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    OpenPayerNPI Medicare & MedicaidMemorial Hospital Of Laramie County
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    Memorial Hospital Of Laramie County — Billing Profile & Reimbursement Data

    NPI 1568426435 · Cheyenne, WY · Home Health Agency

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    Memorial Hospital Of Laramie County is a home health agency provider located in Cheyenne, Wyoming. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMemorial Hospital Of Laramie County
    Address2600 E 18th St
    CityCheyenne
    StateWY
    ZIP82001
    TaxonomyHome Health Agency
    NPI EnumeratedApril 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.3M
    Medicare$0

    Key Findings

    MEMORIAL HOSPITAL OF LARAMIE COUNTY shows no Medicare billing on file and $3.3M in lifetime Medicaid revenue, making it effectively a Medicaid-focused home health operator rather than a dual-payer provider. The absence of Medicare revenue suggests limited engagement with Medicare fee-for-service channels and a revenue base concentrated in state Medicaid programs.

    Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three codes account for 71.8% of the provider's total Medicaid revenue. The three codes driving that concentration are T1004 ($1.5M, 46.5%), T1002 ($476.7K, 14.6%), and G0156 ($349.2K, 10.7%), indicating most Medicaid dollars flow through a narrow set of service lines.

    The code mix is consistent with a labor-intensive home health/home-care model: T1004 (Services of a qualified nursing aide) and G0156 (home health/hospice aide) together represent a large share of visits and revenue, while T1002 (RN services) captures the skilled nursing component. High claim volume for T1004 (33.6K claims at $45 avg paid/claim) points to a steady throughput of aide visits, supplemented by periodic RN visits and formal care-plan assessments.

    For T1004 the provider ranks #2 of 23 providers in-state (95th percentile) and is described as "notably above typical state volume for this code," signaling near-top statewide scale in qualified nursing aide services. That standing suggests MEMORIAL HOSPITAL OF LARAMIE COUNTY is a major local provider of aide-level home care relative to peers.

    T1002 (RN services) and G0156 (home health/hospice aide) present different competitive profiles: T1002 ranks #4 of 21 (85th percentile) and is labeled "typical, unremarkable volume for this code," while G0156 ranks #2 of 19 (94th percentile) but is also described as "typical, unremarkable volume." These descriptors indicate the provider is an established participant for RN visits and home health aide tasks without an atypical or outlier service pattern beyond the T1004 concentration.

    Other Medicaid line items show a broader service set but smaller revenue shares: T2024 ($233.4K, 7.2%) ranks #20 of 37 (47th percentile), S9123 ($210.7K, 6.5%) ranks #6 of 20 (74th percentile), and T1019 ($2.8K, 0.1%) ranks #2 of 2 (0th percentile). Together these codes reflect presence of assessment/plan work, hourly RN nursing, and personal care services, but none approach the revenue dominance of the top three codes.

    The heavy reliance on the top three Medicaid codes (71.8% of Medicaid revenue) creates concentration risk: changes to reimbursement, utilization policy, or state program sourcing for aide visits or RN visit billing could materially affect total Medicaid revenue. Coupled with no Medicare revenue to diversify payer mix, the provider's financial exposure is concentrated within Medicaid service lines.

    The provider has an established operational tenure, with NPI enumerated 2006-04-17 (~20 years ago), which—combined with top-state rankings for key aide services—suggests an entrenched presence in Wyoming's home health market for personal care and attendant nursing services. That longevity may support stable referral and operational workflows underpinning the high claim volumes seen for aide-level services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1004Services of a qualified nursing aide, up to 15 minutes33,600$50$1.5M
    T1002Rn services, up to 15 minutes5,020$100$476.7K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes9,440$40$349.2K
    T2024Service assessment/plan of care development, waiver1,110$210$233.4K
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)2,970$70$210.7K
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…7,870$30$204.6K
    T2022Case management, per month1,050$170$179K
    S5125Attendant care services; per 15 minutes2,790$30$86.4K
    T1001Nursing assessment / evaluation30$90$2.8K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wyoming median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1004Services of a qualified nursing aide, up to 15 minutes2205,720$70$677.7K
    T2024Service assessment/plan of care development, waiver20401,280$40$502.3K
    T2022Case management, per month751401,170$250$471.9K
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…620860$90$370.1K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes2202,280$80$337.2K
    T1002Rn services, up to 15 minutes420670$120$283.5K
    S5125Attendant care services; per 15 minutes6103,500$60$268K
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)6201,510$100$251.6K
    T1001Nursing assessment / evaluation21050$70$3.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Memorial Hospital Of Laramie County, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cheyenne Regional Physicians Group, LLCWYMedical Oncology Physician$0$5.1M
    Memorial Hospital Of Laramie CountyWYGeneral Acute Care Hospital$0$4M
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    Memorial Hospital Of Laramie CountyWYHome Health Agency$0$743.2K
    Mark DziemianowiczCORadiation Oncology Physician$293.3K$0
    Rajesh KunadharajuCACritical Care Medicine (Internal Medicine) Physician$243.8K$0
    David ValentineCANeurology Physician$233.3K$0
    Oussama LawandCOClinical Cardiac Electrophysiology Physician$204.3K$0
    Tyler RobinCORadiation Oncology Physician$195K$0
    Tracie CallerWYNeurology Physician$178.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Memorial Hospital Of Laramie County, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Magic City Enterprises, IncWYDevelopmentally Disabled Services Day Training Agency$0$23.6M
    Cheyenne Habilitation & Therapeutic Center, IncWYDevelopmentally Disabled Services Day Training Agency$0$14.4M
    Specialty Counseling & ConsultingWYCommunity/Behavioral Health Agency$0$8.2M
    University Of WyomingWYFederally Qualified Health Center (FQHC)$0$5.5M
    Cheyenne Surgical Center LLCWYAmbulatory Surgical Clinic/Center$567.4K$4.5M
    Goodwill Industries Of Wy, Inc.WYCase Management Agency$0$3.9M
    American Medical Response Ambulance Service IncWYAmbulance$1.4M$2.3M
    Summit Medical Group, LLCWYEmergency Medicine Physician$0$3.7M
    Frontier Access & Mobility Systems, IncWYCustomized Equipment (DME)$0$2.7M
    Love Care & Dignity, Inc.WYClinical Psychologist$0$2.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wyoming Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Memorial Hospital Of Laramie County — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming