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.

Rising Sun Wellness Center (NPI 1740318013)

Field	Value
Entity Type	Organization
Organization	Rising Sun Wellness Center
Address	151 W Brundage St
City	Sheridan
State	WY
ZIP	82801
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$682.6K
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	5,240	$90	$471.8K
T1017	Targeted case management, each 15 minutes	1,060	$100	$108.1K
G9012	Other specified case management service not elsewhere classified	580	$100	$55.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	280	$170	$46.9K

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

Rising Sun Wellness Center — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	17	170	840	$80	$192.2K
G9012	Other specified case management service not elsewhere classified	20	40	460	$50	$97.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	3	10	120	$70	$66.9K
T1017	Targeted case management, each 15 minutes	4	20	240	$40	$57.9K

Nearby Providers

Other providers in the same ZIP code as Rising Sun Wellness Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Normative Services, Inc.	WY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.5M
Lgbtq Telepsychiatry	WY	Psychiatric/Mental Health Nurse Practitioner	$0	$3.9M
Rehabilitation Enterprises Of Northeastern Wyoming	WY	Clinical Psychologist	$0	$3.5M
Northeast Wyoming Pediatric Associates, P.C.	WY	Pediatrics Physician	$0	$3.2M
Gillette Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$2.9M
Eagle Ridge Rehabilitative Services	WY	Case Management Agency	$0	$2.6M
David Bailey	WY	Pediatric Dentistry	$0	$2.6M
Sensational Kids, LLC	WY	Pediatric Occupational Therapist	$0	$2.1M
Memorial Hospital Of Sheridan County	WY	General Acute Care Hospital	$0	$989.7K
Linda Garretson	WY	Developmentally Disabled Services Day Training Agency	$0	$989.3K

Rising Sun Wellness Center — Billing Profile & Reimbursement Data

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Rising Sun Wellness Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References