Green River
State	WY
ZIP	82935
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports total Medicaid revenue of $2.8M, making it effectively a Medicaid-focused operation in this dataset. Treat analyses of scale and revenue risk as single-payer (Medicaid) for financial modeling and competitive comparisons.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of total Medicaid revenue, with T1015 accounting for $2.8M (99.3% of Medicaid revenue), 99214 $10.3K (0.4%), and 99213 $8.4K (0.3%). This concentration indicates nearly all dollars flow through a very small set of codes.

The dominance of T1015 (Clinic visit/encounter, all-inclusive) — 17.3K claims at an average paid/claim of $161 — is consistent with the provider’s Rural Health Clinic/Center taxonomy and suggests operations are organized around bundled clinic encounters and outpatient primary-care visits. The presence of substantial claim volumes for preventive and vaccination codes (for example, 90460 1K claims, 90461 623 claims, 99391 446 claims) and lab diagnostics (87631 469 claims, 87651 354 claims) indicates a broader service mix including immunizations and point-of-care testing despite those items contributing little direct revenue.

Statewide competitive standing varies by code: T1015 ranks #7 of 53 (88th percentile), indicating an above-average position for the all-inclusive clinic visit; 99213 ranks #14 of 257 (95th percentile) and 99214 ranks #54 of 223 (76th percentile), which shows relatively high claim volumes for common E/M levels even though they contribute minimally to revenue. The dataset classifies the activity levels for these top codes as "typical, unremarkable volume for this code," so the provider sits within normal peer variation despite some high percentile ranks.

There is a clear payments-versus-volume mismatch across E/M codes: 99213 posts 8.4K claims with a $1 avg paid/claim ($8.4K revenue) and 99214 posts 1.7K claims with a $6 avg paid/claim ($10.3K revenue), while T1015 drives nearly all Medicaid dollars. This pattern implies the clinic’s financial profile is driven by bundled clinic encounter reimbursement rather than item-level fee-for-service E/M rates.

Several preventive, vaccine, and lab codes show meaningful claim activity but $0 avg paid/claim and $0 reported revenue in the dataset (examples include 90460 with 1K claims, 87631 with 469 claims, and 99391 with 446 claims). Those zero-dollar lines reduce their direct revenue impact yet signal the provider delivers routine immunizations, preventive visits, and diagnostic testing to the Medicaid population.

The provider has an NPI enumerated on 2007-01-25 (~19 years ago), indicating long-standing presence in its community. Combined with the RHC taxonomy and the observed claims profile, this suggests an established rural clinic model that relies principally on Medicaid bundled clinic encounter payments for its revenue base.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	17,320	$160	$2.8M
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…	1,720	$10	$10.3K
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…	8,410	$1	$8.4K
0241U	N/A	40	$0	$0
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	140	$0	$0
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	60	$0	$0
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	470	$0	$0
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	40	$0	$0
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	350	$0	$0
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.	1,050	$0	$0

Showing 1–10 of 25

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

Castle Rock Special Hospital District — 0 of 3 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	50	1,690	$360	$3.3M
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…	54	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…	14	260	420	$30	$67.2K
0241U	N/A	5	10	70	$100	$50.4K
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…	18	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.	19	70	490	$40	$42.9K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	4	10	110	$90	$37.3K
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…	20	40	170	$70	$34.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	25	30	100	$60	$17.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	6	10	230	$30	$16.3K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Rock Special Hospital District	WY	Land Ambulance	$719.3K	$192.3K
Castle Rock Special Hospital District	WY	Clinical Medical Laboratory	$72.6K	$0
Castle Rock Special Hospital District	WY	Radiologic Technologist	$7K	$0

Nearby Providers

Other providers in the same ZIP code as Castle Rock Special Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smiths Food & Drug Centers Inc	WY	Community/Retail Pharmacy	$135.2K	$0
Best Care Family Practice LLC	WY	Family Nurse Practitioner	$0	$128.1K
Sweetwater County Child Developmental Center	WY	Clinic/Center	$0	$100.4K
Malinda Tollefson	WY	Clinical Social Worker	$0	$69.5K
Nicholas Hastert	WY	Physical Therapist	$61.3K	$0
Michael Nelson	WY	Physical Therapist	$59.4K	$0
Hayley Strauss	WY	Physical Therapist	$44.8K	$0
Garrett Hybarger	WY	Physical Therapist	$44.5K	$0
Alisa Orr	WY	Adult Health Nurse Practitioner	$34.6K	$0
Jacob Flores	WY	Physical Therapist	$33.1K	$0

Castle Rock Special Hospital District — Billing Profile & Reimbursement Data

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Castle Rock Special Hospital District — 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