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.

Uinta Senior Citizens (NPI 1265479075)

Field	Value
Entity Type	Organization
Organization	Uinta Senior Citizens
Address	1229 Uinta St
City	Evanston
State	WY
ZIP	82931
Taxonomy	Home Health Agency
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $3.7M in lifetime Medicaid revenue, making it effectively a single-payer, Medicaid-focused operator in the available data. The absence of Medicare activity means analyses of Medicare competitiveness or revenue diversification are not applicable for this entity.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes (S5170, T1004, G0156) account for 77.4% of the provider’s total Medicaid revenue. Those three codes individually contribute $1.4M (S5170, 39.5%), $969K (T1004, 26.5%), and $417K (G0156, 11.4%), signaling dependence on a small set of service lines.

The code mix (S5170 – home delivered meals; T1004 – services of a qualified nursing aide; G0156 – home health/hospice aide visits) indicates the organization operates primarily as a community-based home support provider emphasizing non-skilled long-term services, meal delivery, and aide-based in-home support. This pattern aligns with social-support and personal-care models rather than skilled, episodic home health or acute post-acute care.

S5170 (home delivered meals) is the single largest revenue driver ($1.4M, 39.5% of Medicaid revenue) and ranks #2 of 9 in-state at the 88th percentile; the dataset nonetheless labels its volume as "typical, unremarkable volume for this code," suggesting S5170 revenue is high within the local market but not an extreme statistical outlier. This makes the provider a leading in-state supplier of meal delivery services without exceptional deviation from peer activity.

T1004 (qualified nursing aide services) is a meaningful secondary revenue stream ($969K, 26.5%) and ranks #7 of 23 in-state at the 73th percentile, described as "typical, unremarkable volume for this code," which positions the provider as a solid but not dominant participant in aide-based personal care within the state. In contrast, G0156 (home health/hospice aide visits) contributes $417K (11.4%) but ranks #16 of 19 (17th percentile) and is also labeled "typical, unremarkable volume for this code," indicating limited competitive strength in billed home health aide visits versus peers.

Ancillary services such as S5161 (emergency response system; $212.9K, 5.8% of Medicaid revenue) and T1019 (personal care services; $202.6K, 5.5%) provide additional, smaller revenue streams. S5161 ranks #3 of 7 (67th percentile) and is characterized as "typical, unremarkable volume for this code," implying the provider monetizes monthly emergency-response services at a meaningful but not outsized scale relative to state peers.

Because top codes drive the bulk of Medicaid revenue (77.4% from the top three), the provider’s financial profile is sensitive to changes in policy, reimbursement rates, or utilization for meal delivery and aide services; a material cut or shift in coverage for S5170 or T1004 could disproportionately affect total Medicaid revenue. The lack of Medicare billing further magnifies this Medicaid exposure, concentrating payer risk.

The provider’s NPI was enumerated on 2006-06-01 (~20 years ago), indicating long tenure in the market. Combined with $3.7M in Medicaid lifetime revenue and the ranking details above, this suggests an established local footprint with particular strength in home-delivered meals but only modest statewide market share across most other billed service lines.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5170	Home delivered meals, including preparation; per meal	8,110	$180	$1.4M
T1004	Services of a qualified nursing aide, up to 15 minutes	11,960	$80	$969K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	550	$760	$417K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	5,070	$40	$212.9K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	490	$410	$202.6K
T1002	Rn services, up to 15 minutes	1,440	$130	$192.4K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	600	$320	$192K
T2022	Case management, per month	170	$170	$28.1K

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

Uinta Senior Citizens — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1004	Services of a qualified nursing aide, up to 15 minutes	7	20	5,720	$70	$677.7K
S5170	Home delivered meals, including preparation; per meal	2	10	2,550	$70	$491.7K
T2022	Case management, per month	114	140	1,170	$250	$471.9K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17	20	860	$90	$370.1K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	16	20	2,280	$80	$337.2K
T1002	Rn services, up to 15 minutes	8	20	670	$120	$283.5K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	12	20	1,510	$100	$251.6K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	3	10	2,080	$40	$176.4K

Uinta Senior Citizens — Billing Profile & Reimbursement Data

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Uinta Senior Citizens — 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

Frequently Asked Questions

References