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.

Tlc Counseling LLC (NPI 1922498930)

Field	Value
Entity Type	Organization
Organization	Tlc Counseling LLC
Address	316 Broadway St
City	Thermopolis
State	WY
ZIP	82443
Taxonomy	Clinical Social Worker
NPI Enumerated	January 28, 2015

Payer Source	Total Paid
Medicaid	$34.3K
Medicare	$0

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
H2019	Therapeutic behavioral services, per 15 minutes	430	$80	$34.3K

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

Tlc Counseling LLC — 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
H2019	Therapeutic behavioral services, per 15 minutes	107	170	840	$80	$192.2K

Nearby Providers

Other providers in the same ZIP code as Tlc Counseling LLC, 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
Wyoming Pioneer Home	WY	Assisted Living Facility	$0	$2.2M
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

Tlc Counseling LLC — Billing Profile & Reimbursement Data

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Tlc Counseling LLC — Billing Profile & Reimbursement Data

Sign up for Tlc Counseling LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References