Wyoming micro-market
Healthcare practice financing in Sheridan, Wyoming
Direct answer
A Sheridan file is read against 430 local clinicians, 217.0 for every 10,000 of its 19,813 residents, 23 percent of them in physical, occupational, and speech therapy, plus the 2 SBA healthcare approvals worth $100,000 already recorded in Sheridan County, 103 miles from Billings, MT.
A location page indicates that Practition Finance is taking clients in that market. It does not represent a physical office, storefront, or licensed presence in that city or state. All services are delivered remotely by our US-based team. How a referral works in Wyoming, and how many partners see it, is set out on the Wyoming page.
- Population: 19,813 residents (10K-25K band)1
- Healthcare providers registered here: 430 across 32 fields2
- Median household income: $61,5983
- Largest provider field: Physical, occupational, and speech therapy: 100 registered providers2
- Medicare-certified providers in town: 4 across 4 categories4
- Nearest metro: Billings, MT, 103 miles1
What NPPES records at Sheridan addresses
Counted at the town's own addresses: 430 providers, 32 fields, 217.0 clinicians per 10,000 of the 19,813 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 100 | 50.5 | NPPES [2] |
| Behavioral and mental health group practices | 48 | 24.2 | NPPES [2] |
| DME and HME suppliers | 36 | 18.2 | NPPES [2] |
| Specialty physician groups | 34 | 17.2 | NPPES [2] |
| Primary care and family medicine | 30 | 15.1 | NPPES [2] |
| Chiropractic | 23 | 11.6 | NPPES [2] |
| General dentistry | 19 | 9.6 | NPPES [2] |
| Optometry and ophthalmology | 19 | 9.6 | NPPES [2] |
| SUD treatment and residential | 12 | 6.1 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 11 | 5.6 | NPPES [2] |
| Home health | 9 | 4.5 | NPPES [2] |
| Telehealth and virtual clinics | 9 | 4.5 | NPPES [2] |
| Dental specialties | 8 | 4.0 | NPPES [2] |
| Audiology and hearing centers | 8 | 4.0 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 8 | 4.0 | NPPES [2] |
| ABA and autism therapy | 7 | 3.5 | NPPES [2] |
| NEMT and ambulance | 6 | 3.0 | NPPES [2] |
| Urgent care | 5 | 2.5 | NPPES [2] |
| Pain management and interventional | 5 | 2.5 | NPPES [2] |
| Independent pharmacy | 5 | 2.5 | NPPES [2] |
| Non-medical home care | 5 | 2.5 | NPPES [2] |
| Med spa and aesthetics | 4 | 2.0 | NPPES [2] |
| Clinical and toxicology labs | 4 | 2.0 | NPPES [2] |
| Imaging centers | 3 | 1.5 | NPPES [2] |
| Occupational health and drug testing | 3 | 1.5 | NPPES [2] |
| Dermatology | 2 | 1.0 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.0 | NPPES [2] |
| Podiatry | 1 | 0.5 | NPPES [2] |
| ASCs and OBLs | 1 | 0.5 | NPPES [2] |
| Hospice and palliative | 1 | 0.5 | NPPES [2] |
| Clinical research sites | 1 | 0.5 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 1 | 0.5 | NPPES [2] |
| Medical equipment suppliers | 11 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Hospice providers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Physical, occupational, and speech therapy carries 100 of the 430 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
What Sheridan County credit files already show
The county file holds 2 healthcare approvals, which is a thin comparable set for anyone pricing collateral
| What it measures | Value | How to read it |
|---|---|---|
| Healthcare files approved | 2 | Counted for the fiscal year the SBA publishes [5] |
| Dollars behind them | $100,000 | Everything approved to healthcare borrowers, added up [5] |
| Typical approval size | $50,000 | The dollar column over the approval column [5] |
| Credit offices operating locally | 34 | Places that write credit locally, NAICS 522 [6] |
Reading Sheridan the way a credit committee does
217.0 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. With 2 approvals on record in Sheridan County, expect a longer appraisal and a wider collateral discount. A $61,598 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
Where a file from this town usually lands
- Practice acquisition
- Working capital term loan
- Startup and de novo
- Equipment financing and leasing
- Expansion, relocation, and build-out
Built from what is enumerated here rather than from a national list, so a field with no presence in Sheridan does not appear. Availability is still a Wyoming question.
The first pages of a Sheridan file
physical, occupational, and speech therapy, behavioral and mental health group practices, dme and hme suppliers account for most of what is enumerated in Sheridan, so those are the files funders see from this town
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (100) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Behavioral and mental health group practices (48) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| DME and HME suppliers (36) | Accreditation and surety bond status, Rental versus sale revenue split, Denial rate and documentation quality | Inventory and rental fleet |
Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.
Sheridan against nearby Wyoming markets
217.0 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices Sheridan
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Sheridan (current) | 19,813 | 430 | 217.0 | |
| Gillette | 33,846 | 361 | 106.7 | 80 |
| Cody | 10,391 | 229 | 220.4 | 104 |
| Casper | 58,823 | 819 | 139.2 | 138 |
| Riverton | 10,953 | 181 | 165.3 | 140 |
| Jackson | 10,680 | 243 | 227.5 | 208 |
| Rock Springs | 22,967 | 239 | 104.1 | 247 |
Distance, income, and the wage floor around Sheridan
Billings, MT lies 103 miles from Sheridan, far enough that a used chair, chairside unit, or imaging system has no nearby resale market, which is where the collateral discount comes from. Median household income runs $61,598, which is the number a funder converts into case acceptance on anything elective or cash-pay. The Medicare-certified hospital in Sheridan sets the local wage floor before you hire against it. A degree-granting institution here moves volume on the academic calendar. Sheridan is the Sheridan County seat, so county employment steadies the payer mix.
Nearby Wyoming towns
Sheridan owners, answered
01How many providers practice in Sheridan, and in what?
Across 32 fields, Sheridan carries 430 enumerated clinicians, 217.0 per 10,000 of the 19,813 people living here. The concentration is in physical, occupational, and speech therapy, 100 of the total, then behavioral and mental health group practices at 48. Count practices from that only with care.
02Does being 103 miles out change the underwriting?
Billings, MT is 103 miles away, far enough that rent and equipment resale comparables get pulled from Sheridan County rather than a metro market. At 103 miles the appraisal window runs longer and equipment resale gets discounted.
03Why does Sheridan County show so little SBA activity?
Sheridan County shows 2 approvals in the SBA healthcare file, which means an appraiser reaches outside the county for comparables. Few sales, not weak credit, is the usual reason. 34 lending establishments operate locally.
04What does Sheridan County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Sheridan County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 19,813 residents gets past the question of who would take the job.
05How does the hospital in Sheridan affect a practice file?
A Medicare-certified hospital operates in the town, which gives referral flow, a call schedule, and a clinical labor pool a funder can verify. 4 Medicare-certified providers are located here in total. It also sets the wage floor behind every hire in a 217.0 per 10,000 market.
06Which fields carry the volume in Sheridan?
Physical, occupational, and speech therapy at 100 providers and behavioral and mental health group practices at 48 lead the 32 fields enumerated here. A funder reads that mix as the local competition set and the local hiring pool at once, before it reads a single line of your own numbers.
Sources
- 1U.S. Census Bureau, Population Estimates, vintage 2024
- 2CMS NPPES, monthly full replacement file
- 3U.S. Census Bureau, ACS 5-year 2023, table B19013
- 4CMS Care Compare provider datasets
- 5U.S. Small Business Administration, 7(a) and 504 approvals
- 6U.S. Census Bureau, County Business Patterns 2022
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