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.

Magic City Enterprises, Inc (NPI 1194895359)

Field	Value
Entity Type	Organization
Organization	Magic City Enterprises, Inc
Address	1780 Westland Rd
City	Cheyenne
State	WY
ZIP	82001
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$23.6M
Medicare	$0

Key Findings

MAGIC CITY ENTERPRISES, INC has no Medicare billing on file and reports $23.6M in lifetime Medicaid revenue, making its revenue profile effectively single-payer (Medicaid) rather than split between Medicare and Medicaid. This concentration in a single payer should orient analyses toward state Medicaid policy, waiver design, and provider reimbursement rates in Wyoming.

The provider has been enumerated since 2006-11-08 (~20 years ago), indicating long-standing participation in Medicaid networks and likely operational experience delivering developmentally disabled services under state waiver programs. Tenure at this scale supports institutional knowledge of local waiver billing practices.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 92.5% of this provider's total Medicaid revenue. Specifically, T2016 accounts for $15.1M (63.8%), S5100 for $3.7M (15.6%), and T2017 for $3.1M (13.1%), which implies a small set of service lines drive nearly all Medicaid receipts.

Code-level descriptions and payment units indicate the business mix is focused on residential habilitation and day habilitation/day care services: T2016 (habilitation, residential, waiver; per diem) being the largest single revenue source suggests a substantial residential waiver operation, while S5100 (day care services, adult; per 15 minutes) and T2017 (habilitation, residential, waiver; 15 minutes) show a heavy day-service and time-based habilitation component. This code mix is consistent with an organization delivering both residential supports and high-volume, time-billed day habilitation.

MAGIC CITY shows strong competitive standing in-state on its top codes: S5100 ranks #1 of 18 providers in Wyoming at the 100th percentile and T2017 ranks #1 of 6 providers at the 100th percentile, indicating market leadership for adult day and time-based habilitation services. T2016 ranks #2 of 19 providers at the 94th percentile, meaning the provider is notably above typical state volume for the residential habilitation per-diem code and is a major participant in that segment.

Smaller Medicaid codes such as T2019 ($1M, 4.4% of total) and T2021 ($710.2K, 3.0% of total), along with 97532 ($15.5K, 0.1% of total), represent modest, typical volumes and do not materially diversify revenue beyond the top three codes. These secondary lines appear to be routine additions rather than substantial alternative revenue streams.

Operational indicators show very high claim volumes on top lines—T2016 with 77.8K claims (avg $194 paid/claim), S5100 with 47.3K claims (avg $78 paid/claim), and T2017 with 37.3K claims (avg $83 paid/claim)—which signals labor- and service-intensive delivery models that rely on sustained utilization to generate revenue. The mix of per-diem and per-15-minute billing suggests significant staffing and scheduling complexity and potential sensitivity to utilization fluctuations.

From a risk and opportunity perspective, the provider’s heavy reliance on Medicaid waiver codes presents both vulnerability and advantage: vulnerability because changes in state waiver policy or reimbursement rates could disproportionately affect revenue, and advantage because top statewide ranks (including two 100th-percentile positions) imply a competitive moat and scale that could be leveraged for contract negotiations or program expansion within Wyoming. Analysts should monitor state waiver policy and provider-level utilization trends for early signals of revenue impact.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	77,770	$190	$15.1M
S5100	Day care services, adult; per 15 minutes	47,250	$80	$3.7M
T2017	Habilitation, residential, waiver; 15 minutes	37,250	$80	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	17,710	$60	$1M
T2021	Day habilitation, waiver; per 15 minutes	11,270	$60	$710.2K
97532	N/A	220	$70	$15.5K

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

Magic City Enterprises, Inc — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	20	5,630	$520	$10.5M
S5100	Day care services, adult; per 15 minutes	1	20	3,260	$210	$2.3M
T2021	Day habilitation, waiver; per 15 minutes	2	10	6,090	$260	$2.1M
T2017	Habilitation, residential, waiver; 15 minutes	1	10	2,290	$160	$1.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	10	1,080	$120	$771.4K
97532	N/A	1	10	150	$270	$47.4K

Nearby Providers

Other providers in the same ZIP code as Magic City Enterprises, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheyenne Habilitation & Therapeutic Center, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Specialty Counseling & Consulting	WY	Community/Behavioral Health Agency	$0	$8.2M
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$5.5M
Cheyenne Regional Physicians Group, LLC	WY	Medical Oncology Physician	$0	$5.1M
Cheyenne Surgical Center LLC	WY	Ambulatory Surgical Clinic/Center	$567.4K	$4.5M
Memorial Hospital Of Laramie County	WY	General Acute Care Hospital	$0	$4M
Goodwill Industries Of Wy, Inc.	WY	Case Management Agency	$0	$3.9M
American Medical Response Ambulance Service Inc	WY	Ambulance	$1.4M	$2.3M
Summit Medical Group, LLC	WY	Emergency Medicine Physician	$0	$3.7M
Memorial Hospital Of Laramie County	WY	Home Health Agency	$0	$3.3M

Magic City Enterprises, Inc — Billing Profile & Reimbursement Data

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Magic City Enterprises, 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