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.

State Of Nv Aging & Disability Sevices Division- Fe Waiver (NPI 1093289928)

Field	Value
Entity Type	Organization
Organization	State Of Nv Aging & Disability Sevices Division- Fe Waiver
Address	3416 Goni Rd Bldg D
City	Carson City
State	NV
ZIP	89706
Taxonomy	PACE Provider Organization
NPI Enumerated	January 14, 2019

Payer Source	Total Paid
Medicaid	$4.7M
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
T1016	Case management, each 15 minutes	94,790	$50	$4.7M

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

State Of Nv Aging & Disability Sevices Division- Fe Waiver — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	2	190	210	$40	$138.1K

Nearby Providers

Other providers in the same ZIP code as State Of Nv Aging & Disability Sevices Division- Fe Waiver, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitality Unlimited	NV	Community/Behavioral Health Agency	$0	$9.9M
Nevada Health Centers Inc	NV	Federally Qualified Health Center (FQHC)	$0	$6.1M
Carson Medical Group Professional Corporation	NV	Family Medicine Physician	$0	$6.1M
Nevada Health Centers, Inc	NV	Federally Qualified Health Center (FQHC)	$0	$5.8M
State Of Nevada	NV	Public Health or Welfare Agency	$0	$5.5M
State Of Nevada	NV	Case Management Agency	$0	$3.2M
Carson Tahoe Physician Clinics	NV	Internal Medicine Physician	$0	$2.3M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
State Of Nv Aging And Disability Services Division - Atap	NV	Case Management Agency	$0	$1.7M
State Of Nv Aging & Disability Services Division- Adult Residential	NV	In Home Supportive Care Agency	$0	$1.7M

State Of Nv Aging & Disability Sevices Division- Fe Waiver — Billing Profile & Reimbursement Data

Sign up for State Of Nv Aging & Disability Sevices Division- Fe Waiver — Billing Profile & Reimbursement Data policy alerts

State Of Nv Aging & Disability Sevices Division- Fe Waiver — Billing Profile & Reimbursement Data

Sign up for State Of Nv Aging & Disability Sevices Division- Fe Waiver — 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