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    OpenPayerNPI Medicare & MedicaidMedtrans
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    Medtrans — Billing Profile & Reimbursement Data

    NPI 1871915892 · Las Vegas, NV · Community/Behavioral Health Agency

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    Medtrans is a community/behavioral health agency provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 90 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
    OrganizationMedtrans
    Address5412 Boulder Hwy
    CityLas Vegas
    StateNV
    ZIP89122
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJanuary 10, 2014

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

    Payer SourceTotal Paid
    Medicaid$20.4M
    Medicare$0

    Key Findings

    MEDTRANS is effectively a Medicaid-focused provider with no Medicare billing on file and $20.4M in lifetime Medicaid revenue; the absence of Medicare revenue indicates its operations and reimbursement exposure are concentrated almost entirely in the Medicaid program rather than in traditional Medicare markets.

    Revenue concentration is meaningful: the top three Medicaid codes account for 43.6% of this provider's total Medicaid revenue, indicating a heavy dependence on a few high-volume service lines rather than a broadly diversified claims mix.

    High-volume outpatient evaluation and management and psychiatric evaluation services drive the practice profile — 99214 ($3.1M), 90791 ($2.8M), and T1016 ($2.6M) are the top three Medicaid revenue sources. This mix suggests MEDTRANS operates as a behavioral health and case-management-centered organization providing frequent office visits, psychiatric assessments, and intensive case management.

    MEDTRANS is a market outlier in multiple behavioral health codes within Nevada. It ranks #1 for 90791 and H2017 and top percentiles for 99214, 90837, 90833, 90792, and Q3014; these rank positions and the provided labels (e.g., "extreme outlier", "100th percentile") indicate the provider is a dominant statewide player for psychiatric evaluation, psychosocial rehabilitation, and several psychotherapy and telehealth services.

    Operational scale is reflected in very large claim volumes for certain services: T1016 shows 94K claims and T2001 lists 54.7K claims, while 99214 and 90837 each have tens of thousands of claims reported. These volumes are consistent with a high-throughput community behavioral health agency delivering frequent short-interval services such as case management, transportation support, and psychotherapy.

    The provider reports substantial telehealth and laboratory/monitoring activity relative to peers: Q3014 (20.3K claims) ranks in the 99th percentile and G0482/G0480/80307 (drug testing and definitive drug screens) together account for notable revenue, signaling ongoing remote visit utilization plus routine specimen testing as operational elements.

    Several codes show extreme or notable percentile outlier status, which is important for competitive analysis: 90791 and H2017 are described as "extreme outlier"/"100th percentile," 99214 and 90837 are labeled "extreme outlier"/"99th–98th percentile," and Q3014 is a 99th percentile outlier. These descriptors indicate MEDTRANS is operating at volumes far above typical in-state providers for multiple specialty behavioral-health services.

    MEDTRANS has been enumerated since 2014-01-10 (~12 years ago), indicating a sustained presence in the Nevada behavioral health market; combined with its large Medicaid revenue and concentrated service mix, that tenure supports the conclusion that it is an established Medicaid service provider with entrenched clinical and administrative capacity.

    While many codes are extreme outliers, some service lines remain within typical ranges for the state: H0047, H0015, G0480, and several psychotherapy durations are characterized as "typical, unremarkable" or mid-percentile — this suggests MEDTRANS concentrates dominance in specific core behavioral-health and case-management offerings while maintaining more ordinary participation in ancillary or less central services.

    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.

    90 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…45,470$70$3.1M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.15,830$180$2.8M
    T1016Case management, each 15 minutes94,040$30$2.6M
    H0047Alcohol and/or other drug abuse services, not otherwise specified2,700$630$1.7M
    90837In 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…16,380$100$1.6M
    S9480Intensive outpatient psychiatric services, per diem10,800$120$1.3M
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…22,950$40$849K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…5,750$120$701.1K
    H2017Psychosocial rehabilitation services, per 15 minutes7,960$80$644.6K
    90792In 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…7,760$80$597.3K

    Showing 1–10 of 90

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    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

    90 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0035Mental health partial hospitalization, treatment, less than 24 hours17201,970$240$779.7K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1740530$70$561K
    S9480Intensive outpatient psychiatric services, per diem132301,090$140$384.7K
    T2022Case management, per month1620240$300$378.3K
    H0015Alcohol 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…20601,010$100$365.3K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…5560680$60$364.3K
    T2001Non-emergency transportation; patient attendant/escort11031,230$10$292.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…349470380$70$281.2K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…330750$90$252.3K
    H0047Alcohol and/or other drug abuse services, not otherwise specified25801,180$70$225.2K

    Showing 1–10 of 90

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamie CichonNVPsychiatry Physician$234.5K$246.2K

    Nearby Providers

    Other providers in the same ZIP code as Medtrans, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Well Care Pharmacy I, LLC Series ANVPharmacotherapy Pharmacist$0$5.6M
    Transformations Care LLCNVGeneral Practice Physician$0$2.2M
    Second Chance Empowerment CenterNVMental Health Counselor$0$2.1M
    Carefirst Urgent Care, LLCNVUrgent Care Clinic/Center$0$1.9M

    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
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Medtrans — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada