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.

Rural Nevada Counseling (NPI 1508185539)

Field	Value
Entity Type	Organization
Organization	Rural Nevada Counseling
Address	720 S. Main St.
City	Yerington
State	NV
ZIP	89447
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	June 1, 2010

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	12,860	$130	$1.7M
H0005	Alcohol and/or drug services; group counseling by a clinician	13,050	$40	$495.8K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	4,980	$50	$263.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	16,400	$10	$131.2K
H0038	Self‑help/peer services, per 15 minutes	5,910	$10	$53.2K
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…	410	$80	$34.8K
H0001	Alcohol and/or drug assessment	200	$110	$22.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1,780	$10	$21.4K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	1,300	$1	$3.9K
H0049	Alcohol and/or drug screening	490	$10	$3.9K

Showing 1–10 of 14

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

Rural Nevada Counseling — 2 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	6	60	1,010	$100	$365.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	17	80	1,180	$70	$225.2K
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…	462	970	360	$80	$139.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	8	80	720	$30	$109.3K
H0001	Alcohol and/or drug assessment	26	50	190	$110	$43K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	128	150	110	$30	$30.6K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	13	20	80	$20	$25K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	235	250	270	$20	$20.7K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	47	50	70	$80	$17.6K
H0049	Alcohol and/or drug screening	22	60	130	$10	$14.6K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Rural Nevada Counseling, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yerington Paiute Tribal Council	NV	Health Service Clinic/Center	$0	$10.4M
Lyon County School District	NV	Local Education Agency (LEA)	$0	$2.1M
Carrie Gilmore	NV	Physical Therapist	$34.7K	$0
Charles Graham	NV	Internal Medicine Physician	$28.4K	$0
Brigitte Peterson	NV	Physician Assistant	$5.5K	$0

Rural Nevada Counseling — Billing Profile & Reimbursement Data

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Rural Nevada Counseling — Billing Profile & Reimbursement Data

Sign up for Rural Nevada Counseling — 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