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.

Washoe County (NPI 1982770921)

Field	Value
Entity Type	Organization
Organization	Washoe County
Address	350 S Center St
City	Reno
State	NV
ZIP	89501
Taxonomy	Case Management Agency
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$28.9M
Medicare	$0

Key Findings

WASHOE COUNTY’s Medicaid billing is concentrated in targeted case management: the single listed code T1017 (Targeted case management, each 15 minutes) accounts for $28.9M in Medicaid revenue and 27.9K claims, with an average paid per claim of $1033. This code alone is reported as responsible for 100.0% of the provider’s Medicaid revenue, indicating the organization’s operations are built around time-based case management services.

The precomputed top-code concentration is extreme: the dataset shows the top 3 Medicaid codes by revenue account for 100.0% of this provider’s total Medicaid revenue, and that share is entirely represented here by T1017. That level of single-service-line reliance means overall Medicaid revenue is effectively monocultural and fully dependent on targeted case management reimbursement.

WASHOE COUNTY has no Medicare billing on file, so its current billing footprint is effectively single-payer (Medicaid) with $28.9M in lifetime Medicaid revenue. The absence of Medicare activity suggests the organization’s service mix and contracting strategy are focused on Medicaid-eligible populations rather than Medicare beneficiaries.

On an in-state competitive basis for this code, T1017 ranks #13 of 50 providers and sits at the 76th percentile, which the source labels as "typical, unremarkable volume for this code." That ranking places WASHOE COUNTY above the median peer but not among the largest providers statewide, indicating a modestly strong but not dominant market position in targeted case management.

The claims and reimbursement pattern confirms a high-volume, unit-based delivery model: 27.9K claims with an $1033 avg paid/claim produced the reported $28.9M revenue. This pattern is consistent with frequent, time-interval billing for case management encounters rather than episodic or procedure-based services.

WASHOE COUNTY’s NPI was enumerated on 2006-11-28 (~20 years ago), signaling a long-tenured presence in the payer system. That tenure, combined with concentrated Medicaid revenue, suggests established operational workflows for targeted case management even as the organization remains reliant on a single Medicaid code for revenue.

The concentration of revenue in T1017 creates both operational risk and strategic clarity: any Medicaid rate changes, policy adjustments to targeted case management, or shifts in service authorization could materially affect the provider’s topline. Conversely, the clear service specialization may ease efforts to negotiate rates, demonstrate program outcomes, or expand managed-care relationships within the same service line.

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
T1017	Targeted case management, each 15 minutes	27,950	$1,030	$28.9M

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

Washoe County — 0 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
T1017	Targeted case management, each 15 minutes	13	50	2,770	$150	$6.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karen Zarrelli	NV	Nurse Practitioner	$190.1K	$0
Susan Smith	NV	Clinical Psychologist	$69.9K	$16.6K
Daniel Brady	NV	Physician Assistant	$22.8K	$12.4K
Suresh Raman	NV	Anesthesiology Physician	$23K	$0
Reed Dopf	NV	Internal Medicine Physician	$21K	$0
Ryan Stites	NV	Anesthesiology Physician	$18.2K	$0
John Mortensen	NV	Anesthesiology Physician	$13.9K	$0
Brian Turchioe	NV	Anesthesiology Physician	$13.1K	$0
Tobey Gansert	NV	Anesthesiology Physician	$12.4K	$0
Sarah Lim	NV	Anesthesiology Physician	$3.5K	$0

Washoe County — Billing Profile & Reimbursement Data

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Washoe County — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References