Call list

Prescribers by total Medicare Part D volume for the selected specialty and county (this atlas ships the full Wyoming universe: 3,783 prescribers and clinicians). Tap a row for the profile.

Top Part D plans

Ranked by state enrollment (CMS Aug 2026); PBM decoded from the CMS BIN/PCN file; best tier per anchor drug from the CY2026 formulary files. PA applies to GLP-1s on effectively every plan. Pick a state above.

Payer mix

State atlases

51 state atlases live with the full state universe; every other state is covered by the national atlas today and gets its own page as the state builds land.

Counts are prescribers embedded in each atlas payload (national: top prescribers by CY2024 Part D claims; state atlases: the full state universe). Sizes are the compressed download.

Method & honesty page

• This atlas is the explorer, not the census. It ships every Wyoming Part D prescriber and every DAC-listed Wyoming clinician (3,783 rows, 82 specialties) — clinicians without Part D volume show zero claims rather than being dropped. The full 1.6M-provider universe with search, drug lookup, and coverage rules lives on PBSwitch.
• Exposure tiers are modeled, ordinal, Medicare-only — each prescriber's observed MA-PD vs PDP mix (CY2024) × their county's plan-parent enrollment shares (CMS, Aug 2026) for whichever payer you select. Bands: HIGH ≥45% / ELEVATED 30–45% / BASELINE 15–30% / LOW <15%. Never comparable to claims-measured share; silent on the commercial book.
• Locations are zip-centroid approximations (jittered) — right block, maybe not the right parking lot.
• Network chips are participation, not volume (UHC Choice Plus Aug 2026 · BCBS 51-state builds Jun–Aug 2026 · Cigna national PPO Jul 2026 · UHC exchange, 24 states · Aetna = known gap).
• Employer→PBM detail is a DFW-pilot feature today (documented map of 75 employers); other metros show documented carrier weights only, from Form 5500 filings.
• Vintages: providers DAC 7/2026 · volumes CY2024 · enrollment/shares Aug 2026 · formulary CY2026. All public data; no patient-level information; not a coverage guarantee — verify with plan documents.

PBSwitch · Next Tier Careers · 2113 Castle Creek Dr, Mansfield, TX 76063 · method trail FINDINGS_01–07 + national build log