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.

Emg Casper Pp LLC (NPI 1336470418)

Field	Value
Entity Type	Organization
Organization	Emg Casper Pp LLC
Address	1930 E 12th St
City	Casper
State	WY
ZIP	82601
Taxonomy	Assisted Living Facility
NPI Enumerated	January 28, 2010

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Key Findings

EMG CASPER PP LLC shows $3.5M in Medicaid lifetime revenue and no Medicare billing on file, making its paid-claim activity effectively single-payer (Medicaid) under the available data. This concentration of payer mix means Medicaid reimbursement policy will drive most of the provider's financial outcomes in this dataset.

The provider's NPI was enumerated on 2010-01-28 (~16 years ago), indicating a multi-year presence in the market. Combined with its Assisted Living Facility taxonomy, the tenure suggests an established residential care operation rather than a newly formed billing entity.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, which in practice is entirely captured by a single code in the file. This degree of concentration implies limited service-line diversification and elevated exposure to any rate or eligibility changes affecting those specific codes.

The single reported Medicaid code is T2031 (Assisted living; waiver, per diem) with 2K claims, a $1776 avg paid/claim, and $3.5M revenue (100.0%). That code mix and the per-diem waiver descriptor align with an assisted-living, long-term services-and-supports business model that is funded through Medicaid waiver per-diem payments rather than episodic acute-care procedures.

From a competitive-standings perspective, this provider ranks #5 of 11 in-state for T2031 and sits at the 60th percentile; the dataset labels this as "typical, unremarkable volume for this code." That placement characterizes EMG CASPER PP LLC as a modest, mid-ranked participant among Wyoming assisted-living waiver providers rather than a market leader or outlier.

Operationally, the $1776 avg paid/claim together with 2K claims indicates material per-claim reimbursement scale for each claim that posts under T2031. Because revenue is derived from per-diem waiver payments, occupancy, census stability, and contract terms with state waiver programs will be primary operational levers affecting revenue performance.

The absence of Medicare billing on file contrasts with the Medicaid-only revenue stream and highlights that this entity does not participate in Medicare-funded services in the available records. Analysts should therefore treat Medicare-level comparisons as not applicable and focus competitive benchmarking on in-state Medicaid waiver peers.

Data limitations are important: rankings and percentiles reflect an 11-provider in-state peer set and the single-code concentration; additional context such as historical trend lines, occupancy rates, and payer-contract terms would be required to assess growth trajectory and sensitivity to reimbursement changes. Given the 100.0% revenue concentration in the top codes, even modest policy shifts for T2031 could materially change the provider's financial picture.

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
T2031	Assisted living; waiver, per diem	1,960	$1,780	$3.5M

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

Emg Casper Pp LLC — 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
T2031	Assisted living; waiver, per diem	5	10	1,520	$560	$3.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Emg Casper Pp LLC — Billing Profile & Reimbursement Data

Sign up for Emg Casper Pp LLC — Billing Profile & Reimbursement Data policy alerts

Emg Casper Pp LLC — Billing Profile & Reimbursement Data

Sign up for Emg Casper Pp LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References