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.

Epsilon Health Solutions LLC (NPI 1437508975)

Field	Value
Entity Type	Organization
Organization	Epsilon Health Solutions LLC
Address	145 S Durbin St Ste 105
City	Casper
State	WY
ZIP	82601
Taxonomy	Home Health Agency
NPI Enumerated	June 6, 2016

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Key Findings

EPSILON HEALTH SOLUTIONS LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue is $1.7M, indicating the organization’s operational scale and reimbursement exposure are concentrated in state Medicaid programs rather than federal Medicare. The absence of Medicare activity suggests the agency focuses on services reimbursed through Medicaid benefit designs.

Revenue is highly concentrated in a small set of Medicaid service lines: the precomputed top three Medicaid codes (T1019, T1004, G0156) account for 78.2% of the provider’s total Medicaid revenue. Individually, T1019 generated $504.4K (29.5% of Medicaid revenue), T1004 generated $445.3K (26.1%), and G0156 generated $387.7K (22.7%), together driving the majority of the $1.7M lifetime Medicaid receipts.

The code mix and payment levels indicate a home- and personal-care oriented operation: high volumes in T1019 (Personal care services), T1004 (qualified nursing aide services), and G0156 (home health/hospice aide services) point to a service model built around frequent, hands-on personal care and aide encounters rather than episodic skilled-home-health bundles. Average paid/claim values are low-to-moderate (for example $54 for T1019, $56 for T1004, $42 for G0156) and the claim counts are high (9.3K T1019 claims, 8K T1004 claims, 9.2K G0156 claims), consistent with high-frequency, low-dollar per-encounter personal care delivery.

Competitive standing within Wyoming is modest to mid-sized rather than dominant: T1019 ranks #5 of 24 providers (83th percentile; labeled typical, unremarkable), G0156 ranks #4 of 19 (83th percentile; typical, unremarkable), and T1004 ranks #9 of 23 (64th percentile; typical, unremarkable). These rankings indicate the provider occupies an upper-middle position on several high-volume personal-care codes statewide but does not appear to be a statewide market leader.

Across its Medicaid codes there are no flagged extreme statistical outliers in the supplied labels; several top codes are explicitly described as "typical, unremarkable volume" despite being high contributors to revenue. In plain terms, the provider’s activity levels fall within the expected distribution for in-state peers rather than representing anomalous spikes, although the percentile placements (for example 79th and 83th percentiles for some codes) show activity on the higher side of typical.

Operational scale is driven by very large claim volumes with modest average payments per claim: top claims counts include 9.3K claims for T1019, 9.2K for G0156, and 8K for T1004, while average paid/claim values range roughly $42–$71 across top codes (examples: $71 for S9123, $72 for T1002). This pattern suggests administrative and care-delivery workflows oriented toward frequent home visits and short-interval units of service rather than low-frequency, high-dollar procedures.

The provider also reports billed nursing services beyond aide-level care—S9123 (nursing care by registered nurse) contributed $307.4K (18.0% of Medicaid revenue) and T1002 (RN services up to 15 minutes) contributed $64.4K (3.8% of Medicaid revenue)—indicating the agency delivers a mix of personal-care aides and registered-nurse visits typical of comprehensive home health offerings under Medicaid. These nursing codes complement the aide-dominated revenue mix and show capacity to provide both hands-on personal care and clinical nursing services.

The organization’s NPI was enumerated on 2016-06-06 (~10 years ago), so EPSILON HEALTH SOLUTIONS LLC has an established operating history in the market; combined with the revenue and code-concentration profile, this tenure points to a stable, Medicaid-focused home health operator whose financial performance will be sensitive to Medicaid rate or policy changes given the concentration in a few personal-care and aide codes.

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
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…	9,340	$50	$504.4K
T1004	Services of a qualified nursing aide, up to 15 minutes	7,950	$60	$445.3K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	9,230	$40	$387.7K
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)	4,330	$70	$307.4K
T1002	Rn services, up to 15 minutes	900	$70	$64.4K

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

Epsilon Health Solutions LLC — 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
T1004	Services of a qualified nursing aide, up to 15 minutes	9	20	5,720	$70	$677.7K
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…	5	20	860	$90	$370.1K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	4	20	2,280	$80	$337.2K
T1002	Rn services, up to 15 minutes	10	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)	5	20	1,510	$100	$251.6K

Nearby Providers

Other providers in the same ZIP code as Epsilon Health Solutions 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
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

Epsilon Health Solutions LLC — Billing Profile & Reimbursement Data

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Epsilon Health Solutions LLC — 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