Silver State Health Services
Silver State Health Services was paid $9.00M by Medicaid between Feb 2018 and Feb 2024, across 37 billing codes. Its largest line is G0470, Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit — 57% of everything it billed.
LAS VEGAS, NV 89146
Next to other Federally Qualified Health Center (FQHC) providers in Nevada
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,013 | $378K | |
| 2019 | 31,928 | $1.14M | |
| 2020 | 47,099 | $1.94M | |
| 2021 | 45,897 | $2.31M | |
| 2022 | 26,673 | $1.16M | |
| 2023 | 43,021 | $2.03M | |
| 2024incomplete | 950 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 57% | 89,813 | 28,759 | $5.09M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 15% | 48,926 | 16,211 | $1.31M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 7.9% | 12,947 | 9,939 | $714K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.0% | 13,373 | 4,510 | $359K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.9% | 7,340 | 3,678 | $351K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.8% | 7,123 | 5,514 | $341K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.7% | 2,765 | 2,627 | $242K |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 1.9% | 3,377 | 2,830 | $171K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 12,976 | 5,400 | $123K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.3% | 3,984 | 3,144 | $120K |
| Q3014 | Telehealth originating site facility fee | <1% | 3,996 | 2,513 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,074 | 1,757 | $34K |
25 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 874 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 710 | $15K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 114 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 408 | $3K |
| 0071A | <1% | 62 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 61 | $2K |
| 90845 | <1% | 16 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 245 | $1K |
| 0072A | <1% | 30 | $1K | |
| 99442 | <1% | 45 | $314.14 | |
| 99383 | <1% | 123 | $236.08 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $113.73 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 156 | $99.09 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 432 | $67.28 |
| 91307 | <1% | 92 | $4.42 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 168 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 28 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 53 | $0.00 |
| 99382 | 0% | 110 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 42 | $0.00 |
| 99384 | 0% | 42 | $0.00 | |
| 99381 | 0% | 12 | $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.