Nevada's 8,947 Medicaid providers billed $8.07B between 2018 and 2024. The most-billed code is T1019, accounting for $752.31M in payments. Las Vegas is the largest Medicaid billing hub in the state. 54 providers in NV appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $752.31M |
| T2017 | Habilitation, residential, waiver; 15 minutes | $695.27M |
| T1017 | Targeted case management, each 15 minutes | $335.82M |
LAS VEGAS ($5.50B) RENO ($677.20M) HENDERSON ($525.74M) SPARKS ($379.74M) NORTH LAS VEGAS ($372.01M) CARSON CITY ($152.32M) FALLON ($70.23M) PAHRUMP ($67.33M) ELKO ($60.05M) N LAS VEGAS ($43.83M) GARDNERVILLE ($26.49M) YERINGTON ($21.23M) OWYHEE ($16.92M) NIXON ($16.90M) WINNEMUCCA ($14.45M) FERNLEY ($13.42M) ELY ($12.45M) SCHURZ ($11.64M) SILVER SPRINGS ($11.53M) LAST VEGAS ($11.41M) MESQUITE ($9.90M) MINDEN ($8.37M) DAYTON ($3.93M) MOAPA ($3.90M) LAUGHLIN ($3.55M) HAWTHORNE ($3.46M) LOVELOCK ($3.29M) MCDERMITT ($3.05M) BATTLE MOUNTAIN ($2.77M) BOULDER CITY ($2.73M) AMARGOSA VALLEY ($2.37M) INCLINE VILLAGE ($1.90M) CALIENTE ($1.62M) STATELINE ($1.51M) WEST WENDOVER ($1.48M) SPRING CREEK ($1.15M) NELLIS AFB ($1.05M) NIAGARA FALLS ($929K) SUN VALLEY ($750K) LOGANDALE ($597K) WELLINGTON ($545K) CARLIN ($470K) TONOPAH ($375K) LV ($333K) DUCKWATER ($307K) JACKPOT ($261K) VIRGINIA CITY ($244K) EUREKA ($237K) PHARUMP ($221K) N. LAS VEGAS ($192K)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | CLARK COUNTY DEPARTMENT OF FAMILY SERVICES | $166.59M | single-code billing |
| 2 | UNLV MEDICINE | $31.40M | single-code billing |
| 3 | WASHOE COUNTY | $28.86M | single-code billing |
| 4 | FREEDOM CARE NV LLC | $28.23M | single-code billing |
| 5 | NV ST DV MH DS SO NV MR SVCS | $27.60M | single-code billing |
| 6 | CONSUMER DIRECT SERVICES FOR NEVADA, LLC | $23.50M | single-code billing |
| 7 | CLARK COUNTY DEPARTMENT OF JUVENILE JUSTICE | $20.18M | single-code billing |
| 8 | GOLDEN CROSS HOME CARE, LLC. | $19.40M | single-code billing |
| 9 | DIDC INC. | $16.24M | single-code billing |
| 10 | A BETTER WAY HOME CARE, LLC | $14.74M | single-code billing |
| 11 | STATE OF NEVADA | $13.99M | single-code billing |
| 12 | LAS VEGAS PAIUTE TRIBE HEALTH & HUMAN SERVICES | $13.57M | single-code billing |
| 13 | ABSOLUTE HOME CARE INC. | $12.76M | single-code billing |
| 14 | MEDICAL SERVICES OF NEVADA INC | $12.74M | single-code billing |
| 15 | DD PERSONAL CARE LLC | $12.72M | single-code billing |
| 16 | ABOVE THE REST HOME CARE INC. | $12.39M | single-code billing |
| 17 | ELSUBE LLC | $12.02M | single-code billing |
| 18 | WALKER RIVER PAIUTE TRIBE | $11.64M | single-code billing |
| 19 | ABSOLUTE PERSONAL CARE,LLC | $11.40M | single-code billing |
| 20 | CYBT, INC | $11.11M | single-code billing |
| 21 | NEVADA BEST PCA, LLC | $11.04M | single-code billing |
| 22 | HIGH CLASS PERSONAL CARE LLC | $10.92M | single-code billing |
| 23 | ACCESSIBLE SPACE INC. | $10.71M | 52 claims/bene · single-code billing |
| 24 | EVERYDAY MIRACLES | $10.68M | single-code billing |
| 25 | HHCSN INC. | $10.58M | single-code billing |