AYMARA VALLADARES, LMHC
NPI 1184865289, individual, Las Vegas, NV, Counselor, Professional
- Medicaid dollars per patient on code H2017 ($1541 per patient-month) sit in the top 5% of every provider billing that code.
- 75% of Medicaid dollars are on codes with a history of abuse.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 27.5 | 21.8 | 14.5 | 19.6 | 308 | 5 | 90791 90834 90837 90876 99407 | $67K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 24.1 | 20.7 | 13.8 | 18.8 | 280 | 3 | 90791 90834 90837 90876 | $62K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 26.4 | 23.9 | 16.0 | 21.5 | 273 | 3 | 90791 90834 90837 90876 | $76K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 27.3 | 25.6 | 17.0 | 23.5 | 246 | 3 | 90791 90834 90837 90876 | $76K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 29.3 | 27.8 | 18.6 | 27.4 | 343 | 6 | 90791 90834 90837 90876 | $88K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 24.9 | 24.9 | 16.6 | 22.6 | 331 | 5 | 90791 90834 90837 | $73K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AYMARA VALLADARES, LMHC |
| Type | Individual |
| Status | Active |
| NPI issued | March 19, 2009, last updated October 16, 2023 |
| Practice location | 7730 W CHEYENNE AVE STE 114, Las Vegas, NV 89129-8412, 702-487-3242 |
| Mailing address | 3269 GRAYSON LAKE CT, Las Vegas, NV 89129-6614 |
| Specialties | Counselor, Mental Health (101YM0800X, license MH10060 FL) Counselor, Mental Health (101YM0800X, license CP5148-R NV) Counselor, Professional (101YP2500X, primary, license 0701008390 VA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $3.6M | 65% | $2K | $310 (top 5% from $1K) | 96th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $525K | 9% | $194 | $191 (top 5% from $442) | 51st percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $390K | 7% | $209 | $226 (top 5% from $1K) | 45th percentile | |
| 90834 | Psychotherapy, 45 minutes | $307K | 6% | $181 | $101 (top 5% from $318) | 81st percentile | |
| H2011 | Crisis intervention service per 15 min | $285K | 5% | $2K | $181 (top 5% from $3K) | 94th percentile | |
| 90876 | Psychophysiological therapy with biofeedback 45 min | $256K | 5% | $563 | $392 (top 5% from $816) | 75th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $77K | 1% | $105 | $105 (top 5% from $228) | 51st percentile | |
| Q3014 | Telehealth originating site facility fee | $53K | 1% | $45 | $21 (top 5% from $84) | 87th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 177 | 25 | $14K | $257 | $102 | 2.5x | 1.6x (90th percentile 2.9x) |
| 90791 | Psychiatric diagnostic evaluation | 21 | 21 | $2K | $264 | $118 | 2.2x | 1.9x (90th percentile 3.6x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
338 providers in Clark County, NV carry an indicator in the public record, with $276.0M at stake between them. The most common is part of a provider network, on 167 of them, followed by more hours than a day holds on 151. 17 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TIMOTHY WILSON Las Vegas, NV, ranked 113 | $192K |
|
| 1 | DEVONTE' CHRISTOPHER North Las Vegas, NV, ranked 175 | $59K |
|
| 1 | MANE SHAH Las Vegas, NV, ranked 205 | $40K |
|
| 1 | JOHN MARIUS TOLENTINO Las Vegas, NV, ranked 254 | $16K |
|
| 1 | DAVID ADAMS Las Vegas, NV, ranked 345 | $3K |
|
| 1 | VICTOR BRUCE Las Vegas, NV, ranked 361 | $2K |
|
| 1 | AMARA MEDICAL CENTER LLC Las Vegas, NV, ranked 457 | $9 |
|
| 1 | RODNESHIA CARTER North Las Vegas, NV, ranked 479 | $0 |
|
Recent enforcement in NV
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.