Behavioral
Pacifica Healthcare Providers LLC
Pacifica Healthcare Providers LLC was paid $4.58M by Medicaid between Sep 2020 and Oct 2024, across 47 billing codes. Its largest line is 90876, — 20% of everything it billed.
33Billing provider infoPACIFICA HEALTHCARE PROVIDERS LLC
LAS VEGAS, NV 89121
LAS VEGAS, NV 89121
33aNPI1528628633assigned 06/20/2019
33bProvider typeBehavioral Analyst
28Total paid$4.58M
24GClaims162,904
24DCodes billed47
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other Behavioral Analyst providers in Nevada
Rank by total paid#3 of 69
Median peer was paid$61K
This provider vs. median75×
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.
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 | |
|---|---|---|---|
| 2020 | 711 | $40K | |
| 2021 | 37,835 | $932K | |
| 2022 | 82,144 | $2.63M | |
| 2023 | 34,645 | $980K | |
| 2024incomplete | 7,569 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90876 | 20% | 10,718 | 1,783 | $930K | |
| 97032 | 12% | 26,456 | 3,758 | $571K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 12% | 21,244 | 2,995 | $555K |
| 90868 | 9.9% | 3,561 | 323 | $452K | |
| 97016 | 7.0% | 24,701 | 3,740 | $322K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.6% | 5,665 | 2,324 | $302K |
| 95816 | 6.3% | 1,142 | 1,103 | $289K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.7% | 4,161 | 1,661 | $262K |
| Q3014 | Telehealth originating site facility fee | 4.6% | 9,920 | 1,737 | $213K |
| 98960 | 2.2% | 3,319 | 454 | $103K | |
| 96132 | 2.2% | 1,146 | 1,106 | $102K | |
| 97010 | 1.8% | 16,236 | 2,332 | $83K |
35 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 4,553 | $58K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 1,264 | $56K |
| 96136 | <1% | 1,128 | $37K | |
| 96137 | <1% | 1,148 | $35K | |
| 99070 | <1% | 2,089 | $31K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 358 | $31K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 321 | $29K |
| 92584 | <1% | 549 | $24K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 5,615 | $18K |
| 90867 | <1% | 59 | $15K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 208 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 94 | $9K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 642 | $7K |
| 92585 | <1% | 101 | $6K | |
| 90901 | <1% | 565 | $5K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 134 | $4K |
| 97124 | <1% | 6,776 | $4K | |
| H0031 | Mental health assessment, by non-physician | <1% | 89 | $3K |
| 99344 | <1% | 16 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,317 | $2K |
| J3415 | Injection, pyridoxine hcl, 100 mg | <1% | 1,980 | $2K |
| 95957 | <1% | 45 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $1K |
| 93040 | <1% | 102 | $630.30 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 12 | $533.91 |
| 11104 | <1% | 15 | $486.60 | |
| 95930 | <1% | 45 | $364.23 | |
| 11105 | <1% | 15 | $265.40 | |
| 97014 | <1% | 247 | $42.54 | |
| J1955 | Injection, levocarnitine, per 1 gm | 0% | 1,834 | $0.00 |
| J2400 | Injection, chloroprocaine hydrochloride, per 30 ml | 0% | 997 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 0% | 143 | $0.00 |
| 99490 | Ccm add 20min | 0% | 14 | $0.00 |
| J3411 | Injection, thiamine hcl, 100 mg | 0% | 1,981 | $0.00 |
| J0610 | Injection, calcium gluconate (fresenius kabi), per 10 ml | 0% | 145 | $0.00 |
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 officialAVILA, CLAUDIA (COO)