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.

Bear Country Home Healthcare (NPI 1033654728)

Field	Value
Entity Type	Organization
Organization	Bear Country Home Healthcare
Address	230 S Jackson St
City	Casper
State	WY
ZIP	82601
Taxonomy	Home Health Agency
NPI Enumerated	January 4, 2017

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Key Findings

This provider is effectively single-payer Medicaid in scale: BEAR COUNTRY HOME HEALTHCARE reports $7.8M in lifetime Medicaid revenue and has no Medicare billing on file. The absence of Medicare activity indicates the organization’s revenue and operational footprint are concentrated in state Medicaid programs rather than dual Medicare/Medicaid flows.

Revenue concentration is high: the precomputed top three Medicaid codes account for 64.5% of the provider’s total Medicaid revenue, driven by T1004 ($2.7M, 34.7%), G0156 ($1.2M, 15.4%), and T1019 ($1.1M, 14.4%). Those three codes dominate the revenue mix and should be the focus for any utilization or contract-review work.

The code mix indicates a home-based personal care and aide-centric operation with substantial nursing support: T1004 (qualified nursing aide services, 15-minute units), G0156 (home health/hospice aide, 15-minute units), and T1019 (personal care services, 15-minute units) together point to a business model built on high-frequency, short-duration in-home aide services, while T1002 (RN services, up to 15 minutes) and S9123 (nursing care in the home; per hour) show concurrent registered nurse involvement. This mix suggests field staff capacity and scheduling for many brief visits is a core operational capability.

BEAR COUNTRY is a dominant statewide performer on multiple home-care codes: it ranks #1 in-state for T1004 (1 of 23, 100th percentile), G0156 (1 of 19, 100th percentile), T1019 (1 of 24, 100th percentile), T1002 (1 of 21, 100th percentile), S9123 (1 of 20, 100th percentile), and S5125 (1 of 8, 100th percentile). Those #1 rankings across a cluster of aide and nursing codes characterize the provider as a major in-state supplier of Medicaid home health and attendant care.

Several codes are flagged as statistical outliers relative to peers: G0156 is described as an "extreme outlier, far above typical state volume," while T1004, T1019, T1002, S9123, and S5125 are characterized as "notably above typical state volume." These labels indicate volumes materially higher than peers for both aide and nursing services and should inform benchmarking or utilization-review priorities.

Operational intensity is reflected in claim counts and unitization: T1004 shows 39.6K claims, G0156 21.8K claims, T1019 21.1K claims, and T1002 10.8K claims, with most of these codes paid by 15-minute or hourly units. The combination of very large claim counts and short-unit billing patterns implies a business optimized for frequent, short-duration in-home contacts rather than a low-volume, high-acuity model.

The provider offers a broader set of Medicaid services beyond the top three codes: S9123 contributes $696.3K (9.0% of Medicaid revenue), S5125 $684.6K (8.8%), and T2022 (case management, per month) $273.9K (3.5%). This indicates a service portfolio that extends into attendant care, hourly nursing, and case management, not solely personal care aide visits.

BEAR COUNTRY’s NPI was enumerated on 2017-01-04 (approximately 9 years ago), giving it nearly a decade of Medicaid activity to build scale. That tenure, paired with concentrated Medicaid revenue and consistent #1 statewide rankings on multiple home-care codes, suggests a mature Medicaid-focused operation that will be a significant counterparty in state-level contracting and utilization discussions.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1004	Services of a qualified nursing aide, up to 15 minutes	39,580	$70	$2.7M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	21,770	$60	$1.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	21,130	$50	$1.1M
T1002	Rn services, up to 15 minutes	10,850	$100	$1.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	10,880	$60	$696.3K
S5125	Attendant care services; per 15 minutes	11,800	$60	$684.6K
T2022	Case management, per month	1,620	$170	$273.9K
T2024	Service assessment/plan of care development, waiver	70	$290	$19.1K
T1001	Nursing assessment / evaluation	70	$60	$4.4K
S5130	Homemaker service, nos; per 15 minutes	40	$30	$1.2K

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

Bear Country Home Healthcare — 7 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1004	Services of a qualified nursing aide, up to 15 minutes	1	20	5,720	$70	$677.7K
T2024	Service assessment/plan of care development, waiver	34	40	1,280	$40	$502.3K
T2022	Case management, per month	60	140	1,170	$250	$471.9K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1	20	860	$90	$370.1K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1	20	2,280	$80	$337.2K
T1002	Rn services, up to 15 minutes	1	20	670	$120	$283.5K
S5125	Attendant care services; per 15 minutes	1	10	3,500	$60	$268K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1	20	1,510	$100	$251.6K
S5130	Homemaker service, nos; per 15 minutes	5	10	360	$100	$29.4K
T1001	Nursing assessment / evaluation	1	10	50	$70	$3.6K

Nearby Providers

Other providers in the same ZIP code as Bear Country Home Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Bear Country Home Healthcare — Billing Profile & Reimbursement Data

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Bear Country Home Healthcare — 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

Nearby Providers

Frequently Asked Questions

References