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.

Nv St Dv Mh/ds Rural Regional Center (NPI 1548621543)

Field	Value
Entity Type	Organization
Organization	Nv St Dv Mh/ds Rural 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	$64.3M
Medicare	$0

Key Findings

This provider is effectively single-payer at present: there is no Medicare billing on file and the entire reported lifetime billing comes from Medicaid, with total Medicaid revenue of $64.3M. The absence of Medicare activity means analysts should focus on Medicaid waiver and residential habilitation dynamics when assessing this entity.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 99.3% of the provider’s total Medicaid revenue. In particular, T2017 alone represents $55.8M (86.7% of total Medicaid revenue), making it by far the dominant revenue source.

The code mix and taxonomy (Respite Care) indicate the operation is centered on residential habilitation/waiver services. T2017 (Habilitation, residential, waiver; 15 minutes) and T2016 (Habilitation, residential, waiver; per diem) together account for the bulk of clinical services and revenue, while T2003 (Non-emergency transportation; encounter/trip) suggests the provider also bills for routine transport associated with waiver/residential operations. This pattern is consistent with a facility-focused habilitation/respite model rather than outpatient clinic-based services.

Despite T2017 driving $55.8M in revenue, the provider’s competitive standing on that code within Nevada is modest: T2017 ranks #4 of 6 providers in-state at the 40th percentile, described in the record as "typical, unremarkable volume for this code." Similarly, T2016 ranks #3 of 4 (33th percentile) and T2003 ranks #3 of 6 (60th percentile), so the provider appears to be a steady but not dominant in-state participant across its top waiver-related codes.

Utilization and payment profile by code highlights different billing modalities: T2017 shows 32.9K claims with an average paid/claim of $1695, indicating frequent time-based billing at a high average unit value; T2016 shows 23.8K claims with an average paid/claim of $288, reflecting per-diem billing; and T2003 shows 13.8K claims with an average paid/claim of $91. These figures suggest operations combining intensive time-based residential habilitation with per-diem placements and ancillary transport services.

Secondary codes contribute negligible revenue relative to the top three: T2025 generated $386.4K (0.6% of total Medicaid revenue) with 3.6K claims, T2024 generated $40.2K (0.1% of total Medicaid revenue) with 1.3K claims and is noted as ranking #3 of 3 (0th percentile; typical, unremarkable volume for this code), and 96152 contributed $12.6K with 251 claims. These smaller lines indicate limited diversification beyond the core waiver/residential services.

The provider’s NPI enumeration date is 2016-03-18 (~10 years ago), signaling roughly a decade of presence in Medicaid networks. Combined with $64.3M in lifetime Medicaid revenue and the heavy reliance on waiver/residential codes, this tenure suggests an established Medicaid waiver/residential operator with sustained billing patterns concentrated in a few high-revenue service lines.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	32,890	$1,700	$55.8M
T2016	Habilitation, residential, waiver; per diem	23,840	$290	$6.9M
T2003	Non-emergency transportation; encounter/trip	13,840	$90	$1.3M
T2025	Waiver services; not otherwise specified (nos)	3,580	$110	$386.4K
T2024	Service assessment/plan of care development, waiver	1,300	$30	$40.2K
96152	N/A	250	$50	$12.6K

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

Nv St Dv Mh/ds Rural Regional Center — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	4	10	40,580	$2,140	$115.9M
T2016	Habilitation, residential, waiver; per diem	3	10	50,480	$340	$25.5M
T2025	Waiver services; not otherwise specified (nos)	3	10	3,540	$70	$2.5M
T2003	Non-emergency transportation; encounter/trip	3	10	7,070	$90	$1.7M
T2024	Service assessment/plan of care development, waiver	3	10	5,330	$50	$240.7K
96152	N/A	4	10	170	$50	$93.8K

Nearby Providers

Other providers in the same ZIP code as Nv St Dv Mh/ds Rural Regional Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sierra Regional Center	NV	Respite Care	$0	$225.1M
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

Nv St Dv Mh/ds Rural Regional Center — Billing Profile & Reimbursement Data

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Nv St Dv Mh/ds Rural 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