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.

Medtrans Behavioral Nevada Casal, PLLC (NPI 1245781160)

Field	Value
Entity Type	Organization
Organization	Medtrans Behavioral Nevada Casal, PLLC
Address	850 Mill St Ste 100
City	Reno
State	NV
ZIP	89502
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 14, 2016

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: lifetime Medicare revenue is listed as none (no Medicare billing on file), while lifetime Medicaid revenue is $26.4M. The absence of Medicare billing makes Medicaid the sole materially relevant payer for assessing this organization's financial and operational footprint.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 49.8% of this provider's total Medicaid revenue, led by 99214 ($5M, 19.5%), T1016 ($4.5M, 17.4%), and S9480 ($3.3M, 12.9%). This concentration indicates that a few ambulatory E/M, case management, and intensive outpatient psychiatric services drive nearly half of all Medicaid dollars for the practice.

The code mix and volumes point to a community behavioral health agency model focused on high-volume outpatient and programmatic services: T1016 shows 124.1K claims, 99214 shows 73.7K claims, and S9480 shows 19.3K claims, alongside substantial counts for psychotherapy and psychiatric evaluation codes (e.g., 90837, 90833, 90791). These patterns are consistent with an organization operating large-scale case management, routine office-based E/M encounters, psychotherapy sessions, and structured intensive outpatient psychiatric programs.

Competitive standing in-state is dominant for multiple core codes: T1016 ranks #1 of 190 providers in-state (100th percentile; extreme outlier), 99214 ranks #4 of 2254 providers (100th percentile; extreme outlier), and S9480 ranks #4 of 227 providers (99th percentile; extreme outlier). These rankings indicate the provider is a major Medicaid participant in Nevada for case management, higher-level office visits, and intensive outpatient psychiatric services.

Beyond the top three, the provider shows leadership on several additional codes tied to care coordination and behavioral health: 90833 ranks #1 of 235 (100th percentile; extreme outlier), 99490 ranks #1 of 109 (100th percentile; extreme outlier), and H0002 ranks #2 of 437 (100th percentile; extreme outlier). The breadth of high-percentile ranks across E/M add-ons, monthly care management, and behavioral health screening underscores institutional scale across multiple care coordination functions.

Service breadth extends into non-clinical supports and program fees, indicating integrated community services rather than only office-based care: S5102 (day care services, adult) accounts for $2.1M and 11.1K claims (8.3%), Q3014 (telehealth originating site) has 14K claims and $279K (1.1%) and ranks #12 of 387 (97th percentile; notably above typical), and T2001 (non-emergency transportation) shows 31.2K claims and $405.9K (1.6%). These lines suggest the provider bundles clinical treatment with transportation, telehealth access, and per‑diem program services.

The provider has an established operational history at the current NPI: enumerated 2016-10-14 (~10 years ago). Sustained enrollment combined with consistently large claim volumes suggests operational stability and entrenched service capacity in the Nevada Medicaid market.

For payers and network managers, the high revenue concentration (49.8% from the top 3 codes) and extreme outlier ranks on several utilization-heavy codes highlight where policy levers will have the most impact: oversight, contracting, and program-design efforts focused on T1016 case management, high-volume E/M visits (99214), and intensive outpatient psychiatric services (S9480) will address the majority of Medicaid spend with this provider. The lack of Medicare billing also means Medicare-focused network strategies are unlikely to apply.

Medicaid: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	73,670	$70	$5M
T1016	Case management, each 15 minutes	124,100	$40	$4.5M
S9480	Intensive outpatient psychiatric services, per diem	19,350	$170	$3.3M
S5102	Day care services, adult; per diem	11,090	$190	$2.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,820	$180	$1.7M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	16,960	$100	$1.6M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	43,640	$40	$1.6M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	35,290	$20	$847K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	6,760	$90	$614.8K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4,410	$130	$550.6K

Showing 1–10 of 84

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

Medtrans Behavioral Nevada Casal, PLLC — 13 of 25 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

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	19	40	11,090	$130	$1.9M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	35	40	530	$70	$561K
H2011	Crisis intervention service, per 15 minutes	138	280	290	$400	$461.2K
S9480	Intensive outpatient psychiatric services, per diem	4	230	1,090	$140	$384.7K
90868	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	30	30	810	$150	$370.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	15	60	1,010	$100	$365.3K
T2001	Non-emergency transportation; patient attendant/escort	3	10	31,230	$10	$292.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	77	470	380	$70	$281.2K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	24	30	750	$90	$252.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	34	80	1,180	$70	$225.2K

Showing 1–10 of 84

Related Providers

Other providers that share a Tax Identification Number (TIN) with Medtrans Behavioral Nevada Casal, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamie Cichon	NV	Psychiatry Physician	$234.5K	$246.2K
Zelluyah Gaitho	NV	Psychiatric/Mental Health Nurse Practitioner	$105.3K	$290.6K
Alice Kim	NV	Psychiatric/Mental Health Nurse Practitioner	$231.7K	$0
Michael Popov	NV	Psychiatry Physician	$137K	$0
Sandra Ramsey	NV	Nurse Practitioner	$90.2K	$5.7K
Reza Goravanchi	NV	Psychiatry Physician	$74.3K	$0
Rachel Sussman	NV	Psychiatric/Mental Health Nurse Practitioner	$68K	$0
Ruel Mariano	NV	Primary Care Nurse Practitioner	$55.8K	$0

Nearby Providers

Other providers in the same ZIP code as Medtrans Behavioral Nevada Casal, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renown Regional Medical Center	NV	General Acute Care Hospital	$0	$63.7M
Reno Sparks Indian Colony	NV	Clinic/Center	$390	$47.4M
Regional Emergency Medical Services Authority	NV	Ambulance	$8.2M	$26.1M
Consumer Direct Services For Nevada, LLC	NV	Personal Care Attendant	$0	$23.3M
Brown, Calvanese, Cameron Ltd	NV	Emergency Medicine Physician	$0	$19.7M
Washoe County School District	NV	Local Education Agency (LEA)	$0	$16.5M
Community Care Services LLC	NV	Internal Medicine Physician	$0	$15.1M
Medical Services Of Nevada Inc	NV	In Home Supportive Care Agency	$0	$12.7M
Community Health Alliance	NV	Federally Qualified Health Center (FQHC)	$0	$7M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M

Medtrans Behavioral Nevada Casal, PLLC — Billing Profile & Reimbursement Data

Sign up for Medtrans Behavioral Nevada Casal, PLLC — Billing Profile & Reimbursement Data policy alerts

Medtrans Behavioral Nevada Casal, PLLC — Billing Profile & Reimbursement Data

Sign up for Medtrans Behavioral Nevada Casal, PLLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References