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.

Robert Peterson (NPI 1518010636)

Field	Value
Entity Type	Individual
Organization	Robert Peterson
Address	11198 Goose Creek Cir
City	Casper
State	WY
ZIP	82609
Taxonomy	School Psychologist
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-only biller, with total Medicaid revenue listed as $1.9M and Medicare revenue reported as none. The absence of Medicare claims indicates the practice’s operations and reimbursement risk are concentrated entirely within state Medicaid programs rather than split across payers.

Revenue is highly concentrated in a narrow set of Medicaid waiver and long-term support codes: the precomputed top 3 Medicaid codes account for 92.7% of the provider’s total Medicaid revenue, signaling dependence on a few service lines for the vast majority of income. That concentration suggests sensitivity to rate changes, service-authorization shifts, or changes in program eligibility for those specific codes.

The single largest revenue driver is T2027 (Specialized childcare, waiver; per 15 minutes), which generated $926.5K (48.7% of Medicaid revenue) across 7.4K claims with an average paid/claim of $125. T2027 also ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume for this code), indicating the provider is the top in-state biller for this service but that the state market for this code is small.

S5135 (Companion care, adult; per 15 minutes) is the second major revenue source with $656.2K (34.5% of Medicaid revenue), 1.2K claims, and an average paid/claim of $541. This code ranks #6 of 12 providers in-state (55th percentile; typical, unremarkable volume for this code), positioning the provider as a modest to mid-level participant in adult companion care within the state.

T1005 (Respite care services, up to 15 minutes) contributes $181.5K (9.5% of Medicaid revenue) from 603 claims at an average paid/claim of $301 and ranks #2 of 3 providers in-state (50th percentile; typical, unremarkable volume for this code). Together with T2027 and S5135, these top three codes drive 92.7% of Medicaid revenue, underscoring the operational focus on time-based, waiver-related personal care and respite services.

Two additional Medicaid codes with smaller shares highlight service breadth: T2013 (Habilitation, educational, waiver; per hour) produced $74.9K (3.9% of Medicaid revenue) across 902 claims and ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), while T2038 (Community transition, waiver; per service) produced $65.1K (3.4% of Medicaid revenue) across 226 claims and also ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). These codes indicate the provider also delivers habilitation and community transition activities but at much smaller revenue levels.

From a service-line perspective, the code mix (T2027, S5135, T1005, T2013, T2038) reflects a business model oriented toward waiver-supported, community- and home-based support services—specialized childcare, adult companion care, respite, habilitation, and community transition—rather than office-based clinical procedures. Operational implications include reliance on time-based caregiver/service-delivery capacity and the need to manage staffing and scheduling for high-volume, short-interval billing (e.g., per 15-minute units).

The provider’s NPI was enumerated on 2007-01-19 (~19 years ago), indicating long-tenured enrollment in federal provider databases; paired with concentrated Medicaid billing, this tenure suggests an established presence in the state’s waiver/home- and community-based services market even though the provider is not a large statewide competitor for all codes. Analysts should treat the profile as a stable, Medicaid-focused operator with notable dependence on a few high-share waiver 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
T2027	Specialized childcare, waiver; per 15 minutes	7,410	$130	$926.5K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1,210	$540	$656.2K
T1005	Respite care services, up to 15 minutes	600	$300	$181.5K
T2013	Habilitation, educational, waiver; per hour	900	$80	$74.9K
T2038	Community transition, waiver; per service	230	$290	$65.1K

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

Robert Peterson — 1 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
T2027	Specialized childcare, waiver; per 15 minutes	1	10	3,720	$130	$464.8K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6	10	960	$210	$276.8K
T1005	Respite care services, up to 15 minutes	2	10	600	$220	$134.1K
T2013	Habilitation, educational, waiver; per hour	1	10	900	$80	$75.2K
T2038	Community transition, waiver; per service	1	10	230	$290	$65.2K

Nearby Providers

Other providers in the same ZIP code as Robert Peterson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M

Robert Peterson — Billing Profile & Reimbursement Data

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Robert Peterson — 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