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    OpenPayerNPI Medicare & MedicaidEmg Casper Mw LLC
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    Emg Casper Mw LLC — Billing Profile & Reimbursement Data

    NPI 1790016871 · Casper, WY · Assisted Living Facility

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    Emg Casper Mw LLC is a assisted living facility provider located in Casper, Wyoming. This profile covers 0 Medicare and 1 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
    OrganizationEmg Casper Mw LLC
    Address3955 E 12th St
    CityCasper
    StateWY
    ZIP82609
    TaxonomyAssisted Living Facility
    NPI EnumeratedJanuary 28, 2010

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

    Payer SourceTotal Paid
    Medicaid$5.9M
    Medicare$0

    Key Findings

    This entity operates as an assisted living facility: all Medicaid revenue is attributed to the assisted-living waiver per diem code T2031, indicating the business model centers on long-term residential support and waiver-funded daily care rather than episodic medical procedures or Medicare-driven services. The dominance of T2031 aligns with the provider taxonomy listed as Assisted Living Facility and signals that room-and-board plus waiver-covered support services are the core service line.

    Revenue is highly concentrated: the precomputed data show the top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue and, in this case, that entire Medicaid revenue base is from a single code, T2031, which generated $5.9M. This concentration means financial performance is tightly linked to reimbursement and utilization patterns for that one waiver per diem.

    Payer mix is effectively single-payer: there is no Medicare billing on file for this provider (none below), and total Medicaid revenue is $5.9M, so the organization is effectively Medicaid-dependent for the Medicare/Medicaid payer split observed in the records. Analysts should treat Medicare-driven demand and risk as immaterial in this profile and focus on Medicaid policy and waiver program dynamics.

    Competitive standing within Wyoming for T2031 is modest: the provider ranks #3 of 11 in-state and at the 80th percentile for volume on T2031, which the dataset describes as a typical, unremarkable volume for this code. That rank indicates the provider is a meaningful participant in the state assisted-living waiver market but not a statewide dominant operator.

    Claim-level economics for the core code show relatively high per-claim payments: T2031 averages $1810 paid per claim across 3.3K claims, producing the $5.9M in revenue. This per-diem level is an important driver of the provider’s revenue base and should be monitored for changes in waiver rates or per-diem policy that would materially affect revenue.

    Tenure is long enough to reflect an established operation: the NPI was enumerated on 2010-01-28 (~16 years ago), suggesting the provider has been participating in payer systems and waiver programs for well over a decade, which may indicate stable enrollment and contracting relationships in the local market.

    Because all reported Medicaid revenue is from a single service line (T2031), the provider has limited service diversification within the dataset; this specialization reduces exposure to mixed-service reimbursement complexity but increases sensitivity to changes in the assisted-living waiver rules, state budgeting, or enrollment shifts among Medicaid beneficiaries.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2031Assisted living; waiver, per diem3,270$1,810$5.9M

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2031Assisted living; waiver, per diem3101,520$560$3.2M

    Nearby Providers

    Other providers in the same ZIP code as Emg Casper Mw LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Community Action Programs Of Wyoming, Inc.WYDevelopmentally Disabled Services Day Training Agency$0$25.8M
    Community Health Center Of Central Wyoming, Inc.WYFederally Qualified Health Center (FQHC)$0$15.3M
    Casper Children's Center, LLCWYPediatrics Physician$0$4M
    Wyoming Behavioral InstituteWYPsychiatric Hospital$0$2.7M
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Stephen BrownWYChild & Adolescent Psychiatry Physician$0$2.4M
    2nd Street Dental, LLCWYDental Clinic/Center$0$2.4M
    Solutions Counseling Services LLCWYCommunity/Behavioral Health Agency$0$2.1M
    Surfin Smiles LLCWYPediatric Dentistry$0$2M
    Elie FahedWYMedical Oncology Physician$1.9M$0

    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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Emg Casper Mw LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming