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    OpenPayerNPI Medicare & MedicaidCheyenne Habilitation & Therapeutic Center, Inc
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    Cheyenne Habilitation & Therapeutic Center, Inc — Billing Profile & Reimbursement Data

    NPI 1699816843 · Cheyenne, WY · Developmentally Disabled Services Day Training Agency

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    Cheyenne Habilitation & Therapeutic Center, Inc is a developmentally disabled services day training agency provider located in Cheyenne, Wyoming. This profile covers 0 Medicare and 4 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
    OrganizationCheyenne Habilitation & Therapeutic Center, Inc
    Address1616 E 19th St Ste 4
    CityCheyenne
    StateWY
    ZIP82001
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedFebruary 9, 2007

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

    Payer SourceTotal Paid
    Medicaid$14.4M
    Medicare$0

    Key Findings

    CHEYENNE HABILITATION & THERAPEUTIC CENTER, INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based ($14.4M). This makes the entity a single-payer operation in practice, with Medicaid funding driving the provider’s entire claims footprint and financial profile.

    Revenue is extremely concentrated in a very small set of services: the precomputed top three Medicaid codes account for 99.8% of the provider’s total Medicaid revenue. That concentration indicates most of the organization’s cash flow depends on a narrow set of habilitation and day-service lines rather than a broad mix of Medicaid program codes.

    T2016 is the dominant revenue driver: the provider reported 4.9K claims for T2016 with an average paid/claim of $2472 and $12M in revenue, representing 83.7% of its total Medicaid revenue. T2016 is a per diem habilitation/residential waiver code, so this profile points to a core business of residential habilitation services that generate high per-claim payments and make up the bulk of dollars.

    S5100 is the second-largest contributor with 1.7K claims, $1217 average paid/claim, and $2M in revenue (14.2% of total Medicaid revenue). S5100 is a per-15-minute adult day care service, indicating the provider also operates day-program capacity alongside residential habilitation; the in-state rank (#13 of 18, 29th percentile) is described as typical and unremarkable volume, so this activity is material but not a leading statewide position.

    S5135 and remaining codes account for only a sliver of revenue: S5135 produced 264 claims, $1026 avg paid/claim and $270.9K in revenue (1.9% of Medicaid revenue), and is ranked #11 of 12 in-state and labeled typical/ unremarkable. The low share and low state percentile for S5135 (companion care per 15 minutes) indicate these ancillary services are minor to the organization’s business model compared with its residential/day habilitation lines.

    Competitive standing in-state is modest rather than dominant: the provider’s T2016 volume ranks #11 of 19 (44th percentile) and S5100 ranks #13 of 18 (29th percentile), both described as typical, unremarkable volumes. Those ranks suggest CHEYENNE HABILITATION & THERAPEUTIC CENTER operates as a routine participant in Wyoming’s Medicaid habilitation market rather than a market leader.

    Operational implications from the code mix and payment units: a heavy reliance on T2016 (per diem residential habilitation) and sizeable S5100 (per-15-minute day care) implies the organization runs both residential waiver programs and structured day services, with a mix of high-dollar per-diem billing and per-time billing models. This mix suggests operational focus on long-duration residential care complemented by day-program services rather than episodic clinical procedures.

    The provider’s NPI tenure is long-standing: it was enumerated on 2007-02-09 (~19 years ago), indicating nearly two decades of presence in the market. That longevity, combined with the heavy Medicaid concentration, suggests an established local operation with sustained reliance on waiver/residential habilitation funding streams.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem4,870$2,470$12M
    S5100Day care services, adult; per 15 minutes1,680$1,220$2M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes260$1,030$270.9K
    T2021Day habilitation, waiver; per 15 minutes40$750$27.8K

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem11205,630$520$10.5M
    S5100Day care services, adult; per 15 minutes13203,260$210$2.3M
    T2021Day habilitation, waiver; per 15 minutes8106,090$260$2.1M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes1110960$210$276.8K

    Nearby Providers

    Other providers in the same ZIP code as Cheyenne Habilitation & Therapeutic Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Magic City Enterprises, IncWYDevelopmentally Disabled Services Day Training Agency$0$23.6M
    Specialty Counseling & ConsultingWYCommunity/Behavioral Health Agency$0$8.2M
    University Of WyomingWYFederally Qualified Health Center (FQHC)$0$5.5M
    Cheyenne Regional Physicians Group, LLCWYMedical Oncology Physician$0$5.1M
    Cheyenne Surgical Center LLCWYAmbulatory Surgical Clinic/Center$567.4K$4.5M
    Memorial Hospital Of Laramie CountyWYGeneral Acute Care Hospital$0$4M
    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
    Memorial Hospital Of Laramie CountyWYHome Health Agency$0$3.3M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Cheyenne Habilitation & Therapeutic Center, Inc — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming