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.

Stone Mountain Health Services LLC (NPI 1871059402)

Field	Value
Entity Type	Organization
Organization	Stone Mountain Health Services LLC
Address	6396 Mcleod Dr Ste 6
City	Las Vegas
State	NV
ZIP	89120
Taxonomy	Psychologist
NPI Enumerated	February 19, 2019

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9480	Intensive outpatient psychiatric services, per diem	11,430	$120	$1.4M
H2011	Crisis intervention service, per 15 minutes	1,960	$250	$482.9K
90876	In this service, the provider performs 45 minutes of psychophysiological therapy using biofeedback training along with psychotherapy to alter the behavior of the patient.	6,300	$60	$396.6K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	1,140	$80	$85.3K
90840	In this add on service, after initial psychotherapy intervention for crisis, the provider performs an additional 30 minutes of psychotherapy for crisis. The crisis state is a life–threatening…	1,120	$70	$76.4K
H2017	Psychosocial rehabilitation services, per 15 minutes	530	$110	$57.7K
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…	490	$90	$44.2K
H0031	Mental health assessment, by non-physician	140	$160	$22.1K
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…	620	$30	$16.1K
H2014	Skills training and development, per 15 minutes	250	$50	$13.3K

Showing 1–10 of 12

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

Stone Mountain Health Services LLC — 2 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2011	Crisis intervention service, per 15 minutes	44	280	290	$400	$461.2K
S9480	Intensive outpatient psychiatric services, per diem	12	230	1,090	$140	$384.7K
90876	In this service, the provider performs 45 minutes of psychophysiological therapy using biofeedback training along with psychotherapy to alter the behavior of the patient.	68	420	1,370	$80	$309K
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…	433	970	360	$80	$139.2K
H2014	Skills training and development, per 15 minutes	72	110	490	$100	$127.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	65	130	540	$90	$121.3K
Q3014	Telehealth originating site facility fee	220	390	670	$20	$42.6K
H0031	Mental health assessment, by non-physician	89	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.	297	380	50	$90	$32.5K
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…	75	250	270	$20	$20.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Stone Mountain Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bio-medical Applications Of Nevada, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.4M
Caremax Health Group, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$6.2M
Renee Lim Ngo PC	NV	Psychiatry Physician	$0	$5.1M
Newway Neurotherapy Health And Wellness	NV	Psychiatry Physician	$0	$4.9M
Holy Infant Carin Pediatric Group, PLLC	NV	Pediatrics Physician	$0	$4.9M
Exellabs	NV	Clinical Medical Laboratory	$395.4K	$2.9M
Newway Neurotherapy Health And Wellness	NV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.3M
Docs On Go LLC	NV	Clinic/Center	$0	$3.1M
Edwin Suarez Physical Therapy, LLC	NV	Physical Therapist	$0	$3.1M
Motivated Kids Therapy LLC	NV	Pediatric Occupational Therapist	$0	$2.8M

Stone Mountain Health Services LLC — Billing Profile & Reimbursement Data

Sign up for Stone Mountain Health Services LLC — Billing Profile & Reimbursement Data policy alerts

Stone Mountain Health Services LLC — Billing Profile & Reimbursement Data

Sign up for Stone Mountain Health Services LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References