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.

Eagle Ridge Rehabilitative Services (NPI 1841535663)

Field	Value
Entity Type	Organization
Organization	Eagle Ridge Rehabilitative Services
Address	437 Shadow Ridge Blvd
City	Sheridan
State	WY
ZIP	82801
Taxonomy	Case Management Agency
NPI Enumerated	December 5, 2012

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Key Findings

EAGLE RIDGE REHABILITATIVE SERVICES is effectively a single-payer provider in the available data: there is no Medicare billing on file and total reported Medicaid revenue is $2.6M. Analysts should treat this entity primarily as a Medicaid-focused operation rather than a mixed Medicare/Medicaid billing profile.

Revenue is extremely concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, indicating limited service-code diversification in the claims dataset. This concentration means changes to reimbursement or utilization for a single code could materially affect the provider's topline.

Two codes drive the entirety of reported Medicaid revenue. T2016 (Habilitation, residential, waiver; per diem) accounts for $1.4M and 52.2% of Medicaid revenue (1.4K claims, $993 avg paid/claim), while S5100 (Day care services, adult; per 15 minutes) accounts for $1.2M and 47.8% of Medicaid revenue (3.8K claims, $328 avg paid/claim). These figures show a near-even split between residential habilitation and adult day care service lines by dollar share.

The code mix suggests EAGLE RIDGE operates both residential habilitation (T2016) and adult day care services (S5100), consistent with a Case Management Agency taxonomy that coordinates long-term support and waiver services. The presence of per-diem residential habilitation and per-15-minute adult day services implies on-site program delivery rather than predominantly office-based care.

Competitive standing within Wyoming is modest for these dominant codes. T2016 ranks #16 of 19 providers in-state (17th percentile) and is described as "typical, unremarkable volume for this code," indicating the provider is a smaller or average participant for residential habilitation by state comparison. S5100 ranks #9 of 18 providers in-state (53th percentile) and is likewise characterized as "typical, unremarkable volume for this code," placing the provider near the market median for adult day services.

The provider has been enumerated for a substantial period, with an NPI registered on 2012-12-05 (~14 years ago), which indicates organizational tenure and an established billing relationship with Medicaid. This longevity may reflect stable program operations even though revenue is concentrated in a few service lines.

From an operational and payer-risk perspective, analysts should note the high dependence on Medicaid and on two codes in particular; any policy, waiver, or rate change affecting T2016 or S5100 could have outsized impact. Given the lack of Medicare activity, network contracting or competitive moves focused on Medicare populations are unlikely to be relevant for this entity based on the current billing record.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	1,370	$990	$1.4M
S5100	Day care services, adult; per 15 minutes	3,800	$330	$1.2M

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

Eagle Ridge Rehabilitative Services — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	16	20	5,630	$520	$10.5M
S5100	Day care services, adult; per 15 minutes	9	20	3,260	$210	$2.3M

Nearby Providers

Other providers in the same ZIP code as Eagle Ridge Rehabilitative Services, 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
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
Senior Citizens Council	WY	Home Health Agency	$0	$959.7K

Eagle Ridge Rehabilitative Services — Billing Profile & Reimbursement Data

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Eagle Ridge Rehabilitative Services — 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