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.

Eh Health Home Health Of The Northwest, LLC (NPI 1457944217)

Field	Value
Entity Type	Organization
Organization	Eh Health Home Health Of The Northwest, LLC
Address	230 N 1st St
City	Lander
State	WY
ZIP	82520
Taxonomy	Home Health Agency
NPI Enumerated	February 12, 2021

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Key Findings

EH HEALTH HOME HEALTH OF THE NORTHWEST, LLC shows an effectively single-payer footprint: there is no Medicare billing on file while lifetime Medicaid revenue totals $2M, indicating this organization's entire reported federal program activity is concentrated in Medicaid. Analysts should treat Medicaid reimbursement policy and state waiver program dynamics as the primary drivers of the provider’s revenue base.

Revenue is highly concentrated in a very small set of service codes: Top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T2022 generating $1.6M (81.3%) and T2024 generating $373.6K (18.7%). This split indicates the provider’s Medicaid income depends almost entirely on these waiver-related care management and assessment services.

The code mix points to a business model centered on waiver case management and care planning rather than traditional skilled home-health visits: T2022 is billed as Case management, per month, and T2024 as Service assessment/plan of care development, waiver. Together the codes suggest operational emphasis on recurring monthly care coordination and periodic assessment/plan work typical of home- and community-based waiver programs, rather than episodic clinical procedures.

T2022 is an outlier in statewide competition: the provider ranks #2 of 138 in Wyoming for T2022 (99th percentile; described as an "extreme outlier"), which signals a dominant position in monthly case-management billing compared with in-state peers. By contrast, T2024 sits near the median for its cohort (rank #19 of 37, 50th percentile), representing a typical volume for assessment/plan activity rather than market dominance.

Claim counts and average paid-per-claim further characterize operational scale and price mix: the provider reported 15.1K claims for T2022 at an average paid/claim of $108, and 1.3K claims for T2024 at $293 average paid/claim. The pattern—very high-frequency, lower-unit-value monthly claims for T2022 combined with lower-frequency, higher-unit-value assessment claims—reinforces a workflow organized around sustained case enrollment and periodic assessments.

The provider’s NPI was enumerated on 2021-02-12 (~5 years ago), indicating a relatively recent market tenure. Given the concentrated revenue profile since enumeration, the organization appears to have rapidly scaled its waiver-focused services in a short period.

From a payer perspective, the concentration in T2022 makes the provider’s financial performance highly sensitive to changes in Medicaid waiver rules, program enrollment, or reimbursement policy affecting monthly case-management payments. With essentially no Medicare exposure on file, any shifts in Medicaid authorization, oversight, or unit-rate policy for these waiver codes would be expected to produce outsized effects on the provider’s revenue and network role.

The extreme outlier status on T2022 suggests this provider merits additional monitoring or engagement by payers interested in utilization patterns for monthly case management: while the ranking demonstrates clear market prominence, the divergence from typical state volumes for that code is notable and should prompt operational inquiries rather than assumptions about clinical intent.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	15,070	$110	$1.6M
T2024	Service assessment/plan of care development, waiver	1,280	$290	$373.6K

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

Eh Health Home Health Of The Northwest, LLC — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2024	Service assessment/plan of care development, waiver	19	40	1,280	$40	$502.3K
T2022	Case management, per month	2	140	1,170	$250	$471.9K

Nearby Providers

Other providers in the same ZIP code as Eh Health Home Health Of The Northwest, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Frontier Wyoming, L.L.C.	WY	Home Health Agency	$0	$2.5M
Lander Medical Clinic, PC	WY	Family Medicine Physician	$0	$2.1M
Gregory P Clifford Md PC	WY	Personal Emergency Response Attendant	$0	$1.8M
Guardian Flight LLC	WY	Air Ambulance	$699K	$586.5K
Jessica West	WY	Case Manager/Care Coordinator	$0	$964.6K
Knell Access Management	WY	In Home Supportive Care Agency	$0	$893.6K
Wyoming Path Behavioral Health, LLC	WY	Community/Behavioral Health Agency	$0	$836.8K
Fremont County Pediatric Clinic	WY	Pediatrics Physician	$0	$629.4K

Eh Health Home Health Of The Northwest, LLC — Billing Profile & Reimbursement Data

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Eh Health Home Health Of The Northwest, 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