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.

Able Hands (NPI 1144421587)

Field	Value
Entity Type	Organization
Organization	Able Hands
Address	3405 White Mountain Blvd
City	Rock Springs
State	WY
ZIP	82901
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 31, 2007

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Key Findings

ABLE HANDS is effectively a single-payer Medicaid provider in Rock Springs, WY: lifetime Medicare revenue is none (no Medicare billing on file) while lifetime Medicaid revenue is $9.6M, indicating the organization’s clinical and billing activity is concentrated in Medicaid-funded habilitation services. This payer concentration means analyses of this entity should focus on Medicaid program rules and waiver reimbursement dynamics rather than Medicare trends.

Medicaid revenue is highly concentrated in a very small set of waiver habilitation codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with two codes alone reported in the file driving all documented revenue. Analysts should treat performance and risk as tightly linked to these habilitation services when modeling revenue sensitivity.

The two revenue-driving codes signal the provider’s service mix: T2016 (Habilitation, residential, waiver; per diem) accounts for $6.6M and 68.7% of Medicaid revenue from 5.6K claims at $1177 avg paid/claim, indicating substantial per-diem residential habilitation activity; T2021 (Day habilitation, waiver; per 15 minutes) accounts for $3M and 31.3% of Medicaid revenue from 7.4K claims at $408 avg paid/claim, showing significant day habilitation delivered in time-based units. Together these patterns point to a blended residential and day habilitation operation with residential per-diem services generating the majority of revenue despite lower claim volume.

Competitive standing differs by code: for T2016 the provider ranks #10 of 19 in-state (50th percentile) and is described as a typical, unremarkable volume participant for residential habilitation, suggesting median-scale engagement among peers for that service line. By contrast, for T2021 the provider ranks #3 of 8 in-state (71th percentile) and is also labeled typical, which implies a relatively stronger in-state position in day habilitation compared with its statewide peer set.

The claim and payment profile highlights different unit economics between service lines: T2016 has 5.6K claims at $1177 avg paid/claim while T2021 has 7.4K claims at $408 avg paid/claim, so residential per-diem billing produces higher average payments per claim even though day habilitation shows higher claim count. This suggests revenue growth or margin strategies that favor changes in service mix (for example, expanding higher-paid per-diem residential slots) would materially affect overall Medicaid revenue.

Because 100.0% of Medicaid revenue is tied to waiver habilitation codes, ABLE HANDS’ financial performance is highly exposed to changes in Medicaid waiver policy, reimbursement rates, or utilization management for habilitation services; any policy or contract shifts affecting either T2016 or T2021 could materially affect its $9.6M Medicaid base. Analysts should prioritize monitoring state waiver rulemaking and Medicaid rate setting for these specific codes.

ABLE HANDS has a long-standing enrollment history, with NPI enumerated 2007-05-31 (~19 years ago), which supports an interpretation of operational stability and sustained participation in Wyoming’s Medicaid habilitation network; combined with $9.6M lifetime Medicaid revenue and the concentrated code mix, this tenure indicates an established specialized provider rather than a new entrant expanding into other payers.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	5,630	$1,180	$6.6M
T2021	Day habilitation, waiver; per 15 minutes	7,410	$410	$3M

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

Able Hands — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	20	5,630	$520	$10.5M
T2021	Day habilitation, waiver; per 15 minutes	3	10	6,090	$260	$2.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsw, LLC	WY	Developmentally Disabled Services Day Training Agency	$0	$11.6M
Sweetwater Pediatrics P.C.	WY	Primary Care Clinic/Center	$0	$2M
Pain Care Center, LLC	WY	Pain Medicine (Anesthesiology) Physician	$0	$1.6M
Southwest Counseling Service	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.5M
Qrc LLC	WY	Case Management Agency	$0	$1.4M
University Of Utah Adult Services	WY	Emergency Medicine Physician	$0	$1.2M
Lcr Dental Rock Springs LLC	WY	Dentist	$0	$1.1M
Memorial Hospital Of Sweetwater County	WY	Internal Medicine Physician	$0	$1.1M
Aai Services LLC	WY	Case Management Agency	$0	$971.4K
Nicole Armstrong	WY	Case Manager/Care Coordinator	$0	$773.2K

Able Hands — Billing Profile & Reimbursement Data

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Able Hands — 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