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.

Carson City Community Counseling Center (NPI 1659913978)

Field	Value
Entity Type	Organization
Organization	Carson City Community Counseling Center
Address	205 S Pratt Ave
City	Carson City
State	NV
ZIP	89701
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 9, 2019

Payer Source	Total Paid
Medicaid	$17.1M
Medicare	$0

Key Findings

This provider reports $17.1M in lifetime Medicaid revenue and has no Medicare billing on file, making its operational footprint effectively single‑payer (Medicaid) based on the available data. Analysts should treat Medicaid performance as the primary source of financial and utilization signal for this entity.

Revenue is highly concentrated in a single code: T1040 is credited with $17.1M revenue and represents 100.0% of this provider's total Medicaid revenue; precomputed data indicate the top 3 Medicaid codes by revenue account for 100.0% of total Medicaid revenue. That concentration means financial exposure and reimbursement risk are tied to the per‑diem/clinic payment associated with T1040.

The code mix and volumes point to operation as a Medicaid certified community behavioral health clinic (CCBHC): T1040 (Medicaid certified community behavioral health clinic services, per diem) is the revenue driver, and there are very large counts for behavioral health and substance‑use treatment codes such as H0015 (intensive outpatient) and H0005 (group counseling). This pattern is consistent with an integrated behavioral health program offering both clinic‑level per‑diem services and high-volume outpatient/substance‑use programming.

Competitive standing within Nevada is strong for the provider's specialty lines: T1040 ranks #1 of 18 providers in-state (100th percentile) and H0015 ranks #1 of 55 providers in-state (100th percentile, labeled an "extreme outlier"); H0005 ranks #2 of 82 (99th percentile) and H0038 ranks #2 of 38 (97th percentile). Those ranks indicate the provider is a dominant or major statewide player for CCBHC per‑diem activity and for intensive outpatient/self‑help behavioral health services.

There is a consistent pattern of very high claim volumes for many behavioral‑health and substance‑use codes that show $0 avg paid/claim and $0 revenue (examples: 80305, H0015, H0005, H0038, 90853). This billing profile suggests most payment is being captured in the T1040 per‑diem or that other service lines are reported with zero paid per claim in the dataset; reviewers should not assume zero clinical activity from the $0 paid entries but should investigate bundling or reporting conventions.

Several high‑volume codes are explicitly labeled as statistical outliers or "notably above typical" for the state (for example, T1040 is "notably above typical state volume" and 80305 is an "extreme outlier, far above typical state volume for this code"). Those labels reinforce that the provider's utilization profile deviates markedly from typical in‑state peers and warrants targeted comparative review for capacity, access, and reimbursement patterns.

The provider's NPI was enumerated on 2019-10-09 (~7 years ago), indicating roughly seven years of activity under this identifier. In that time it has built a substantial Medicaid presence centered on CCBHC per‑diem billing rather than diversified Medicare/Medicaid revenue streams.

For payer and contracting implications: because nearly all Medicaid revenue flows through T1040, payers should focus utilization management, rate negotiations, and quality measurement on per‑diem CCBHC activity and on program‑level outcomes. Additionally, given the high volumes of $0‑paid service claims, contract reviewers should validate whether those services are intentionally bundled into the per‑diem or reflect reporting artifacts that need reconciliation.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	110,870	$150	$17.1M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$0	$0
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…	39,680	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	370	$0	$0
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…	40	$0	$0
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…	750	$0	$0
90834	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…	880	$0	$0
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…	5,140	$0	$0
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…	7,640	$0	$0
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	150	$0	$0

Showing 1–10 of 23

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

Carson City Community Counseling Center — 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	29	50	2,770	$150	$6.7M
T1040	Medicaid certified community behavioral health clinic services, per diem	1	20	5,410	$170	$5.3M
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…	1	60	1,010	$100	$365.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	12	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…	87	970	360	$80	$139.2K
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…	224	2,250	290	$60	$138K
H2014	Skills training and development, per 15 minutes	23	110	490	$100	$127.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	52	130	540	$90	$121.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	2	80	720	$30	$109.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,495	2,480	330	$50	$107.6K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Carson City Community Counseling Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carson City Finance Department	NV	Land Ambulance	$1M	$9.3M
Ccpd LLC	NV	Pediatric Dentistry	$0	$4.5M
Medical Services Of Nevada Inc	NV	In Home Supportive Care Agency	$0	$3.5M
Pritchett Eye Care PC	NV	Optometrist	$0	$3.1M
William Street Dental Health Center PC	NV	General Practice Dentistry	$0	$2.1M
Carson City Community Counseling Center	NV	Addiction (Substance Use Disorder) Counselor	$0	$2M
Connections Behavioral Health Center	NV	Psychiatry Physician	$0	$1.5M
David Tack	NV	Dermatology Physician	$895.7K	$0
Bruce Mullen	NV	Physical Medicine & Rehabilitation Physician	$263.1K	$40.7K
Jay Adams	NV	Procedural Dermatology Physician	$271.9K	$1.1K

Carson City Community Counseling Center — Billing Profile & Reimbursement Data

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Carson City Community Counseling 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