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.

Sol Domus, Inc. (NPI 1831389584)

Field	Value
Entity Type	Organization
Organization	Sol Domus, Inc.
Address	2805 Cedar Ave Ste B
City	Gillette
State	WY
ZIP	82718
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 30, 2007

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Key Findings

SOL DOMUS, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $8.8M in lifetime Medicaid revenue, indicating operational dependence on state Medicaid programs rather than the Medicare program. This concentration of payer exposure shapes both revenue stability and regulatory dependency.

Revenue is highly concentrated in a narrow set of waiver habilitation codes: the top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with T2016 alone representing 66.1% and T2021 representing 33.7% of total Medicaid receipts. This concentration means the business is overwhelmingly driven by a small number of service lines.

The code mix (T2016 — Habilitation, residential, waiver; per diem — and T2021 — Day habilitation, waiver; per 15 minutes) indicates SOL DOMUS operates primarily as a waiver-funded habilitation provider offering both residential and day habilitation services, consistent with its Developmentally Disabled Services Day Training Agency taxonomy. The presence of per-diem residential habilitation plus per-15-minute day habilitation suggests a combined residential and day-program operating model.

Per-claim payment levels are unusually large on their face for unit-based codes: T2016 shows an average paid/claim of $2902 (per diem) and T2021 shows $2288 (per 15 minutes), which suggests each claim likely represents extended service periods, bundled billing, or multiple units per claim rather than single short visits. Those average paid/claim figures should be interpreted in the context of program billing rules for waiver services.

Competitive standing in-state is modest for the provider’s top codes: T2016 ranks #15 of 19 providers in Wyoming (22th percentile) and is described as typical, unremarkable volume for this code, indicating SOL DOMUS is not a dominant residential habilitation provider statewide. Similarly, T2021 ranks #6 of 8 providers (29th percentile) and is described as typical, unremarkable volume for this code, signaling only moderate positioning in day habilitation relative to peers.

S5100 (Day care services, adult; per 15 minutes) is a marginal revenue line for this entity: 36 claims generated $14.1K (0.2% of Medicaid revenue) and the provider ranks #17 of 18 in-state (6th percentile) with typical, unremarkable volume for this code. This suggests limited engagement in general adult day care compared with its stronger waiver habilitation services.

The provider’s NPI tenure (enumerated 2007-07-30, ~19 years ago) indicates it is an established local operator; long enrollment may reflect sustained participation in state waiver programs and operational continuity in Gillette, WY. Historical tenure combined with concentrated revenue lines signals operational specialization rather than recent market entry.

Because the business derives nearly all Medicaid revenue from waiver habilitation codes (top three = 100.0% with T2016 at 66.1% and T2021 at 33.7%), the provider faces concentration risk: policy or reimbursement changes to Medicaid waiver rules or state-level funding for habilitation services could materially affect revenue. Analysts should monitor state waiver policy and rate-setting for these specific codes.

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
T2016	Habilitation, residential, waiver; per diem	1,990	$2,900	$5.8M
T2021	Day habilitation, waiver; per 15 minutes	1,290	$2,290	$3M
S5100	Day care services, adult; per 15 minutes	40	$390	$14.1K

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

Sol Domus, Inc. — 0 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
T2016	Habilitation, residential, waiver; per diem	15	20	5,630	$520	$10.5M
S5100	Day care services, adult; per 15 minutes	17	20	3,260	$210	$2.3M
T2021	Day habilitation, waiver; per 15 minutes	6	10	6,090	$260	$2.1M

Nearby Providers

Other providers in the same ZIP code as Sol Domus, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wyoming Home Health Inc	WY	Home Health Agency	$0	$1.7M
Horng-chyi Lai	WY	Rheumatology Physician	$1.4M	$0
Heather Voigt	WY	Case Management Agency	$0	$926.8K
Atlas Therapy LLC	WY	Mental Health Counselor	$0	$755K
Andrea Snyder	WY	Case Manager/Care Coordinator	$0	$300.8K
Children's Developmental Services Of Campbell County	WY	Clinic/Center	$0	$281.3K
Meadowlark Counseling	WY	Psychologist	$0	$274.4K
Lukasz Kiljanek	WY	Nephrology Physician	$210.9K	$0
County Of Campbell	WY	Public Health or Welfare Agency	$11.4K	$194.4K
Momentum Physical Therapy	WY	Physical Therapy Clinic/Center	$0	$205.5K

Sol Domus, Inc. — Billing Profile & Reimbursement Data

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Sol Domus, 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