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.

Pegasus Case Management (NPI 1215352877)

Field	Value
Entity Type	Organization
Organization	Pegasus Case Management
Address	22 Antelope Dr
City	Bear River
State	WY
ZIP	82930
Taxonomy	Case Management Agency
NPI Enumerated	February 19, 2014

Payer Source	Total Paid
Medicaid	$166.2K
Medicare	$0

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
T2022	Case management, per month	580	$290	$166.2K

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

Pegasus Case Management — 0 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
T2022	Case management, per month	89	140	1,170	$250	$471.9K

Nearby Providers

Other providers in the same ZIP code as Pegasus Case Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Regional Services, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Best Home Health & Hospice LLC	WY	Home Health Agency	$0	$6.3M
Best Home Health	WY	Home Health Agency	$0	$3.1M
Bridges Habilitation Services Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$1.5M
South Lincoln Hospital District	WY	Rural Health Clinic/Center	$0	$1.3M
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$1M
Pioneer Counseling Services	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$904.8K
Delynda Henderson	WY	Case Manager/Care Coordinator	$0	$798.4K
Bear River Dental	WY	Dentist	$0	$658.9K
Compassionate Journey LLC	WY	Home Health Agency	$0	$611.7K

Pegasus Case Management — Billing Profile & Reimbursement Data

Sign up for Pegasus Case Management — Billing Profile & Reimbursement Data policy alerts

Pegasus Case Management — Billing Profile & Reimbursement Data

Sign up for Pegasus Case Management — 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