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    OpenPayerNPI Medicare & MedicaidEmg Laramie LLC
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    Emg Laramie LLC — Billing Profile & Reimbursement Data

    NPI 1245561323 · Laramie, WY · Assisted Living Facility

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    Emg Laramie LLC is a assisted living facility provider located in Laramie, Wyoming. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEmg Laramie LLC
    Address1072 N 22nd St
    CityLaramie
    StateWY
    ZIP82072
    TaxonomyAssisted Living Facility
    NPI EnumeratedJanuary 28, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.6M
    Medicare$0

    Key Findings

    EMG LARAMIE LLC operates as an Assisted Living Facility and its Medicaid billing profile is dominated by waiver per-diem care: the single listed Medicaid code is T2031 (Assisted living; waiver, per diem), which aligns with residential, long-term supportive services rather than episodic medical procedures. The code mix strongly indicates the facility functions primarily as a Medicaid waiver-funded residential provider serving long-stay or waiver-eligible beneficiaries.

    Medicaid revenue is effectively mono-line: top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the available data show T2031 alone represents the entirety of the reported $4.6M in Medicaid revenue. This concentration means the provider’s financial picture is tightly linked to continued payment and policy for that single per-diem waiver service.

    Claims-level activity for the dominant code is substantive but not extreme: T2031 accounts for 2.6K claims with an average paid per claim of $1786, producing the reported $4.6M revenue. The per-claim average is consistent with per-diem reimbursement for residential care and suggests most Medicaid payments to this entity are routine daily-rate placements rather than high-acuity episodic services.

    Payer mix is effectively single-payer Medicaid: there is no Medicare revenue on file for this NPI, so the provider’s exposure to Medicare fee schedules, bundled payments, or Medicare populations is negligible. As a result, business and policy shifts in Medicaid (rates, waiver rules, or eligibility) will have outsized impact compared with any Medicare-driven effects.

    Competitive standing in-state for the primary Medicaid code is modestly above median: T2031 billing for this provider ranks #4 of 11 providers in-state (70th percentile; typical, unremarkable volume for this code). That ranking implies EMG LARAMIE LLC is a meaningful but not dominant statewide participant in waiver per-diem assisted living services.

    The provider has a long enrollment tenure: NPI enumerated 2010-01-28 (~16 years ago), indicating an established presence in the market and likely operational experience with state Medicaid waiver processes and billing. That longevity can support stable referral relationships and knowledge of local Medicaid program mechanics.

    The heavy reliance on a single Medicaid waiver per-diem code (T2031) creates concentrated operational and revenue risk: any provider-level changes to eligibility, state waiver policy, or per-diem rates for T2031 could materially affect the entirety of the $4.6M Medicaid revenue stream. Given the reported 100.0% concentration, diversification of payer sources or service lines would be the primary mechanism to reduce that exposure.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2031Assisted living; waiver, per diem2,570$1,790$4.6M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wyoming median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2031Assisted living; waiver, per diem4101,520$560$3.2M

    Nearby Providers

    Other providers in the same ZIP code as Emg Laramie LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ark Regional Services, IncWYDevelopmentally Disabled Services Day Training Agency$0$41.6M
    Align Services, LLCWYCase Management Agency$0$982.9K
    Premium Health At Home IncWYHome Health Agency$0$982.7K
    Laramie Pediatrics Internal MedicineWYPediatric Adolescent Medicine Physician$0$813.8K
    University Of WyomingWYFederally Qualified Health Center (FQHC)$0$733.4K
    Eppson Center For Seniors, Inc.WYCase Management Agency$0$516.7K
    Frances HiteWYCase Manager/Care Coordinator$0$507.3K
    Ivinson Memorial HospitalWYRural Health Clinic/Center$0$429.6K
    Ivinson Memorial HospitalWYRural Acute Care Hospital$0$429.2K
    Lincare Inc.WYDurable Medical Equipment & Medical Supplies$0$358.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wyoming Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Emg Laramie LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming