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    OpenPayerNPI Medicare & MedicaidClark County Department Of Family Services
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    Clark County Department Of Family Services — Billing Profile & Reimbursement Data

    NPI 1831449370 · Las Vegas, NV · Case Management Agency

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    Clark County Department Of Family Services is a case management agency provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationClark County Department Of Family Services
    Address121 S Martin Luther King Blvd
    CityLas Vegas
    StateNV
    ZIP89106
    TaxonomyCase Management Agency
    NPI EnumeratedSeptember 12, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$166.5M
    Medicare$0

    Key Findings

    CLARK COUNTY DEPARTMENT OF FAMILY SERVICES is listed as a Case Management Agency in LAS VEGAS, NV with an NPI enumerated 2012-09-12 (~14 years ago). The enrollment tenure indicates it has been operating under this NPI for over a decade, suggesting established participation in state Medicaid programs and continuity of billing history for analysis.

    This entity has no Medicare billing on file and $166.5M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) billing operation. Analysts should treat Medicaid as the exclusive source of recorded program revenue when evaluating payer exposure and financial dependence.

    Revenue concentration is extreme: the provider's top-3 Medicaid codes account for 100.0% of its total Medicaid revenue, and the single listed code T1017 (Targeted case management, each 15 minutes) is shown as producing $166.5M (100.0% of Medicaid revenue). This level of reliance on one service line means overall financial performance is driven almost entirely by targeted case management activity.

    Operationally, the billing mix — dominated by T1017 — identifies the organization as primarily delivering targeted case management in 15-minute units rather than clinical procedures or facility-based services. The code-level profile is consistent with programmatic, community-based case management operations that bill intensive, time-based encounters as the core service.

    The provider is a major statewide participant for this code: T1017 is reported with 325.1K claims and a $512 avg paid/claim, and the provider ranks #3 of 50 in-state (96th percentile) and is described as notably above typical state volume for this code. That rank and percentile indicate the organization is a leading supplier of targeted case management in Nevada and a significant peer competitor for state Medicaid contracts and service volume.

    The claim volume and unit payment mix—325.1K claims at a $512 avg paid/claim—signal both high utilization and meaningful unit reimbursement; together these create the $166.5M revenue footprint without other Medicaid service diversification. For payers and procurement teams, this combination highlights that utilization management, authorization workflows, and unit-rate negotiations for T1017 will disproportionately affect spending trends tied to this provider.

    Concentration creates operational and financial sensitivity: because 100.0% of Medicaid revenue is tied to T1017, any policy, eligibility, rate change, or coding scrutiny affecting targeted case management could materially change the provider's Medicaid revenue profile. Analysts should monitor state program changes, code policy updates, and comparative utilization among the top in-state peers (given the #3 ranking) to assess potential revenue volatility and implications for network capacity.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T1017Targeted case management, each 15 minutes325,120$510$166.5M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1017Targeted case management, each 15 minutes3502,770$150$6.7M

    Nearby Providers

    Other providers in the same ZIP code as Clark County Department Of Family Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shadow Emergency Physicians PLLCNVEmergency Medicine Physician$0$75.2M
    Valley Hospital Medical CenterNVGeneral Acute Care Hospital$0$47M
    Southwest Medical Associates, IncNVDiagnostic Radiology Physician$418.3K$15.8M
    Las Vegas Paiute Tribe Health & Human ServicesNVGeneral Practice Physician$0$13.6M
    Fresenius Medical Care West Sahara, LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$12.2M
    Bridge Counseling Associates, IncNVCommunity/Behavioral Health Agency$0$12.1M
    Iriye Medical Group PLLCNVMaternal & Fetal Medicine Physician$0$11.9M
    Janda, Mahajan & Balsiger PLLCNVNeurology Physician$0$10.5M
    Behavioral Health Institute Inc (singh) PCNVAddiction Medicine (Family Medicine) Physician$0$9.8M
    Pulmonary Associates, Inc.NVPulmonary Disease Physician$0$8.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Clark County Department Of Family Services — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada