Southwestern Health Solution LLC

Southwestern Health Solution LLC was paid $1.52M by Medicaid between Mar 2018 and Nov 2018, across 5 billing codes. Its largest line is S9480, Intensive outpatient psychiatric services, per diem — 69% of everything it billed.

33Billing provider infoSOUTHWESTERN HEALTH SOLUTION LLC
LAS VEGAS, NV 89141

33aNPI1528574399assigned 12/15/2017

33bProvider typeIntellectual and/or Developmental Disabilities Residential Treatment Facility

28Total paid$1.52M

24GClaims10,078

24DCodes billed5

24AFirst – last monthMar 2018 – Nov 2018

Compared with peers

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

Rank by total paid#4 of 13

Median peer was paid$586K

This provider vs. median2.6×

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 (06/20/2023).

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
2018	10,078	$1.52M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9480	Intensive outpatient psychiatric services, per diem	69%	8,416	791	$1.05M
H0034	Medication training and support, per 15 minutes	30%	1,589	401	$457K
H0031	Mental health assessment, by non-physician	<1%	35	34	$5K
90839		<1%	19	19	$2K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	19	19	$2K

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 officialSANCHEZ, MIGUEL (OWNER)