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.

Wyoming Independent Living Rehabilitation, Inc. (NPI 1720167562)

Field	Value
Entity Type	Organization
Organization	Wyoming Independent Living Rehabilitation, Inc.
Address	305 W 1st St
City	Casper
State	WY
ZIP	82601
Taxonomy	Case Management Agency
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Key Findings

WYOMING INDEPENDENT LIVING REHABILITATION, INC. is a Case Management Agency based in CASPER, WY with $4.7M in lifetime Medicaid revenue and no Medicare billing on file, making it effectively a Medicaid-only billing entity in this dataset. Its entire recorded revenue stream comes from a narrow set of case-management and waiver-related services, not from traditional Medicare procedures.

The provider’s NPI was enumerated on 2006-11-03 (~20 years ago), indicating long tenure in the market; combined with its Case Management Agency taxonomy, this suggests an established operation focused on coordinated care and waiver program management rather than episodic clinical procedures.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, which signals operational dependence on a small set of recurring case-management services rather than a diversified service mix.

T2024 (Service assessment/plan of care development, waiver) is the single largest revenue driver with 10.6K claims, $242 avg paid/claim, and $2.6M revenue (54.1% of the provider’s Medicaid revenue); it ranks #3 of 37 providers in-state (94th percentile; typical, unremarkable volume for this code), indicating this provider generates the largest share of its income from waiver assessment and care-plan development activity at a peer-typical volume.

T2022 (Case management, per month) shows exceptionally high utilization: 11.6K claims, $179 avg paid/claim, $2.1M revenue (43.8% of the provider’s Medicaid revenue) and ranks #4 of 138 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code). This pattern identifies the organization as a state-level heavy hitter for recurring monthly case-management billing and implies a large ongoing client caseload and steady recurring revenue.

T1017 (Targeted case management, each 15 minutes) is a much smaller line item with 1.1K claims, $95 avg paid/claim, and $102.3K revenue (2.2% of the provider’s Medicaid revenue); it ranks #3 of 21 providers in-state (90th percentile; typical, unremarkable volume for this code), suggesting targeted 15-minute case-management units are a minor complement to the provider’s primary monthly and waiver planning services.

Competitive standing is uneven across services: the provider is a dominant or major player in monthly case management based on its 98th-percentile standing for T2022, while its activity in T2024 and T1017 is high in absolute dollars but characterized as typical for in-state peers. This mix implies competitive strength in sustaining recurring billing relationships while being more peer-aligned in waiver plan development and targeted increments.

Because T2024 (54.1% of Medicaid revenue) and T2022 (43.8% of Medicaid revenue) together represent the lion’s share of revenue, the provider’s financial performance is sensitive to changes in Medicaid policy, reimbursement rates, or authorization practices affecting those two codes; operationally, its model appears built around recurring monthly case management and waiver plan development rather than episodic clinical or procedural billing.

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
T2024	Service assessment/plan of care development, waiver	10,570	$240	$2.6M
T2022	Case management, per month	11,570	$180	$2.1M
T1017	Targeted case management, each 15 minutes	1,080	$100	$102.3K

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

Wyoming Independent Living Rehabilitation, 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
T2024	Service assessment/plan of care development, waiver	3	40	1,280	$40	$502.3K
T2022	Case management, per month	4	140	1,170	$250	$471.9K
T1017	Targeted case management, each 15 minutes	3	20	240	$40	$57.9K

Nearby Providers

Other providers in the same ZIP code as Wyoming Independent Living Rehabilitation, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Wyoming Independent Living Rehabilitation, Inc. — Billing Profile & Reimbursement Data

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Wyoming Independent Living Rehabilitation, 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