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.

Aspire Case Management Services (NPI 1346663903)

Field	Value
Entity Type	Organization
Organization	Aspire Case Management Services
Address	123 W 1st St # 700b
City	Casper
State	WY
ZIP	82601
Taxonomy	Case Management Agency
NPI Enumerated	January 31, 2014

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Key Findings

ASPIRE CASE MANAGEMENT SERVICES is effectively a single-payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue totals $2.3M. This concentration of revenue to Medicaid indicates the organization’s operations and reimbursement exposure are tied almost entirely to state Medicaid programs rather than to Medicare fee-for-service lines.

Revenue is highly concentrated in a very small set of codes: the top 3 Medicaid codes account for 99.9% of the provider's total Medicaid revenue. Specifically, T2022 generates $2.1M (91.1%), T2024 generates $123.5K (5.3%), and T1016 generates $82.1K (3.5%), leaving only a nominal remainder for other codes.

The provider’s taxonomy as a Case Management Agency and its code mix point to an operational focus on ongoing case management and waiver-plan activities. T2022 (Case management, per month) and T1016 (Case management, each 15 minutes) together represent continuous, time- or month-based care coordination, while T2024 (Service assessment/plan of care development, waiver) indicates involvement in initial or periodic care planning for waiver populations.

T2022 is the dominant revenue driver and a competitive strength in-state: the provider billed 8.2K claims for T2022 at $258 avg paid/claim, producing $2.1M in revenue, and it ranks #5 of 138 providers in-state (97th percentile; notably above typical state volume for this code). That combination of high claim volume and a top-state percentile position marks ASPIRE as a major, high-volume supplier of monthly case management services in Wyoming.

The smaller but meaningful codes show mixed competitive positions: T1016 recorded 829 claims at $99 avg paid/claim for $82.1K (3.5% of Medicaid revenue) and ranks #4 of 21 providers in-state (85th percentile; typical, unremarkable volume for this code), while T2024 recorded 346 claims at $357 avg paid/claim for $123.5K (5.3% of Medicaid revenue) and ranks #26 of 37 providers in-state (31th percentile; typical, unremarkable volume for this code). These rankings suggest ASPIRE is relatively strong among a limited set of peers for time-based case management but less prominent for assessment/waiver planning compared with other in-state providers.

Beyond the top three, the tail of billed services is minimal: T2023 accounted for 138 claims at $18 avg paid/claim for $2.5K (0.1% of Medicaid revenue) and ranks #6 of 12 providers in-state (55th percentile; typical, unremarkable volume for this code). The fact that the top three codes together represent 99.9% of Medicaid revenue underscores limited service diversification and high dependence on core case-management reimbursement streams.

The provider has an established enrollment history, with NPI enumerated on 2014-01-31 (~12 years ago), and the sustained high volume on T2022 (8.2K claims) indicates ongoing operational activity in its core case management lines since enrollment. This tenure combined with concentrated Medicaid revenue suggests stability in its chosen service niche but also exposure to Medicaid policy or rate changes affecting those main codes.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	8,210	$260	$2.1M
T2024	Service assessment/plan of care development, waiver	350	$360	$123.5K
T1016	Case management, each 15 minutes	830	$100	$82.1K
T2023	Targeted case management; per month	140	$20	$2.5K

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

Aspire Case Management Services — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2024	Service assessment/plan of care development, waiver	26	40	1,280	$40	$502.3K
T2022	Case management, per month	5	140	1,170	$250	$471.9K
T1016	Case management, each 15 minutes	4	20	100	$130	$52.9K
T2023	Targeted case management; per month	6	10	130	$60	$19.2K

Nearby Providers

Other providers in the same ZIP code as Aspire Case Management Services, 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
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

Aspire Case Management Services — Billing Profile & Reimbursement Data

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

Aspire Case Management Services — Billing Profile & Reimbursement Data

Sign up for Aspire Case Management Services — 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