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.

Northern Ddsp, Inc. (NPI 1518011618)

Field	Value
Entity Type	Organization
Organization	Northern Ddsp, Inc.
Address	2044 Stampede Ave
City	Cody
State	WY
ZIP	82414
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

Key Findings

NORTHERN DDSP, INC. has no Medicare billing on file and reports $9.1M in lifetime Medicaid revenue, indicating an effectively single‑payer Medicaid business model focused on state programs. The provider's NPI was enumerated 2007-01-23 (~19 years ago), signaling long tenure in the Medicaid market and experience serving this population.

The top three Medicaid billing codes (T2016, S5100, S5135) account for 100.0% of this provider's total Medicaid revenue, reflecting a highly concentrated revenue base. That concentration means utilization or reimbursement shifts for any of these three codes would materially affect overall revenue.

The billing mix—dominated by T2016 (Habilitation, residential, waiver; per diem), with material volumes of S5100 (Day care services, adult; per 15 minutes) and S5135 (Companion care, adult; per 15 minutes)—is consistent with a provider operating residential habilitation programs alongside adult day services and companion/IADL/ADL support. This aligns with the entity's taxonomy as a Developmentally Disabled Services Day Training Agency and suggests operations are focused on waiver/residential and day-training service lines.

T2016 is the single largest revenue driver with 6.8K claims, $1020 avg paid/claim, and $6.9M revenue (75.8% of this provider's total Medicaid revenue). The provider ranks #8 of 19 in-state for T2016 (61th percentile) and is characterized as 'typical, unremarkable volume', indicating substantial but not leading statewide share in residential habilitation billing.

S5100 produced 7.1K claims, $246 avg paid/claim, and $1.7M revenue (19.1% of total Medicaid revenue), ranking #7 of 18 providers in-state (65th percentile) and likewise described as 'typical, unremarkable volume.' This confirms adult day care services are a significant secondary revenue stream that complements the provider's residential habilitation work.

S5135 recorded 3.4K claims, $135 avg paid/claim, and $464.4K revenue (5.1% of total Medicaid revenue) but ranks #1 of 12 providers in-state (100th percentile) and is labeled 'notably above typical state volume.' Despite its smaller dollar share, NORTHERN DDSP appears to hold a distinctive local or niche leadership position in companion care (IADL/ADL) relative to in‑state peers.

Overall competitive posture is mixed: the provider shows modest statewide positioning on its two largest codes (T2016 and S5100) while holding a dominant in‑state rank for S5135. The heavy dependence on T2016 (75.8% of Medicaid revenue) represents concentration risk to the provider's $9.1M Medicaid footprint if per‑diem residential habilitation rates or waiver availability change, while the top ranking on S5135 suggests an area of market strength to monitor.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	6,790	$1,020	$6.9M
S5100	Day care services, adult; per 15 minutes	7,090	$250	$1.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3,440	$140	$464.4K

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

Northern Ddsp, Inc. — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	20	5,630	$520	$10.5M
S5100	Day care services, adult; per 15 minutes	7	20	3,260	$210	$2.3M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	10	960	$210	$276.8K

Nearby Providers

Other providers in the same ZIP code as Northern Ddsp, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hands 2 Help, LLC.	WY	Home Health Agency	$0	$2.9M
Big Horn Basin Childrens Clinic PC	WY	Pediatrics Physician	$0	$997.5K
West Park Hospital District	WY	Critical Access Hospital	$0	$950.8K
Northern Wyoming Surgical Center, LLC	WY	Ambulatory Surgical Clinic/Center	$865.9K	$0
Guardian Flight LLC	WY	Air Ambulance	$738.8K	$0
West Park Hospital District	WY	Multi-Specialty Clinic/Center	$0	$726.1K
Cailyn Dallman	WY	Case Manager/Care Coordinator	$0	$630.7K
Barry Welch	WY	Ophthalmology Physician	$430.2K	$0
Allen Gee	WY	Neurology Physician	$344K	$0
Basin Vision Center, P. C.	WY	Optometrist	$0	$310.1K

Northern Ddsp, Inc. — Billing Profile & Reimbursement Data

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Northern Ddsp, Inc. — 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