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 Nevada (NPI 1588857155)

Field	Value
Entity Type	Organization
Organization	State Of Nevada
Address	6161 W Charleston Blvd
City	Las Vegas
State	NV
ZIP	89146
Taxonomy	Case Management Agency
NPI Enumerated	August 27, 2007

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Key Findings

STATE OF NEVADA appears to operate effectively as a Medicaid-focused provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $14M, indicating an essentially single-payer footprint in the available data. This means analyst attention should be concentrated on Medicaid rates and utilization rather than Medicare exposure.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, T1017, is reported with $14M revenue, 94.8K claims, and $148 avg paid/claim. In practical terms, virtually all reported Medicaid dollars flow through targeted case management billing.

The provider’s taxonomy as a Case Management Agency combined with the dominance of T1017 (Targeted case management, each 15 minutes) implies its core operations are centered on repeated, short-interval case management encounters billed in 15-minute units. The billing pattern (very high claim count of 94.8K) is consistent with a service model that delivers many discrete case-management contacts rather than episodic high-dollar procedures.

Competitive standing for the primary code is upper-tier in-state: T1017 revenue/rank is #6 of 50 providers in Nevada (90th percentile), yet that same code is labeled in the data as 'typical, unremarkable volume for this code.' This indicates the provider is a significant in-state participant for targeted case management but not an extreme outlier compared with peers.

At the claim level, the $148 avg paid/claim on 94.8K claims indicates revenue is built from frequent, modest-value units rather than few large payments; operationally this implies material administrative and workforce infrastructure to deliver and bill many brief encounters. Analysts should expect that staffing ratios, visit documentation practices, and billing workflows will materially affect revenues given the volume-driven model.

Tenure is long enough to suggest market entrenchment: the NPI was enumerated 2007-08-27 (~19 years ago), signaling nearly two decades of enrollment and potential longstanding relationships with state Medicaid programs or managed care plans. That longevity supports interpreting current volumes as an established operating pattern rather than a transient program.

Because 100.0% of Medicaid revenue is tied to a very narrow set of codes (with T1017 representing the entirety of reported Medicaid dollars), any state policy change, rate adjustment, or utilization-management action affecting T1017 would have an outsized impact on the provider’s revenue profile. Monitoring rate notices and targeted-case-management policy updates should be prioritized for risk assessment and forecasting.

Data gaps worth noting: the absence of Medicare billing on file and the concentration of Medicaid revenue in T1017 limit visibility into other potential services, payer arrangements (e.g., managed-care vs. fee-for-service), or ancillary revenue streams. Analysts seeking a fuller competitive or financial picture should request granular Medicaid payment feeds, MCO-level data, and site-of-service breakdowns to confirm whether other activities exist outside the reported T1017 volumes.

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
T1017	Targeted case management, each 15 minutes	94,760	$150	$14M

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 Nevada — 0 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
T1017	Targeted case management, each 15 minutes	6	50	2,770	$150	$6.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$545.3M
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$129.8M
My Left Foot Children's Therapy	NV	Pediatric Occupational Therapist	$0	$41.8M
Nv St Dv Mh Ds So Nv Mr Svcs	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.6M
Didc Inc.	NV	In Home Supportive Care Agency	$0	$16.2M
Above The Rest Home Care Inc.	NV	In Home Supportive Care Agency	$0	$12.3M
Silver Town Incorporated	NV	Adult Day Care Clinic/Center	$0	$12.3M
Eugene Rosenman, Md Ltd	NV	Psychiatry Physician	$0	$12.2M
Nephrology & Endocrine Associates Inc	NV	Nephrology Physician	$0	$11.7M
High Class Personal Care LLC	NV	In Home Supportive Care Agency	$0	$11M

State Of Nevada — Billing Profile & Reimbursement Data

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State Of Nevada — 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