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.

Alliance Case Management (NPI 1639525702)

Field	Value
Entity Type	Organization
Organization	Alliance Case Management
Address	657 Parkway Dr.
City	Mountain View
State	WY
ZIP	82939
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	May 9, 2016

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Key Findings

ALLIANCE CASE MANAGEMENT shows a single-payer operating profile: there is no Medicare billing on file while total Medicaid revenue is $3.2M, indicating the organization is effectively Medicaid-focused in its billed activity. The absence of Medicare claims suggests its patient population and contracting are concentrated in state-managed programs rather than fee-for-service Medicare markets.

Revenue is highly concentrated in a narrow set of Medicaid service lines: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with two codes explicitly listed as driving that total. Specifically, T2024 generates $1.9M (60.6% of Medicaid revenue) and T2022 generates $1.3M (39.4% of Medicaid revenue), leaving little revenue diversification outside waiver assessment and case management codes.

The code mix and taxonomy (Case Manager/Care Coordinator) align with ongoing care coordination and waiver services rather than episodic clinical procedures. T2024 (Service assessment/plan of care development, waiver) and T2022 (Case management, per month) together indicate the provider operates as a community-based case management/waiver program contractor delivering assessments and recurring monthly management rather than acute or procedural care.

Operational scale is reflected in claims and unit payment levels: T2024 shows 7.5K claims at $258 avg paid/claim and T2022 shows 6.8K claims at $185 avg paid/claim. Those volumes and per-claim rates are consistent with high-frequency, recurring case-management encounters and formalized waiver assessments as primary revenue drivers.

Competitive standing for T2022 is strong within the state: the provider ranks #6 of 138 providers in-state (96th percentile; notably above typical state volume for this code), which positions it as a major in monthly case-management billing in Wyoming. That rank and the “notably above typical” label indicate this provider is a significant regional participant for recurring case management services.

By contrast, T2024—while the largest single revenue source at $1.9M—ranks #4 of 37 providers in-state (92th percentile; typical, unremarkable volume for this code), suggesting that although this code contributes the majority of dollars, the provider’s assessment/plan-of-care activity sits within a cohort of similar providers rather than as a clear outlier. The different percentile characterizations between T2024 and T2022 imply uneven competitive strength across the two primary service lines.

The provider’s tenure is established but not long-standing: NPI was enumerated on 2016-05-09 (~10 years ago), which supports nearly a decade of billing history under the current identifier and is consistent with the observed multi-year volume in waiver and case-management codes. This tenure helps explain the accumulated $3.2M Medicaid revenue and steady claim counts across the two codes.

Concentration risk is material given the narrow code base driving all Medicaid revenue; dependence on T2024 and T2022 means changes in state waiver policy, per-claim rates ($258 and $185 as reported), or enrollment could materially affect total revenue. With no Medicare presence, growth or resilience would require either deeper share within Medicaid waiver/case-management programs or expansion into other payers or service lines.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2024	Service assessment/plan of care development, waiver	7,460	$260	$1.9M
T2022	Case management, per month	6,770	$190	$1.3M

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

Alliance Case Management — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2024	Service assessment/plan of care development, waiver	4	40	1,280	$40	$502.3K
T2022	Case management, per month	6	140	1,170	$250	$471.9K

Nearby Providers

Other providers in the same ZIP code as Alliance Case Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evanston Hospital Corporation	WY	Rural Health Clinic/Center	$0	$289.4K
Blacks Fork Dental, PC	WY	Dental Clinic/Center	$0	$44.1K
Timberland Chiropractic PC	WY	Chiropractor	$0	$29.6K
Lorie Conrad	WY	Social Worker	$0	$28.9K
Lincoln Uinta Child Development Association	WY	Clinic/Center	$0	$24.1K

Alliance Case Management — Billing Profile & Reimbursement Data

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Alliance Case Management — 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