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.

Consumer Direct Services For Nevada, LLC (NPI 1750737268)

Field	Value
Entity Type	Organization
Organization	Consumer Direct Services For Nevada, LLC
Address	1005 Terminal Way Ste 294
City	Reno
State	NV
ZIP	89502
Taxonomy	Personal Care Attendant
NPI Enumerated	May 13, 2016

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

Key Findings

CONSUMER DIRECT SERVICES FOR NEVADA, LLC appears to operate as a time-based personal care attendant provider: its Medicaid portfolio is driven entirely by T1019 (Personal care services, per 15 minutes, part of an individualized plan of treatment). The provider reported 370.5K claims at a $63 avg paid/claim, producing $23.3M in Medicaid revenue, which is consistent with a high-volume, hands-on personal care service model delivered in community settings rather than inpatient or facility care.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and the single listed code T1019 alone is credited with $23.3M (100.0% of this provider's Medicaid revenue). This indicates virtually all billing and reimbursement flows through a very narrow set of time-based personal care codes, exposing overall topline to changes in those specific code rules or rates.

Payer mix is effectively single-payer Medicaid: the profile shows no Medicare billing on file and $23.3M in lifetime Medicaid revenue, so the organization derives its entire reported public-payer activity from Medicaid. Analysts should treat this entity as Medicaid-dependent for public-program exposure and competitive comparisons.

The provider is a dominant statewide player for T1019: it ranks #2 of 219 providers in Nevada and is described as a 100th percentile, extreme outlier, far above typical state volume for this code. That ranking signals a major share of in-state activity for time-based personal care services and suggests the organization is among the largest Medicaid personal care attendants in Nevada by billed volume.

The scale of activity is notable: 370.5K claims at a $63 avg paid/claim resulted in $23.3M in revenue, highlighting very large claim throughput for a single code. This claim volume combined with the high rank in-state implies significant operational scale and likely substantial caregiver workforce and scheduling infrastructure to support continuous service delivery.

The provider has measurable tenure in the market, with an NPI enumeration date of 2016-05-13 (~10 years ago), which indicates roughly a decade of presence in the Nevada Medicaid ecosystem. That duration is consistent with the ability to grow to the observed high-volume position and suggests established payer relationships and program familiarity.

Being an extreme outlier on T1019 carries both competitive advantage and policy exposure: the provider’s statewide prominence on this single personal care code can create leverage with payers and networks, but also concentrates financial risk if Medicaid program rules, utilization controls, or reimbursement rates for T1019 change. Analysts should consider monitoring policy developments and utilization management trends affecting time-based personal care services.

Operational implications follow from the code mix: reliance on T1019 implies a workforce-intensive, home/community-based care model paid in short time increments, making staffing capacity, visit scheduling, and documentation controls central to performance and margin. Any efforts to assess quality, utilization patterns, or audit risk should focus on time-unit aggregation practices, authorization pathways within individualized plans of treatment, and caregiver deployment metrics.

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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	370,460	$60	$23.3M

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

Consumer Direct Services For Nevada, LLC — 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2	220	20,880	$80	$3.4M

Nearby Providers

Other providers in the same ZIP code as Consumer Direct Services For Nevada, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renown Regional Medical Center	NV	General Acute Care Hospital	$0	$63.7M
Reno Sparks Indian Colony	NV	Clinic/Center	$390	$47.4M
Regional Emergency Medical Services Authority	NV	Ambulance	$8.2M	$26.1M
Medtrans Behavioral Nevada Casal, PLLC	NV	Community/Behavioral Health Agency	$0	$26.4M
Brown, Calvanese, Cameron Ltd	NV	Emergency Medicine Physician	$0	$19.7M
Washoe County School District	NV	Local Education Agency (LEA)	$0	$16.5M
Community Care Services LLC	NV	Internal Medicine Physician	$0	$15.1M
Medical Services Of Nevada Inc	NV	In Home Supportive Care Agency	$0	$12.7M
Community Health Alliance	NV	Federally Qualified Health Center (FQHC)	$0	$7M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M

Consumer Direct Services For Nevada, LLC — Billing Profile & Reimbursement Data

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Consumer Direct Services For Nevada, LLC — Billing Profile & Reimbursement Data

Sign up for Consumer Direct Services For Nevada, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References