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.

Fundamental Behavioral Services LLC (NPI 1699158600)

Field	Value
Entity Type	Organization
Organization	Fundamental Behavioral Services LLC
Address	3035 S. Maryland Parkway
City	Las Vegas
State	NV
ZIP	89109
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 8, 2015

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0031	Mental health assessment, by non-physician	20,170	$80	$1.6M
H2011	Crisis intervention service, per 15 minutes	10,120	$10	$81K
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…	1,180	$20	$17.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,880	$1	$11.7K
S9480	Intensive outpatient psychiatric services, per diem	5,600	$1	$5.6K
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…	3,800	$1	$3.8K
H0038	Self‑help/peer services, per 15 minutes	880	$1	$880
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…	370	$1	$740
98966	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	30	$0	$0
H0002	Behavioral health screening to determine eligibility for admission to treatment program	60	$0	$0

Showing 1–10 of 15

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

Fundamental Behavioral Services LLC — 4 of 8 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	1	20	1,270	$60	$692.8K
H2011	Crisis intervention service, per 15 minutes	3	280	290	$400	$461.2K
S9480	Intensive outpatient psychiatric services, per diem	32	230	1,090	$140	$384.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	246	330	360	$130	$174.3K
T1016	Case management, each 15 minutes	6	190	210	$40	$138.1K
H2014	Skills training and development, per 15 minutes	61	110	490	$100	$127.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	112	130	540	$90	$121.3K
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…	117	330	180	$50	$65.8K
H0031	Mental health assessment, by non-physician	1	340	60	$120	$38.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6	380	50	$90	$32.5K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fundamental Behavioral Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Davis	UT	Clinical Social Worker	$17.2K	$0
Robert Benedict	NV	Clinical Social Worker	$4.3K	$0

Nearby Providers

Other providers in the same ZIP code as Fundamental Behavioral Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Hospital And Medical Center, LLC	NV	General Acute Care Hospital	$0	$85.9M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$20.9M
Sunrise Hospital And Medical Center, LLC	NV	General Acute Care Hospital	$0	$17.1M
Sanjay Kandoth Md PC	NV	Pediatrics Physician	$0	$14.6M
Sdmi, LLC	NV	Diagnostic Radiology Physician	$0	$14.3M
Harold Zilberman M D Chtd	NV	Pediatrics Physician	$0	$14.3M
Radiology Specialists Ltd Marasso-miller	NV	Diagnostic Radiology Physician	$0	$13.9M
1st Love & Life Caregivers, LLC	NV	In Home Supportive Care Agency	$0	$10.8M
Childrens Lung Specialists	NV	Pediatric Pulmonology Physician	$0	$8.6M
Jlk Home Care, Inc	NV	In Home Supportive Care Agency	$0	$5.1M

Fundamental Behavioral Services LLC — Billing Profile & Reimbursement Data

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Fundamental Behavioral Services LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References