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.

Community Entry Services (NPI 1386868867)

Field	Value
Entity Type	Organization
Organization	Community Entry Services
Address	2441 Peck Ave
City	Riverton
State	WY
ZIP	82501
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 13, 2007

Payer Source	Total Paid
Medicaid	$50.2M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only billing entity: Medicare shows "none below — this provider has no Medicare billing on file," while lifetime Medicaid revenue is $50.2M, indicating that payer exposure and revenue risk are concentrated in the state Medicaid program. Because there is no Medicare billing on file, all utilization and competitive comparisons should be interpreted in a Medicaid context.

COMMUNITY ENTRY SERVICES has an established presence based on its enrollment history: NPI enumerated 2007-04-13 (~19 years ago), which suggests nearly two decades of participation in state waiver/behavioral health networks and potential continuity in local referral relationships.

Revenue concentration is very high: the precomputed top-3 Medicaid codes account for 96.2% of this provider's total Medicaid revenue, with T2016 generating $34.9M revenue (69.5% of this provider's total Medicaid revenue), S5100 generating $9.2M revenue (18.3% of this provider's total Medicaid revenue), and S5108 generating $4.3M revenue (8.5% of this provider's total Medicaid revenue). This indicates most of the business is driven by a narrow set of habilitation and day-service codes.

The service mix implied by the top codes points to a core operation focused on residential habilitation and adult day services: T2016 (Habilitation, residential, waiver; per diem) accounts for $34.9M and an average paid/claim of $5524 across 6.3K claims, consistent with per-diem residential or group-home billing. S5100 (Day care services, adult; per 15 minutes) has 7.8K claims with an average paid/claim of $1177 and $9.2M revenue, supporting a sizable day-program footprint, while S5108 (Home care training to home care client, per 15 minutes) contributes $4.3M with 1.5K claims and a $2800 avg paid/claim, suggesting higher-intensity individualized training visits.

Utilization versus unit-price dynamics are notable: S5100 is the highest-volume code by claim count (7.8K claims) but produces a smaller share of revenue than T2016, while T2016 has fewer claims (6.3K) but a substantially higher avg paid/claim ($5524) and therefore dominates revenue. S5108 sits between those patterns with 1.5K claims and a $2800 avg paid/claim, indicating fewer, higher-paid individualized encounters.

Statewide competitive standing across the principal codes is modest rather than dominant: T2016 ranks #9 of 19 providers in-state (56th percentile; typical, unremarkable volume for this code), S5100 ranks #6 of 18 providers in-state (71th percentile; typical, unremarkable volume for this code), and S5108 ranks #3 of 6 providers in-state (60th percentile; typical, unremarkable volume for this code). Other listed codes are smaller contributors (e.g., T2017 $995.8K, 2.0% share, rank #5 of 6, 20th percentile; T2019 $896.9K, 1.8% share, rank #3 of 7, 67th percentile) and do not change the overall picture of a mid-ranked statewide participant.

There are no clear statistical outliers reported among the top codes: the dataset labels each top code's volume as "typical, unremarkable" and percentiles cluster in the middle ranges, which suggests the provider’s code mix and volumes are consistent with a routine state waiver/day-habilitation operator rather than an extreme outlier in utilization or payment.

From a business-risk and strategy perspective, the provider’s heavy dependence on a very small set of high-revenue codes (top 3 = 96.2% of Medicaid revenue) implies vulnerability to policy or rate changes affecting per-diem residential habilitation and adult day services. Any change in reimbursement for T2016, S5100, or S5108 or shifts in waiver eligibility could have outsized impact on the reported $50.2M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	6,320	$5,520	$34.9M
S5100	Day care services, adult; per 15 minutes	7,810	$1,180	$9.2M
S5108	Home care training to home care client, per 15 minutes	1,520	$2,800	$4.3M
T2017	Habilitation, residential, waiver; 15 minutes	1,650	$610	$995.8K
T2019	Habilitation, supported employment, waiver; per 15 minutes	2,410	$370	$896.9K

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

Community Entry Services — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	20	5,630	$520	$10.5M
S5100	Day care services, adult; per 15 minutes	6	20	3,260	$210	$2.3M
S5108	Home care training to home care client, per 15 minutes	3	10	1,050	$390	$1.7M
T2017	Habilitation, residential, waiver; 15 minutes	5	10	2,290	$160	$1.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3	10	1,080	$120	$771.4K

Nearby Providers

Other providers in the same ZIP code as Community Entry Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$4.3M
Frontier Ambulance LLC	WY	Ambulance	$737.8K	$785.4K
Guardian Flight LLC	WY	Air Ambulance	$934.9K	$0
Reach Foundation	WY	Case Management Agency	$0	$927.5K
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$788K
Debra Stone	WY	Developmentally Disabled Services Day Training Agency	$0	$709.2K
Kinisha Pullen-shelsta	WY	Case Manager/Care Coordinator	$0	$661.2K
Riverton Vision Center P.C.	WY	Optometrist	$0	$606.2K
Wyoming Counseling Services PC	WY	Professional Counselor	$0	$595.8K
Teton Therapy, P.C.	WY	Physical Therapy Clinic/Center	$0	$518K

Community Entry Services — Billing Profile & Reimbursement Data

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Community Entry Services — 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

Nearby Providers

Frequently Asked Questions

References