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.

Northwest Community Action Programs Of Wyoming, Inc. (NPI 1881714210)

Field	Value
Entity Type	Organization
Organization	Northwest Community Action Programs Of Wyoming, Inc.
Address	345 N Walsh Dr
City	Casper
State	WY
ZIP	82609
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicaid	$25.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in Medicare/Medicaid terms: there is no Medicare billing on file ("none below"), and lifetime Medicaid revenue totals $25.8M. The absence of Medicare activity means the organization’s financial exposure and growth opportunities are concentrated entirely within Medicaid programs and waiver-funded services.

Revenue is highly concentrated in a small set of waiver and day-service codes: the precomputed top three Medicaid codes (T2016, T2031, S5100) account for 92.6% of the provider’s total Medicaid revenue. Specifically, T2016 accounts for $15.8M (61.1%), T2031 for $4.4M (17.2%), and S5100 for $3.7M (14.3%), indicating a heavy reliance on a narrow set of service lines.

The code mix and taxonomy (Developmentally Disabled Services Day Training Agency) point to an operating model centered on residential habilitation and day supports for individuals with developmental disabilities. T2016 is described as habilitation, residential, waiver per diem (2.4K claims, $6550 avg paid/claim), T2031 as assisted living waiver per diem (1.5K claims, $2915 avg paid/claim), and S5100 as adult day care per 15 minutes (2.7K claims, $1354 avg paid/claim), which together suggest a blended delivery model of per-diem residential care and time-based day services.

Despite large absolute Medicaid dollars, the provider does not appear dominant statewide for its top codes: T2016 ranks #14 of 19 providers in-state (28th percentile) and is labeled "typical, unremarkable volume," while T2031 ranks #6 of 11 (50th percentile) and S5100 ranks #10 of 18 (47th percentile). These rankings indicate mid- to lower-tier competitive standing within Wyoming for the specific services that drive most revenue, rather than market leadership.

There are modest supplemental service lines beyond the top three: S5108 (home care training to home care client, per 15 minutes) contributes $1.8M (6.9%) and ranks #4 of 6 providers in-state (40th percentile), while T1002 (Rn services, up to 15 minutes) contributes $106.5K (0.4%) and ranks #18 of 21 (15th percentile). These smaller codes suggest ancillary offerings such as home-care training and intermittent nursing support, but they do not materially diversify the provider’s revenue base.

Operationally, the provider’s revenue profile reflects a mix of moderate claim volumes with relatively high average paid per claim for its per-diem services: T2016 shows 2.4K claims with a $6550 avg paid/claim, T2031 shows 1.5K claims with a $2915 avg paid/claim, and S5100 shows 2.7K claims with a $1354 avg paid/claim. This pattern implies dependence on higher-dollar per-diem reimbursement streams rather than on very high claim counts, which can concentrate financial risk around rate or policy changes affecting those payment methodologies.

None of the listed codes is flagged as an extreme statistical outlier in the comparison notes; most are described as "typical, unremarkable volume," which indicates the provider’s utilization and revenue per code fall within expected ranges for in-state peers. From an analytic perspective, that reduces immediate statistical red flags but reinforces that the provider’s position is a conventional one within Wyoming’s market for these waiver and day services.

The NPI tenure suggests established operations: the provider was enumerated on 2007-03-30 (~19 years ago). Coupled with $25.8M in lifetime Medicaid revenue and a concentrated but consistent code mix, this longevity supports an interpretation of a stable, specialty-focused provider whose performance and risk are closely tied to Medicaid waiver policies and per-diem reimbursement for residential habilitation and day services.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	2,410	$6,550	$15.8M
T2031	Assisted living; waiver, per diem	1,520	$2,920	$4.4M
S5100	Day care services, adult; per 15 minutes	2,730	$1,350	$3.7M
S5108	Home care training to home care client, per 15 minutes	570	$3,120	$1.8M
T1002	Rn services, up to 15 minutes	90	$1,180	$106.5K

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

Northwest Community Action Programs Of Wyoming, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	14	20	5,630	$520	$10.5M
T2031	Assisted living; waiver, per diem	6	10	1,520	$560	$3.2M
S5100	Day care services, adult; per 15 minutes	10	20	3,260	$210	$2.3M
S5108	Home care training to home care client, per 15 minutes	4	10	1,050	$390	$1.7M
T1002	Rn services, up to 15 minutes	18	20	670	$120	$283.5K

Nearby Providers

Other providers in the same ZIP code as Northwest Community Action Programs Of Wyoming, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M
Elie Fahed	WY	Medical Oncology Physician	$1.9M	$0

Northwest Community Action Programs Of Wyoming, Inc. — Billing Profile & Reimbursement Data

Sign up for Northwest Community Action Programs Of Wyoming, Inc. — Billing Profile & Reimbursement Data policy alerts

Northwest Community Action Programs Of Wyoming, Inc. — Billing Profile & Reimbursement Data

Sign up for Northwest Community Action Programs Of Wyoming, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References