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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Sierra Regional Center (NPI 1053772905)

Field	Value
Entity Type	Organization
Organization	Sierra Regional Center
Address	605 S 21st St
City	Sparks
State	NV
ZIP	89431
Taxonomy	Respite Care
NPI Enumerated	March 18, 2016

Payer Source	Total Paid
Medicaid	$225.1M
Medicare	$0

Key Findings

SIERRA REGIONAL CENTER appears to be effectively a single-payer provider focused on Medicaid — there is no Medicare billing on file while total Medicaid lifetime revenue is $225.1M, indicating the organization’s operations are concentrated almost entirely within Medicaid-funded habilitation and waiver services. This payer concentration suggests business operations and reimbursement risk are strongly tied to state Medicaid policy and reimbursement rates.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 codes account for 93.0% of the provider’s Medicaid revenue. That concentration indicates the provider’s financial performance is driven overwhelmingly by a narrow service mix rather than a diversified portfolio of procedures or payers.

The dominant single code is T2017 (Habilitation, residential, waiver; 15 minutes), which generated $173.8M and represents 77.2% of this provider’s Medicaid revenue. This heavy reliance on a residential habilitation 15-minute billing unit suggests the provider operates large-scale residential waiver programs or provides intensive, time‑based in-residence habilitation services as its primary service line.

T2016 (Habilitation, residential, waiver; per diem) and T2020 (Day habilitation, waiver; per diem) are the next largest drivers, producing $25.3M (11.2% of Medicaid revenue) and $10.2M (4.5%) respectively. The combination of per‑diem residential habilitation and day habilitation revenue indicates the organization offers both residential and day-program waiver services, with a much larger revenue footprint in residential 15-minute units than in per‑diem billing.

State-level competitive standing across the top codes is consistently mid-to-high but not dominant: SIERRA REGIONAL CENTER ranks #2 of providers for T2017, T2016, and T2020 and sits between the 67th and 80th percentiles for these codes. These placements imply the provider is a significant regional player in Nevada’s waiver habilitation market but is not the market leader for those services.

Operational scale is reflected in claim volumes: for example, 74.2K claims for T2017 and 77.1K claims for T2016 demonstrate high service volume and likely substantial client census or high-frequency service delivery. The large claim counts combined with high average paid/claim for T2017 ($2343) indicate sizeable per-unit reimbursement and operational throughput.

Provider tenure shows the NPI was enumerated on 2016-03-18 (~10 years ago), giving the organization about a decade of recorded Medicaid billing history. That tenure is sufficient to have established referral patterns and program capacity within Nevada’s waiver system, which aligns with its mid-to-high state rankings.

Less material codes (for example T2014, T2025, T2003 and other smaller items) together make up the remaining share of revenue and indicate complementary services such as prevocational habilitation, non-emergency transportation, and miscellaneous waiver services. These secondary lines suggest SIERRA REGIONAL CENTER offers a breadth of waiver-related supports beyond core residential and day habilitation, but none approach the revenue weight of T2017.

Given the concentrated revenue mix and state-focused market position, strategic or reimbursement changes affecting T2017, T2016, or T2020 rates or utilization would likely have an outsized impact on the provider’s overall Medicaid revenue. Analysts assessing contract negotiations or network planning should treat SIERRA REGIONAL CENTER as a specialized Medicaid habilitation/respite care provider whose financial health is tightly coupled to a small set of high-volume waiver codes.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	74,170	$2,340	$173.8M
T2016	Habilitation, residential, waiver; per diem	77,130	$330	$25.3M
T2020	Day habilitation, waiver; per diem	112,190	$90	$10.2M
T2014	Habilitation, prevocational, waiver; per diem	129,400	$70	$8.4M
T2025	Waiver services; not otherwise specified (nos)	41,740	$70	$2.9M
T2003	Non-emergency transportation; encounter/trip	28,410	$90	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	8,530	$110	$972.6K
T2047	Habilitation, prevocational, waiver; per 15 minutes	8,040	$90	$755.4K
T2024	Service assessment/plan of care development, waiver	5,330	$30	$175.7K
96152	N/A	2,990	$50	$149.6K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Sierra Regional Center — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	2	10	40,580	$2,140	$115.9M
T2016	Habilitation, residential, waiver; per diem	2	10	50,480	$340	$25.5M
T2014	Habilitation, prevocational, waiver; per diem	2	10	129,400	$60	$18.7M
T2020	Day habilitation, waiver; per diem	2	10	40,620	$100	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	2	10	7,110	$130	$3M
T2025	Waiver services; not otherwise specified (nos)	2	10	3,540	$70	$2.5M
T2047	Habilitation, prevocational, waiver; per 15 minutes	3	10	11,530	$100	$2.3M
T2003	Non-emergency transportation; encounter/trip	2	10	7,070	$90	$1.7M
T2024	Service assessment/plan of care development, waiver	2	10	5,330	$50	$240.7K
96152	N/A	2	10	170	$50	$93.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Sierra Regional Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nv St Dv Mh/ds Rural Regional Center	NV	Respite Care	$0	$64.3M
Nv St Dv Mh/ds Rural Regional Center	NV	Respite Care	$0	$11.3M
State Of Nevada - Dv Mh Ds Sierra Dev Center	NV	Case Manager/Care Coordinator	$0	$7.4M
State Of Nevada	NV	Case Management Agency	$0	$6.3M
Michael And Chan Smiles Ltd	NV	Pediatric Dentistry	$0	$2.9M
The Life Change Center	NV	Addiction (Substance Use Disorder) Psychologist	$373.2K	$1.6M
Garrison, Wiskerchen & Coates, Ltd	NV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.8M
Kid Dental LLC	NV	General Practice Dentistry	$0	$1.7M
Rothstein And Shapiro Mds Ltd	NV	Allergy & Immunology Physician	$0	$1.4M
Wildcreek Surgery Center	NV	Ambulatory Surgical Clinic/Center	$775.4K	$226.5K

Sierra Regional Center — Billing Profile & Reimbursement Data

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Sierra Regional Center — 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