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.

Lsw, LLC (NPI 1801918297)

Field	Value
Entity Type	Organization
Organization	Lsw, LLC
Address	1695 Sunset Dr #114
City	Rock Springs
State	WY
ZIP	82901
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 4, 2007

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Key Findings

LSW, LLC is effectively a Medicaid-focused provider with no Medicare billing on file; its lifetime Medicaid revenue is $11.6M and there is no recorded Medicare revenue, indicating its operations are concentrated entirely in the Medicaid program rather than dual-payer billing. The provider’s NPI was enumerated on 2007-04-04 (~19 years ago), indicating a long-tenured presence in the market which likely supports established relationships with state Medicaid programs and consistent service delivery over time.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 87.1% of this provider’s total Medicaid revenue, demonstrating dependence on a narrow set of waiver/habilitation per diem and unit-rate services rather than a broad mix of codes. This concentration suggests that changes in reimbursement or policy for these few codes could materially affect the provider’s financial profile.

The single largest revenue driver is T2016 (Habilitation, residential, waiver; per diem), which generated $7.1M and represents 61.4% of the provider’s Medicaid revenue. Despite the large dollar share, the provider ranks #17 of 19 in-state (11th percentile) on T2016, which indicates LSW, LLC captures a modest share of in-state volume for this code even though it is their dominant revenue stream.

T2031 (Assisted living; waiver, per diem) and T2019 (Habilitation, supported employment, waiver; per 15 minutes) are the second- and third-largest contributors, producing $2M (17.4%) and $964.3K (8.3%) respectively. Both codes are described as delivering typical, unremarkable volumes relative to in-state peers (T2031 ranks #8 of 11, 30th percentile; T2019 ranks #4 of 7, 50th percentile), implying LSW’s service mix aligns with standard provider patterns rather than outlier specialization in assisted living or supported employment services.

Other active codes include T2021 (Day habilitation, waiver; per 15 minutes) and T2017 (Habilitation, residential, waiver; 15 minutes), which contribute smaller shares ($849.9K / 7.3% and $610.4K / 5.3% respectively) and rank at relatively low percentiles among the small number of in-state providers for those codes. The presence of both per-diem residential habilitation codes and time-based habilitation and day programs signals an operational model that combines residential waiver services with day habilitation and employment supports, reflecting a blended service-line approach typical for Developmentally Disabled Services Day Training Agencies.

On competitive standing within the state, LSW appears to be a modest participant rather than a dominant statewide provider for its top Medicaid codes: the provider’s ranks (e.g., #17/19 for T2016, #8/11 for T2031, #4/7 for T2019) and the percentile positions indicate service volumes that are typical to below-average compared with in-state peers, even for codes that contribute the largest portions of its revenue. This pattern suggests LSW operates at a scale that is meaningful locally but not top-tier among Wyoming providers of waiver habilitation and assisted living services.

Because 87.1% of Medicaid revenue is tied to three codes that are all waiver/habilitation related, the provider’s business risk is concentrated in Medicaid waiver policy and payment rates. Any changes to state waiver program rules, per-diem rates for T2016 or T2031, or utilization controls on habilitation service units could disproportionately affect LSW’s revenue given that these few codes drive the vast majority of its $11.6M Medicaid receipts.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	1,140	$6,270	$7.1M
T2031	Assisted living; waiver, per diem	970	$2,080	$2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	1,080	$900	$964.3K
T2021	Day habilitation, waiver; per 15 minutes	550	$1,550	$849.9K
T2017	Habilitation, residential, waiver; 15 minutes	560	$1,090	$610.4K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	350	$90	$32.5K

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

Lsw, LLC — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	17	20	5,630	$520	$10.5M
T2031	Assisted living; waiver, per diem	8	10	1,520	$560	$3.2M
T2021	Day habilitation, waiver; per 15 minutes	7	10	6,090	$260	$2.1M
T2017	Habilitation, residential, waiver; 15 minutes	6	10	2,290	$160	$1.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	4	10	1,080	$120	$771.4K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	8	10	960	$210	$276.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Able Hands	WY	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Sweetwater Pediatrics P.C.	WY	Primary Care Clinic/Center	$0	$2M
Pain Care Center, LLC	WY	Pain Medicine (Anesthesiology) Physician	$0	$1.6M
Southwest Counseling Service	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.5M
Qrc LLC	WY	Case Management Agency	$0	$1.4M
University Of Utah Adult Services	WY	Emergency Medicine Physician	$0	$1.2M
Lcr Dental Rock Springs LLC	WY	Dentist	$0	$1.1M
Memorial Hospital Of Sweetwater County	WY	Internal Medicine Physician	$0	$1.1M
Aai Services LLC	WY	Case Management Agency	$0	$971.4K
Nicole Armstrong	WY	Case Manager/Care Coordinator	$0	$773.2K

Lsw, LLC — Billing Profile & Reimbursement Data

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Lsw, LLC — 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