Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medicaid spending in Wyoming

1,300 providers based in Wyoming were paid $898.82M in outpatient and professional Medicaid claims from 2018 through 2024. The largest single code is T2016, a day of residential support for a person with a developmental disability, at $199.99M. Casper is the biggest billing hub.

28Total paid$898.82M
33Billing providers1,300
24GClaims8,824,272
On OIG exclusion list1
Box 33 · Billing provider

Who sent the bill in Wyoming

  1. Agencies — home care, case management, community support
    34¢
  2. Clinics and outpatient centers
    24¢
  3. Counselors, therapists and social workers
    9¢
  4. Physicians
    8¢
  5. Respiratory, Developmental, Rehabilitative and Restorative Service Providers
    6¢
  6. Dentists
    4¢
  7. Other Service Providers
    3¢
  8. Nursing and custodial care facilities
    2¢

Cents of every dollar billed by Wyoming-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.

Box 24 · Service lines

The biggest codes

All Wyoming codes →
  1. T2016A day of residential support for a person with a developmental disability
    $200M
  2. T1015A visit at a community health center or clinic (one all-in rate)
    $175M
  3. T2022Case management, per month
    $65M
  4. S5100Day care services, adult; per 15 minutes
    $41M
  5. T2031Assisted living; waiver, per diem
    $35M
  6. H2019Therapeutic behavioral services, billed per 15 minutes
    $33M
  7. T2024Service assessment/plan of care development, waiver
    $19M
  8. 99214Doctor's office visit, returning patient (more involved)
    $18M
  9. 99213Doctor's office visit, returning patient (routine)
    $17M
  10. T2021Day program for adults with developmental disabilities, per 15 minutes
    $17M
Box 32 · Location

By city

Casper$164MCheyenne$151MArapahoe$94MRiverton$68MLaramie$63MEvanston$48MSheridan$42MRock Springs$41MGillette$35MAfton$30MThermopolis$30MFort Washakie$27MTorrington$20MLander$18MCody$18MPowell$7.0MDouglas$3.8MBuffalo$3.7MMountain View$3.5MGreen River$3.4MJackson$3.3MWorland$3.3MWheatland$3.2MRawlins$2.9MLyman$2.3MLovell$2.1MNewcastle$1.4MMoorcroft$1.3MSundance$1.2MGlenrock$994KBasin$793KBar Nunn$733KStory$565KJelm$492KEvansville$462KGuernsey$448KThayne$429KHulett$414KLusk$412KPine Bluffs$256KPavillion$169KKemmerer$168KBear River$166KGreybull$138KJackson Hole$129KAlpine$126KDubois$121KCarpenter$109KRozet$83KPinedale$74K
Auditor's notes

Billing flags in Wyoming

Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.

#ProviderFlagsPaid
1 Emg Casper MW LLC single-code billing $5.91M
2 Emg Cheyenne SH LLC single-code billing $5.78M
3 Emg Laramie LLC single-code billing $4.60M
4 Emg Casper PP LLC single-code billing $3.48M
5 Renewed Hope Foundation, INC. single-code billing $2.57M
6 Frontier Wyoming, L.L.C. single-code billing $2.39M
7 Wyoming Pioneer Home single-code billing $2.23M
8 Quality Case Management INC single-code billing $2.05M
9 CB Case Management LLC single-code billing $1.78M
10 Bridges Habilitation Services INC. single-code billing $1.45M
11 Meals on Wheels of Cheyenne INC. single-code billing $1.12M
12 Harper, Kyla OIG excluded $27K
Ranked

Top 100 providers in Wyoming

#ProviderTypeCityClaimsPaid
1 Wind River Family & Community Healthc Care Clinic Arapahoe 277,198 $93.79M
2 Community Entry Services Agency Riverton 19,705 $50.24M
3 Ark Regional Services, INC Laramie 169,172 $41.62M
4 Lincoln Self Reliance, INC. Agency Afton 167,582 $26.80M
5 US Health Dept of Health & Human Services Clinic Fort Washakie 93,957 $26.07M
6 Northwest Community Action Programs of Wyoming, INC. Agency Casper 7,322 $25.79M
7 Big Horn Enterprises, INC Agency Thermopolis 17,914 $25.07M
8 Magic City Enterprises, INC Behavioral Cheyenne 191,477 $23.66M
9 Mountain Regional Services, INC Clinic Evanston 101,906 $23.59M
10 Community Health Center of Central Wyoming, INC. Clinic Casper 230,696 $15.28M
11 University of Wyoming Physician Casper 209,080 $14.79M
12 Cheyenne Habilitation & Therapeutic Center, INC Agency Cheyenne 6,845 $14.37M
13 LSW, LLC Agency Rock Springs 4,637 $11.59M
14 Diversified Services INC. Agency Torrington 5,353 $10.01M
15 Able Hands Agency Rock Springs 13,039 $9.64M
16 Northern DDSP, INC. Agency Cody 17,312 $9.13M
17 Sol Domus, INC. Agency Gillette 3,321 $8.76M
18 Normative Services, INC. Residential Sheridan 4,227 $8.51M
19 Specialty Counseling & Consulting Behavioral Cheyenne 128,404 $8.23M
20 Children's Dentistry LLC Dental Cheyenne 209,039 $8.00M
21 Bear Country Home Healthcare Agency Casper 117,812 $7.76M
22 Best Home Health & Hospice LLC Agency Evanston 39,065 $6.32M
23 Emg Casper MW LLC Nursing facility Casper 3,267 $5.91M
24 Emg Cheyenne SH LLC Nursing facility Cheyenne 3,374 $5.78M
25 Liv In-Home Counseling & Care Management, LLC Behavioral Cheyenne 80,865 $5.76M
26 University of Wyoming Physician Cheyenne 73,354 $5.51M
27 Lucy Russell Agency Cheyenne 18,079 $5.39M
28 Cheyenne Regional Physicians Group, LLC Physician Cheyenne 203,546 $5.12M
29 Wyoming Independent Living Rehabilitation, INC. Agency Casper 23,222 $4.73M
30 Riverton Memorial Hospital LLC Hospital Riverton 85,609 $4.65M
31 Emg Laramie LLC Nursing facility Laramie 2,573 $4.60M
32 Cheyenne Surgical Center LLC Clinic Cheyenne 2,725 $4.54M
33 Wyoming Medical Center INC Hospital Casper 103,915 $4.40M
34 Community Health Center of Central Wyoming INC Clinic Riverton 35,754 $4.28M
35 Pediatric Dentistry LLC Dental Cheyenne 129,366 $4.10M
36 Emergency Medical Physicians PC Physician Casper 48,529 $4.07M
37 Casper Children's Center, LLC Physician Casper 132,220 $4.00M
38 Memorial Hospital of Laramie County Clinic Cheyenne 126,389 $3.97M
39 Goodwill Industries of Wy, INC. Agency Cheyenne 44,127 $3.86M
40 LGBTQ Telepsychiatry NP / PA Sheridan 54,437 $3.84M
41 Summit Medical Group, LLC Physician Cheyenne 37,355 $3.69M
42 Uinta Senior Citizens Agency Evanston 28,390 $3.65M
43 Community Hospital Clinic Torrington 32,910 $3.61M
44 Acm Therapy Group LLC Casper 49,813 $3.59M
45 Rehabilitation Enterprises of Northeastern Wyoming Behavioral Sheridan 29,014 $3.54M
46 Emg Casper PP LLC Nursing facility Casper 1,957 $3.48M
47 Davis Home Health LLC Agency Gillette 46,492 $3.45M
48 Memorial Hospital of Laramie County Agency Cheyenne 63,868 $3.27M
49 Northeast Wyoming Pediatric Associates, P.C. Physician Sheridan 73,328 $3.19M
50 Care United Medical Center of Laramie, LLC Clinic Laramie 53,263 $3.18M
51 Alliance Case Management Mountain View 14,223 $3.17M
52 Best Home Health Agency Evanston 12,890 $3.06M
53 Hands 2 Help, LLC. Agency Cody 25,722 $2.91M
54 Gillette Pediatric Dentistry LLC Dental Sheridan 87,102 $2.85M
55 Community Health Center of Central Wyoming INC Clinic Lander 29,424 $2.81M
56 Castle Rock Special Hospital District Clinic Green River 31,878 $2.81M
57 Cheyenne Health & Wellness Center Clinic Cheyenne 33,558 $2.78M
58 Frontier Access & Mobility Systems, INC Supplier Cheyenne 20,846 $2.67M
59 Uhs of Wyoming, INC Physician Casper 113,949 $2.66M
60 Eagle Ridge Rehabilitative Services Agency Sheridan 5,169 $2.61M
61 Quality Home Health Care INC Agency Laramie 51,870 $2.58M
62 Bailey, David Dental Sheridan 69,968 $2.58M
63 Renewed Hope Foundation, INC. Casper 15,241 $2.57M
64 Optimal Physical Therapy, LLC Behavioral Casper 45,897 $2.52M
65 Cedar Ridge Child and Family Counseling Behavioral Casper 29,776 $2.43M
66 Youth Emergency Services, INC. Residential Gillette 40,648 $2.40M
67 Brown, Stephen Physician Casper 37,840 $2.39M
68 Frontier Wyoming, L.L.C. Agency Lander 357,222 $2.39M
69 2ND Street Dental, LLC Clinic Casper 51,396 $2.35M
70 Love Care & Dignity, INC. Cheyenne 12,848 $2.33M
71 Aspire Case Management Services Agency Casper 9,519 $2.32M
72 American Medical Response Ambulance Service INC Transport Cheyenne 32,813 $2.29M
73 Campbell County Hospital District Agency Gillette 26,671 $2.29M
74 Wyoming Pioneer Home Nursing facility Thermopolis 1,259 $2.23M
75 Bridges of Wyoming, INC Residential Cheyenne 13,419 $2.17M
76 Solutions Counseling Services LLC Agency Casper 24,962 $2.07M
77 Sensational Kids, LLC Sheridan 20,728 $2.07M
78 Quality Case Management INC Agency Afton 6,718 $2.05M
79 Surfin Smiles LLC Dental Casper 57,921 $2.03M
80 Lander Medical Clinic, PC Supplier Lander 164,169 $2.02M
81 Eh Health Home Health of the Northwest, LLC Agency Lander 16,340 $2.00M
82 Sweetwater Pediatrics P.C. Clinic Rock Springs 100,550 $1.97M
83 Campbell County Hospital District Transport Gillette 38,331 $1.95M
84 Platte County Hospital Clinic Wheatland 13,610 $1.92M
85 Peterson, Robert Behavioral Casper 10,356 $1.90M
86 Lincare INC. Supplier Casper 44,126 $1.86M
87 Gregory P Clifford MD PC Lander 21,475 $1.81M
88 Elite Therapy Services Casper 40,587 $1.80M
89 Hyland, Brittney Powell 17,926 $1.80M
90 CB Case Management LLC Agency Casper 5,892 $1.78M
91 Roy E. Paulson JR PC Dental Casper 45,395 $1.77M
92 Wyoming Health Medical Group, LLC Physician Casper 49,238 $1.75M
93 Epsilon Health Solutions LLC Agency Casper 31,748 $1.71M
94 Wyoming Home Health INC Agency Gillette 36,082 $1.66M
95 Pain Care Center, LLC Physician Rock Springs 52,234 $1.59M
96 All About Family Agency Casper 10,077 $1.57M
97 Lincare INC. Supplier Cheyenne 41,540 $1.54M
98 City of Casper-Natrona County Health Department Agency Casper 8,567 $1.52M
99 Southwest Counseling Service Agency Rock Springs 28,025 $1.46M
100 Bridges Habilitation Services INC. Agency Evanston 5,026 $1.45M