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.

Number 34 (NPI 1124473376)

Field	Value
Entity Type	Organization
Organization	Number 34
Address	2802 W C St
City	Torrington
State	WY
ZIP	82240
Taxonomy	Case Management Agency
NPI Enumerated	April 25, 2016

Payer Source	Total Paid
Medicaid	$301.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	1,610	$70	$107.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	980	$90	$85.9K
T1016	Case management, each 15 minutes	1,000	$60	$63.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	330	$80	$26K
H0038	Self‑help/peer services, per 15 minutes	300	$50	$15.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	40	$40	$1.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	40	$30	$1000

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

Number 34 — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	58	170	840	$80	$192.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	72	140	350	$70	$81.5K
T1016	Case management, each 15 minutes	3	20	100	$130	$52.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	9	10	480	$20	$41.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	5	30	130	$100	$41.3K
H0038	Self‑help/peer services, per 15 minutes	6	20	170	$30	$13K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	16	20	60	$30	$4.5K

Nearby Providers

Other providers in the same ZIP code as Number 34, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diversified Services Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$10M
Community Hospital	WY	Rural Health Clinic/Center	$0	$3.6M
Stacey Houk Family Enrichment Center LLC	WY	Professional Counselor	$0	$1.1M
New Hope Counseling	WY	Mental Health Counselor	$0	$900.7K
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$743.2K
Healing Connections Mental Health	WY	Professional Counselor	$0	$580.1K
Frederick Voltmer	WY	Case Manager/Care Coordinator	$0	$465.1K
Amanda Barnes	WY	Case Manager/Care Coordinator	$0	$434.4K
Volunteers Of America Northern Rockies	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$367.7K
Cowboy Clinic And Urgent Care LLC	WY	Family Nurse Practitioner	$0	$287.6K

Number 34 — Billing Profile & Reimbursement Data

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Number 34 — Billing Profile & Reimbursement Data

Sign up for Number 34 — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References