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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. Wyoming

Wyoming Medicare Spending

Medicare provider payments and utilization data for Wyoming (WY)

🔎 Data Analysis

Wyoming received $1.1B in total Medicare provider payments across 10 years of data.

The top specialty by spending is Physical Therapist in Private Practice, accounting for $16.6M in payments across 310 providers.

In 2023, 2.2K providers were actively billing Medicare in Wyoming.

Annual Medicare spending grew 47% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

⚠️

1 AI-Flagged Provider in Wyoming

Providers in this state flagged by the ML v2 fraud detection model

Michael StrahanInternal Medicine
91.4%
View all ML-flagged providers →
Total Payments (10yr)
$1.1B
+0.3% vs 2022
Active Providers (2023)
2.2K
4.2M services
Top Specialty
Physical Therapist in Private Practice
$16.6M total
Specialties
30
$62.0K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$91.0M3.3M1.7K—
2015$96.8M3.5M1.8K+6.4%
2016$96.7M3.2M1.9K-0.1%
2017$100.3M3.2M1.9K+3.7%
2018$113.8M3.8M2.0K+13.5%
2019$119.2M4.2M2.0K+4.7%
2020$113.5M3.8M2.1K-4.8%
2021$135.3M4.1M2.1K+19.2%
2022$133.5M4.2M2.1K-1.3%
2023$133.8M4.2M2.2K+0.3%

Top Providers in Wyoming

#ProviderSpecialtyPaymentsServices
1Douglas HolmesOphthalmology$4.1M44.5K
2John PurvianceRadiation Oncology$2.5M35.9K
3Elie FahedMedical Oncology$1.9M147.7K
4American Medical Response Ambulance Service IncAmbulance Service Provider$1.4M28.2K
5Gem City Bone & Joint PcAmbulatory Surgical Center$1.3M825
6Iloabueke ChinekeHematology-Oncology$1.2M51.7K
7Angelo SantiagoNeurology$1.1M22.3K
8Cheyenne Ocular Surgery, LlcAmbulatory Surgical Center$1.0M4.3K
9Guardian Flight LlcAmbulance Service Provider$934.9K12.7K
10Northern Wyoming Surgical Center, LlcAmbulatory Surgical Center$865.9K3.3K
11Powder River Surgery CenterAmbulatory Surgical Center$830.0K6.5K
12Guardian Flight LlcAmbulance Service Provider$738.8K9.5K
13Frontier Ambulance LlcAmbulance Service Provider$737.9K14.5K
14Castle Rock Special Hospital DistrictAmbulance Service Provider$719.3K26.5K
15Guardian Flight LlcAmbulance Service Provider$698.9K19.1K
16Sandra SurbruggDermatology$664.9K11.3K
17Center For Dermatologic SurgeryAmbulatory Surgical Center$656.4K3.2K
18Central Wyoming Outpatient Surgery Center, LlcAmbulatory Surgical Center$631.3K1.2K
19Casper Wy Endoscopy Asc LlcAmbulatory Surgical Center$626.9K2.0K
20Debra GrinerNurse Practitioner$622.8K55.8K
21Michel SkafCardiology$616.1K7.8K
22Laurie JohnsonPhysician Assistant$612.5K23.1K
23Anne MillerOphthalmology$594.5K7.1K
24Guardian Flight LlcAmbulance Service Provider$573.6K15.6K
25Cheyenne Surgical Center LlcAmbulatory Surgical Center$567.4K1.3K

Most Billed Procedures in Wyoming

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$11.6M144.7K784
99213Established patient office or other outpatient visit, 20-29 minutes$8.4M152.0K849
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$6.0M337.6K354
97530Therapy procedure using functional activities$3.6M146.4K267
97140Therapy procedure using manual technique, each 15 minutes$3.5M222.7K336
66984Removal of cataract with insertion of prosthetic lens$3.0M7.2K75
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$3.0M138.5K282
J0897Injection, denosumab, 1 mg$2.7M148.6K53
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$2.3M18.7K174
J9271Injection, pembrolizumab, 1 mg$2.1M48.6K4
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$2.1M35.0K191
J0178Injection, aflibercept, 1 mg$2.1M3.0K2
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$2.0M4.3K14
99215Established patient office or other outpatient visit, 40-54 minutes$1.9M15.4K222
92014Established patient complete exam of visual system$1.8M23.7K84
99285Emergency department visit with high level of medical decision making$1.7M13.5K92
99204New patient office or other outpatient visit, 45-59 minutes$1.7M15.8K339
27447Replacement of knee joint, both sides of knee$1.6M1.6K50
A0431Ambulance service, conventional air services, transport, one way (rotary wing)$1.3M2814
90837Psychotherapy, 1 hour$1.3M14.9K62

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Physical Therapist in Private Practice$16.6M310$53.7K
Nurse Practitioner$10.0M329$30.3K
Ambulatory Surgical Center$9.8M20$489.5K
Family Practice$9.7M168$57.5K
Ambulance Service Provider$8.3M26$317.8K
Physician Assistant$6.9M206$33.7K
Ophthalmology$6.3M6$1.1M
Internal Medicine$6.1M82$74.0K
Diagnostic Radiology$5.9M37$158.3K
Orthopedic Surgery$5.4M64$83.9K
Optometry$4.5M95$47.9K
Dermatology$3.5M11$315.1K
Mass Immunizer Roster Biller$2.8M55$51.2K
Radiation Oncology$2.7M3$913.0K
Cardiology$2.7M12$225.4K
Emergency Medicine$2.5M71$35.5K
Neurology$2.2M9$248.9K
Occupational Therapist in Private Practice$2.1M52$40.3K
Medical Oncology$1.9M3$641.7K
Urology$1.7M12$138.9K
Hematology-Oncology$1.6M9$183.2K
General Surgery$1.5M37$40.5K
Chiropractic$1.4M96$14.8K
Interventional Cardiology$1.3M8$161.9K
Physical Medicine and Rehabilitation$1.1M7$162.7K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.