Paradigm Shift Health Services

Paradigm Shift Health Services was paid $727K by Medicaid between Apr 2019 and Sep 2019, across 7 billing codes. Its largest line is H2011, Crisis intervention service, per 15 minutes — 55% of everything it billed.

33Billing provider infoPARADIGM SHIFT HEALTH SERVICES
LAS VEGAS, NV 89183

33aNPI1447729694assigned 11/16/2018

33bProvider typeIntellectual and/or Developmental Disabilities Residential Treatment Facility

28Total paid$727K

24GClaims6,820

24DCodes billed7

24AFirst – last monthApr 2019 – Sep 2019

Compared with peers

Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Nevada

Rank by total paid#6 of 13

Median peer was paid$586K

This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (04/20/2025).

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	6,820	$727K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2011	Crisis intervention service, per 15 minutes	55%	1,724	557	$398K
90876		35%	3,110	637	$252K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	6.0%	794	359	$44K
90853	Group psychotherapy (other than of a multiple-family group)	1.8%	800	354	$13K
90847	Family psychotherapy with the patient present, 50 minutes	1.7%	182	65	$13K
H0031	Mental health assessment, by non-physician	1.1%	143	129	$8K
96150		<1%	67	62	$478.17

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMCCLEARIN, TONYA (OWNER)