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.

Lincoln Self Reliance, Inc. (NPI 1528112620)

Field	Value
Entity Type	Organization
Organization	Lincoln Self Reliance, Inc.
Address	1038 South Washington
City	Afton
State	WY
ZIP	83110
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

Key Findings

LINCOLN SELF RELIANCE, INC. (Developmentally Disabled Services Day Training Agency) is an established provider in AFTON, WY with an NPI enumerated on 2007-01-23 (~19 years ago), indicating nearly two decades of enrollment and continuity in the Medicaid market. Its taxonomy and tenure are consistent with long-running community-based developmental disability services operations.

This entity is effectively a Medicaid-only billing organization in the available dataset: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $26.8M. Analysts should treat this provider as single-payer (Medicaid) for competitive and utilization assessments.

Revenue is highly concentrated in a small set of codes: the precomputed top 3 Medicaid codes account for 90.6% of this provider's total Medicaid revenue, led by T2016 (62.4K claims, $299 avg paid/claim, $18.7M revenue, 69.7% of Medicaid revenue) with meaningful contributions from S5100 (46.2K claims, $61 avg paid/claim, $2.8M revenue, 10.5%) and S5108 (21.6K claims, $129 avg paid/claim, $2.8M revenue, 10.4%). This concentration means most revenue is tied to a narrow set of service lines.

The code mix points to a service model focused on residential habilitation and time-based day/home supports: T2016 is a habilitation, residential, waiver per diem code while S5100 and S5108 reflect adult day care and home care training billed per 15 minutes. Combined with other active codes such as T2021 (day habilitation, waiver; per 15 minutes), the profile is consistent with an organization delivering both residential waiver habilitation and community-based day/home training services aligned to its taxonomy.

Competitive standing by code is mixed but strong in several wage/service lines: T2016 ranks #3 of 19 in-state (89th percentile) and is characterized as typical/unremarkable volume for that code despite being the largest revenue driver; S5100 ranks #2 of 18 (94th percentile) and is described as notably above typical state volume; S5108 ranks #1 of 6 (100th percentile) and is described as notably above typical state volume. In short, the provider is a leading in-state player for S5108 and S5100 and a high-volume but less exceptional participant for T2016.

Beyond the top three, T2021 also contributes meaningfully (32.3K claims, $69 avg paid/claim, $2.2M revenue; 8.3% of Medicaid revenue) and ranks #1 of 8 in-state (100th percentile), reinforcing that day habilitation services are a secondary but significant revenue stream for the organization. These additional high-rank codes indicate breadth across both residential and day habilitation modalities.

Operationally, the dominance of T2016 (69.7% of Medicaid revenue) combined with the top-3 concentration (90.6%) implies the provider's financial performance is highly dependent on waiver residential payments and a small number of time-based service lines. Payer or policy changes affecting those codes would likely have outsized impact on this provider's revenue mix.

Claims-level scale and payment patterns show both high per-diem and high-volume time-based billing: T2016 shows 62.4K claims at $299 avg paid/claim while S5100 and S5108 show 46.2K claims ($61 avg) and 21.6K claims ($129 avg) respectively. This mix suggests substantial ongoing utilization across residential per-diem stays and frequent short-interval day/home support visits, information that is useful for utilization management and rate-setting discussions.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	62,430	$300	$18.7M
S5100	Day care services, adult; per 15 minutes	46,160	$60	$2.8M
S5108	Home care training to home care client, per 15 minutes	21,600	$130	$2.8M
T2021	Day habilitation, waiver; per 15 minutes	32,310	$70	$2.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2,260	$70	$151.7K
T2017	Habilitation, residential, waiver; 15 minutes	2,030	$60	$117.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	790	$30	$21.3K

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

Lincoln Self Reliance, Inc. — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	3	20	5,630	$520	$10.5M
S5100	Day care services, adult; per 15 minutes	2	20	3,260	$210	$2.3M
T2021	Day habilitation, waiver; per 15 minutes	1	10	6,090	$260	$2.1M
S5108	Home care training to home care client, per 15 minutes	1	10	1,050	$390	$1.7M
T2017	Habilitation, residential, waiver; 15 minutes	4	10	2,290	$160	$1.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	5	10	1,080	$120	$771.4K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3	10	960	$210	$276.8K

Nearby Providers

Other providers in the same ZIP code as Lincoln Self Reliance, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Case Management Inc	WY	Case Management Agency	$0	$2M
North Lincoln County Hospital District	WY	Family Medicine Physician	$0	$541.9K
Cindy White	WY	Case Manager/Care Coordinator	$0	$508.3K
High Country Behavioral Health	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$317.6K
Jenning Voss	WY	Optometrist	$101.4K	$41.7K
Samuel Linford	WY	Orthopaedic Surgery Physician	$75.2K	$0
Chet Erickson	WY	Physical Therapist	$74.2K	$0
Myka Veigel	WY	Diagnostic Radiology Physician	$69K	$0
Jared Rose	WY	Physical Therapist	$58.7K	$0
Jeffrey Rosenberg	WY	Emergency Medicine Physician	$39K	$0

Lincoln Self Reliance, Inc. — Billing Profile & Reimbursement Data

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Lincoln Self Reliance, 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