Sierra Regional Center
Respite Care
Sparks, Nevada
NPI: 1053772905
Risk Tier
High
Total Paid
$225.2M
$225,241,767
Total Claims
488K
Beneficiaries
85K
Avg Cost/Claim
$461.61
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 $2,343.49 per claim for T2017 (Habilitation, residential, waiver; 15 min), which is 17.1× the national median of $137.32.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: T2017 at 17.1× median, T2003 at 4.0× 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