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.

Frontier Wyoming, L.L.C. (NPI 1053503565)

Field	Value
Entity Type	Organization
Organization	Frontier Wyoming, L.L.C.
Address	230 N 1st St
City	Lander
State	WY
ZIP	82520
Taxonomy	Home Health Agency
NPI Enumerated	August 17, 2007

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Key Findings

FRONTIER WYOMING, L.L.C. is listed as a Home Health Agency operating in LANDER, WY and has an NPI enumeration date of 2007-08-17 (~19 years ago), indicating long-standing enrollment and operational tenure in the Medicaid market. The provider’s taxonomy and longevity support a sustained focus on community-based home health services rather than a recent market entrant or short-term practice.

This entity reports no Medicare revenue on file and $2.5M in lifetime Medicaid revenue, making its financial footprint effectively single-payer and concentrated in the Medicaid program. The absence of Medicare billing suggests the provider’s patient population and service mix are tightly aligned with Medicaid-covered waiver populations rather than Medicare beneficiaries.

Revenue is extremely concentrated: the precomputed top-3 codes account for 100.0% of Medicaid revenue, and the single listed code T2024 alone is reported as 100.0% of the provider’s Medicaid revenue. That concentration indicates almost all billed activity and reimbursement are driven by a single service line rather than a diversified portfolio of clinical procedures.

T2024 (Service assessment/plan of care development, waiver) accounts for 357.2K claims, a $7 avg paid/claim, and $2.5M revenue (100.0% of this provider's total Medicaid revenue). This pattern — very high claim volume combined with a low per-claim payment — is consistent with a high-frequency assessment and care-planning operation that relies on scale to generate total revenue.

Given the code definition and the Home Health Agency taxonomy, the business appears to specialize in waiver assessments and plan-of-care development for Medicaid recipients, emphasizing care coordination and administrative/clinical assessment services rather than high-reimbursement procedures or durable medical interventions. This suggests operational processes and staffing oriented toward frequent assessments, documentation, and recurring plan updates.

Competitively, the provider ranks #1 of 37 in-state for T2024 and is described as a 100th percentile, extreme outlier, far above typical state volume for this code. That ranking characterizes FRONTIER WYOMING, L.L.C. as a dominant in-state provider for waiver assessment services and indicates it captures substantially more of this specific Medicaid activity than peers.

The single-code concentration creates strategic sensitivity: because T2024 drives all reported Medicaid revenue, any policy, rate, or coverage change affecting waiver assessment billing would materially impact the provider’s revenue profile. Absence of Medicare exposure and limited service diversification increases the provider’s operational and reimbursement risk relative to more diversified peers.

Operationally, the combination of 357.2K claims and a $7 avg paid/claim points to a business model built on very high throughput of low-unit reimbursed encounters. For payers and analysts, this profile has implications for contract design, utilization management, and program-level oversight focused on assessment frequency, billing practices, and alignment with waiver program rules.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2024	Service assessment/plan of care development, waiver	357,220	$10	$2.5M

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

Frontier Wyoming, L.L.C. — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2024	Service assessment/plan of care development, waiver	1	40	1,280	$40	$502.3K

Nearby Providers

Other providers in the same ZIP code as Frontier Wyoming, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Lander Medical Clinic, PC	WY	Family Medicine Physician	$0	$2.1M
Eh Health Home Health Of The Northwest, LLC	WY	Home Health Agency	$0	$2M
Gregory P Clifford Md PC	WY	Personal Emergency Response Attendant	$0	$1.8M
Guardian Flight LLC	WY	Air Ambulance	$699K	$586.5K
Jessica West	WY	Case Manager/Care Coordinator	$0	$964.6K
Knell Access Management	WY	In Home Supportive Care Agency	$0	$893.6K
Wyoming Path Behavioral Health, LLC	WY	Community/Behavioral Health Agency	$0	$836.8K
Fremont County Pediatric Clinic	WY	Pediatrics Physician	$0	$629.4K

Frontier Wyoming, L.L.C. — Billing Profile & Reimbursement Data

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Frontier Wyoming, L.L.C. — 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