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.

Wyoming Pioneer Home (NPI 1922198936)

Field	Value
Entity Type	Organization
Organization	Wyoming Pioneer Home
Address	141 Pioneer Home Dr
City	Thermopolis
State	WY
ZIP	82443
Taxonomy	Assisted Living Facility
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Key Findings

As an Assisted Living Facility, WYOMING PIONEER HOME’s Medicaid billing is dominated by T2031 (Assisted living; waiver, per diem), indicating the operation is primarily focused on waiver-funded residential and custodial support delivered on a per-diem basis rather than discrete medical procedures. The code mix is consistent with long-term daily care and room-and-board–adjacent services rather than procedure-driven revenue streams.

Revenue is highly concentrated in a single Medicaid service line: the precomputed data show the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and reported activity centers on T2031. This suggests the provider’s Medicaid income is effectively monolithic and tied to assisted-living per-diem reimbursement.

Claim-level details confirm the concentration: T2031 is reported with 1.3K claims at a $1773 avg paid/claim, producing $2.2M in Medicaid revenue. Those exact figures demonstrate that per-diem waiver billing is the sole driver of the documented Medicaid revenue base for this entity.

WYOMING PIONEER HOME has no Medicare billing on file and $2.2M in Medicaid revenue, making its public-payer footprint effectively single-payer (Medicaid) in the available data. The absence of Medicare activity constrains national Medicare comparisons and suggests the provider does not bill Medicare Part B/Part A services, or those services are not captured in this dataset.

Within Wyoming competitive standing on the reported code is modest: the provider ranks #7 of 11 providers in-state (40th percentile; typical, unremarkable volume for this code). The rank and percentile indicate WYOMING PIONEER HOME is a standard, mid-market participant in waiver-funded assisted living rather than a statewide leader for T2031 services.

The provider’s NPI was enumerated on 2006-10-13 (~20 years ago), reflecting roughly two decades of registration. That tenure implies an established local presence which may correspond to ongoing relationships with state Medicaid waiver programs and stable operational experience in the assisted-living space.

Because 100.0% of Medicaid revenue is tied to the top codes and the reported activity is concentrated in a single per-diem waiver code, the provider is sensitive to changes in state waiver rates, eligibility, or utilization patterns; reimbursement policy shifts could meaningfully affect revenue. Analysts should treat reimbursement-policy and waiver-program changes as primary financial risk factors for this entity.

Data limitations are material for multi-payer benchmarking: with no Medicare claims to compare and Medicaid activity focused on a per-diem assisted-living code, acuity, procedure-mix, and outpatient-service comparisons are not available. Competitive benchmarking should therefore be conducted against other waiver-funded assisted-living providers rather than across broader skilled-nursing or physician-billing cohorts.

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 Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	1,260	$1,770	$2.2M

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

Wyoming Pioneer Home — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	7	10	1,520	$560	$3.2M

Nearby Providers

Other providers in the same ZIP code as Wyoming Pioneer Home, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Big Horn Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$25.1M
Hot Springs County Hospital District	WY	Rural Health Clinic/Center	$0	$1.1M
Community Home Health Services LLC	WY	Home Health Agency	$0	$610.3K
Wendy Carver	WY	Case Manager/Care Coordinator	$0	$198K
County Of Hot Springs	WY	Public Health or Welfare Agency	$46.8K	$42.2K
Red Rock Family Practice, Inc	WY	Rural Health Clinic/Center	$0	$82.8K
High Country Behavioral Health	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$73.5K
Dana Mcdermott	WY	Optometrist	$27.9K	$34K
Ryan Williams	WY	Physical Therapist	$60.8K	$0
Vicklund Inc.	WY	Pharmacy	$54.9K	$90

Wyoming Pioneer Home — Billing Profile & Reimbursement Data

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Wyoming Pioneer Home — 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