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.

Normative Services, Inc. (NPI 1174679195)

Field	Value
Entity Type	Organization
Organization	Normative Services, Inc.
Address	5 Lane Lane
City	Sheridan
State	WY
ZIP	82801
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $8.5M in lifetime Medicaid revenue, i.e., its entire billed lifetime revenue on file is Medicaid-based; in practical terms NORMATIVE SERVICES, INC. functions as an effectively single-payer Medicaid provider in the available data. The absence of Medicare activity means any cross-payer comparisons should focus on Medicaid dynamics only for this entity.

Revenue is highly concentrated in a single service line: the precomputed top 3 Medicaid codes by revenue account for 100.0% of the provider's total Medicaid revenue, with S5145 alone accounting for $8.5M (99.5% of Medicaid revenue), reported as 3.5K claims at $2444 avg paid/claim. That concentration indicates nearly all Medicaid dollars flow through a single per-diem foster-care/therapeutic code.

The code mix and taxonomy indicate the core business is residential/therapeutic foster care for children: S5145 (Foster care, therapeutic, child; per diem) dominates revenue and aligns directly with the listed taxonomy of Emotionally Disturbed Childrens' Residential Treatment Facility. The presence of 99212 (762 claims, $51 avg paid/claim, $38.9K revenue) shows a small secondary stream of outpatient evaluation-and-management activity, consistent with periodic office follow-ups or brief clinical encounters tied to the residential population.

Competitive standing for the primary code is effectively uncontested in-state: S5145 is listed as #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), meaning this provider is the sole in-state reporter for that code and thus the de facto in-state source of Medicaid revenue for that service. Because there are no in-state peers for direct volume comparison, position should be interpreted as dominance by default rather than a measured market share among multiple competitors.

For ancillary outpatient E/M services the provider is a modest participant: 99212 ranks #14 of 70 providers in-state (81th percentile; typical, unremarkable volume for this code), indicating its use of routine office visits is near the middle-to-upper range among in-state peers but represents only 0.5% of the provider's Medicaid revenue. This suggests the operation prioritizes per-diem residential care while maintaining expected levels of outpatient clinical contact.

NORMATIVE SERVICES, INC. has an NPI enumeration date of 2007-01-25 (~19 years ago), indicating long tenure in the Medicare/Medicaid enrollment system; this longevity supports interpretation of the observed billing pattern as an established business model rather than a short-lived or transient filer. Long-term enrollment combined with revenue concentration implies stable specialization in the documented service line.

The extreme concentration in one Medicaid code creates operational sensitivity: because S5145 represents 99.5% of Medicaid revenue and the top three codes total 100.0% of Medicaid revenue, changes to per-diem foster-care reimbursement, eligibility, or program policy could materially affect the provider's financials. The lack of Medicare billing further amplifies this exposure because there is no alternate federal payer revenue stream to offset Medicaid reimbursement shifts.

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
S5145	Foster care, therapeutic, child; per diem	3,470	$2,440	$8.5M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	760	$50	$38.9K

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

Normative Services, Inc. — 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
S5145	Foster care, therapeutic, child; per diem	1	10	3,470	$2,440	$8.5M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	14	70	70	$20	$10.2K

Nearby Providers

Other providers in the same ZIP code as Normative Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lgbtq Telepsychiatry	WY	Psychiatric/Mental Health Nurse Practitioner	$0	$3.9M
Rehabilitation Enterprises Of Northeastern Wyoming	WY	Clinical Psychologist	$0	$3.5M
Northeast Wyoming Pediatric Associates, P.C.	WY	Pediatrics Physician	$0	$3.2M
Gillette Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$2.9M
Eagle Ridge Rehabilitative Services	WY	Case Management Agency	$0	$2.6M
David Bailey	WY	Pediatric Dentistry	$0	$2.6M
Sensational Kids, LLC	WY	Pediatric Occupational Therapist	$0	$2.1M
Memorial Hospital Of Sheridan County	WY	General Acute Care Hospital	$0	$989.7K
Linda Garretson	WY	Developmentally Disabled Services Day Training Agency	$0	$989.3K
Senior Citizens Council	WY	Home Health Agency	$0	$959.7K

Normative Services, Inc. — Billing Profile & Reimbursement Data

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Normative Services, Inc. — 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