Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

NV St Dv Mh Ds Desert Dev Center

Respite Care Respite Care Intellectual and/or Developmental Disabilities Child·Las Vegas, NV·NPI: 1780045542SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Cost Outlier

Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.

Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Bills $2,772.49 per claim for T2017 (Habilitation, residential, waiver; 15 min) — 20.2× the national median of $137.32.

Bills $93.09 per claim for T2003 (Non-emergency transport; encounter/trip) — 4.3× the national median of $21.70.

Billing above the 90th percentile for 2 procedure codes simultaneously.

This is a statistical summary, not an accusation. See our methodology.

Active Billing Period:2018-012024-12(84 months)
Sharp billing drop in final month

Total Paid

$545.4M

$545,383,072

Total Claims

703K

Beneficiaries

234K

3.0 claims/patient

Avg Cost/Claim

$776

#105 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

NV St Dv Mh Ds Desert Dev Center is a Respite Care Respite Care Intellectual and/or Developmental Disabilities Child provider based in Las Vegas, NV. From the 2018–2024 period, this provider received $545.4M in Medicaid payments across 703K claims.

Why This Matters

This provider received $545.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 68,172 Medicaid beneficiaries for a full year at average per-enrollee costs.

76% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$59.1M
+14%
2019
$67.6M
+11%
2020
$75.3M
-0%
2021
$75.1M
+6%
2022
$80.0M
+6%
2023
$84.4M
+23%
2024
$104.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2017 (Habilitation, residential, waiver; 15 min)) accounts for 83% of total spending.

T2017Top 10%

Habilitation, residential, waiver; 15 min

$453.5M

164K claims · 83.2%

Your Cost: $2,772.49/claim|Median: $137.32
20.2× median
T2016Normal range

Habilitation, residential, waiver; per diem

$68.6M

191K claims · 12.6%

Your Cost: $358.27/claim|Median: $331.94
1.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$11.5M

154K claims · 2.1%

Your Cost: $74.61/claim|Median: $124.39
0.6× median
T2003Top 10%

Non-emergency transport; encounter/trip

$6.4M

69K claims · 1.2%

Your Cost: $93.09/claim|Median: $21.70
4.3× median
S0281Normal range

$2.5M

73K claims · 0.5%

Your Cost: $34.77/claim|Median: $92.97
0.4× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$1.8M

31K claims · 0.3%

Your Cost: $57.29/claim|Median: $24.33
2.4× median
96152Top 25%

Health behavior intervention, individual

$641K

12K claims · 0.1%

Your Cost: $53.59/claim|Median: $20.02
2.7× median
T2024Normal range

Supported employment, waiver, per diem

$507K

9K claims · 0.1%

Your Cost: $53.87/claim|Median: $259.38
0.2× median
T1002Normal range

RN services, per 15 minutes

$14K

241 claims · 0.0%

Your Cost: $57.16/claim|Median: $37.42
1.5× median

Similar Providers

Other top providers in Respite Care Respite Care Intellectual and/or Developmental Disabilities Child