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.

Mountain Regional Services, Inc (NPI 1962573782)

Field	Value
Entity Type	Organization
Organization	Mountain Regional Services, Inc
Address	50 Allegiance Cir
City	Evanston
State	WY
ZIP	82930
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicaid	$23.6M
Medicare	$0

Key Findings

MOUNTAIN REGIONAL SERVICES, INC is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $23.6M in lifetime Medicaid revenue, indicating a single-payer (Medicaid) operational footprint rather than dual Medicare/Medicaid billing. The absence of Medicare activity suggests the organization’s services and contracts are concentrated within state Medicaid programs and waiver structures rather than Medicare-covered clinical services.

Three Medicaid codes account for 100.0% of this provider’s Medicaid revenue, showing very high revenue concentration in a narrow set of service lines. T2016 alone represents $18.4M (78.0% of Medicaid revenue), with S5100 contributing $5.2M (21.8%) and S5108 providing $44.8K (0.2%), so the organization’s financial performance is heavily dependent on those habilitation and day-care service codes.

The code mix and descriptions indicate the organization operates as a developmentally disabled services and day habilitation provider. T2016 (Habilitation, residential, waiver; per diem) as the largest revenue driver suggests substantial engagement in waiver residential habilitation programs, while S5100 (Day care services, adult; per 15 minutes) shows a large volume of day services and in-person program delivery during daytime hours.

Competitive standing within the state is modest-to-strong for primary codes: for T2016 the provider ranks #4 of 19 in-state and sits in the 83th percentile, which implies it is a meaningful but not dominant participant in residential habilitation services. For S5100 it ranks #3 of 18 and the 88th percentile, indicating above-typical state volume and a comparatively strong position in adult day care services among peers.

Statistical descriptors from the dataset reinforce these standing assessments: T2016’s ranking is labeled “typical, unremarkable volume for this code,” which aligns with a mid-high placement but not market leadership, while S5100 is described as “notably above typical state volume,” matching its top-3 rank and signaling a relative specialization in day-care delivery within Wyoming.

The provider’s NPI was enumerated on 2006-11-13 (approximately 20 years ago), establishing long tenure in the market. This length of enrollment supports experience operating in state Medicaid programs and likely sustained contracts or relationships with Medicaid managed care or state waiver administrators over a multi-year period.

S5108 (Home care training to home care client, per 15 minutes) is immaterial to overall revenue despite a very high average paid/claim ($3444) because it accounts for only $44.8K and 0.2% of Medicaid revenue; it ranks #6 of 6 in-state and is characterized as typical/unremarkable, which suggests occasional use of high-unit-value home-training services but not a core business line.

Given the concentrated reliance on T2016 and S5100 for 100.0% of Medicaid revenue, payer/provider analysts should view the organization’s financial and operational risk as tightly coupled to state reimbursement policies and waiver program demand for habilitation and day services; any changes to those two codes’ utilization or rates would disproportionately affect its revenue base.

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	62,210	$300	$18.4M
S5100	Day care services, adult; per 15 minutes	39,680	$130	$5.2M
S5108	Home care training to home care client, per 15 minutes	10	$3,440	$44.8K

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

Mountain Regional Services, 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	4	20	5,630	$520	$10.5M
S5100	Day care services, adult; per 15 minutes	3	20	3,260	$210	$2.3M
S5108	Home care training to home care client, per 15 minutes	6	10	1,050	$390	$1.7M

Nearby Providers

Other providers in the same ZIP code as Mountain Regional Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Best Home Health & Hospice LLC	WY	Home Health Agency	$0	$6.3M
Best Home Health	WY	Home Health Agency	$0	$3.1M
Bridges Habilitation Services Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$1.5M
South Lincoln Hospital District	WY	Rural Health Clinic/Center	$0	$1.3M
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$1M
Pioneer Counseling Services	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$904.8K
Delynda Henderson	WY	Case Manager/Care Coordinator	$0	$798.4K
Bear River Dental	WY	Dentist	$0	$658.9K
Compassionate Journey LLC	WY	Home Health Agency	$0	$611.7K
Uinta County Ambulance Service	WY	Land Ambulance	$254.8K	$268.1K

Mountain Regional Services, Inc — Billing Profile & Reimbursement Data

Sign up for Mountain Regional Services, Inc — Billing Profile & Reimbursement Data policy alerts

Mountain Regional Services, Inc — Billing Profile & Reimbursement Data

Sign up for Mountain Regional Services, 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