Clark County Department of Family Services
Case Management
Las Vegas, Nevada
NPI: 1831449370
Risk Tier
High
Total Paid
$166.6M
$166,586,329
Total Claims
325K
Beneficiaries
315K
Avg Cost/Claim
$512.38
Active billing period: 82 months (2018-01 to 2024-10)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $512.38 per claim for T1017 (Targeted case management, per 15 min), which is 7.4× the national median of $69.56.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1017 (1 unique codes).
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 1 procedure codes — billing is highly concentrated in very few services.
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