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.

Positive Progressions, LLC (NPI 1477716470)

Field	Value
Entity Type	Organization
Organization	Positive Progressions, LLC
Address	507 N Clark St
City	Powell
State	WY
ZIP	82435
Taxonomy	Clinical Social Worker
NPI Enumerated	July 9, 2008

Payer Source	Total Paid
Medicaid	$475.4K
Medicare	$0

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
H2019	Therapeutic behavioral services, per 15 minutes	4,120	$90	$350.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	470	$100	$46.6K
G9012	Other specified case management service not elsewhere classified	1,220	$30	$36.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	450	$80	$33.6K
Q3014	Telehealth originating site facility fee	490	$20	$8.3K

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

Positive Progressions, 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
H2019	Therapeutic behavioral services, per 15 minutes	24	170	840	$80	$192.2K
G9012	Other specified case management service not elsewhere classified	12	40	460	$50	$97.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	109	220	400	$50	$79.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	8	30	130	$100	$41.3K
Q3014	Telehealth originating site facility fee	3	20	220	$20	$10K

Nearby Providers

Other providers in the same ZIP code as Positive Progressions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brittney Hyland	WY	Home Health Registered Nurse	$0	$1.8M
Angel Foster	WY	Developmentally Disabled Services Day Training Agency	$0	$684.9K
Bighorn Valley Health Center Incorporated	WY	Federally Qualified Health Center (FQHC)	$0	$570.6K
Benjamen Bennett	WY	Case Manager/Care Coordinator	$0	$526.1K
Jessica Campbell	WY	Case Management Agency	$0	$487.5K
Chrysalis Treatment Center, Inc.	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$440.6K
Powell Valley Healthcare Inc	WY	Family Medicine Physician	$0	$336.3K
Brian O'neill	WY	Psychiatric/Mental Health Nurse Practitioner	$15.4K	$320K
Lael Beachler	WY	Foot & Ankle Surgery Podiatrist	$308.9K	$0
Marneta Welborn	WY	Mental Health Counselor	$0	$178.3K

Positive Progressions, LLC — Billing Profile & Reimbursement Data

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Positive Progressions, LLC — Billing Profile & Reimbursement Data

Sign up for Positive Progressions, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References