NV St Dv Mh Ds Desert Dev Center
Respite Care Respite Care Intellectual and/or Developmental Disabilities Child
Las Vegas, Nevada
NPI: 1780045542
Risk Tier
High
Total Paid
$545.4M
$545,383,072
Total Claims
703K
Beneficiaries
234K
Avg Cost/Claim
$776.07
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $2,772.49 per claim for T2017 (Habilitation, residential, waiver; 15 min), which is 20.2× the national median of $137.32.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: T2017 at 20.2× median, T2003 at 4.3× median.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024