Providers

AYMARA VALLADARES, LMHC

NPI 1184865289, individual, Las Vegas, NV, Counselor, Professional

5
Evidence tier
informational
  • 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.
score 37 of 100, rank 9864, $333K at stake

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Aug 2023More hours than a day holds, even counting one unit per claim line27.521.814.519.6308590791 90834 90837 90876 99407$67K
Nov 2023More hours than a day holds, even counting one unit per claim line24.120.713.818.8280390791 90834 90837 90876$62K
Jan 2024More hours than a day holds, even counting one unit per claim line26.423.916.021.5273390791 90834 90837 90876$76K
Feb 2024More hours than a day holds, even counting one unit per claim line27.325.617.023.5246390791 90834 90837 90876$76K
Mar 2024More hours than a day holds, even counting one unit per claim line29.327.818.627.4343690791 90834 90837 90876$88K
Apr 2024More hours than a day holds, even counting one unit per claim line24.924.916.622.6331590791 90834 90837$73K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameAYMARA VALLADARES, LMHC
TypeIndividual
StatusActive
NPI issuedMarch 19, 2009, last updated October 16, 2023
Practice location7730 W CHEYENNE AVE STE 114, Las Vegas, NV 89129-8412, 702-487-3242
Mailing address3269 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
H2017Psychosocial rehabilitation services per 15 minhistory of abuse$3.6M65%$2K$310 (top 5% from $1K)96th percentile
90837Psychotherapy, 1 hourhistory of abuse$525K9%$194$191 (top 5% from $442)51st percentile
H2019Therapeutic behavioral services per 15 min$390K7%$209$226 (top 5% from $1K)45th percentile
90834Psychotherapy, 45 minutes$307K6%$181$101 (top 5% from $318)81st percentile
H2011Crisis intervention service per 15 min$285K5%$2K$181 (top 5% from $3K)94th percentile
90876Psychophysiological therapy with biofeedback 45 min$256K5%$563$392 (top 5% from $816)75th percentile
90791Psychiatric diagnostic evaluation$77K1%$105$105 (top 5% from $228)51st percentile
Q3014Telehealth originating site facility fee$53K1%$45$21 (top 5% from $84)87th percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
90837Psychotherapy, 1 hour17725$14K$257$1022.5x1.6x (90th percentile 2.9x)
90791Psychiatric diagnostic evaluation2121$2K$264$1182.2x1.9x (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.

tierproviderat stakewhy
1TIMOTHY WILSON
Las Vegas, NV, ranked 113
$192K
  • Listed on the Medicare revocation list since January 26, 2023.
  • Medicaid still paid claims in 21 later months, $191,872 in total.
1DEVONTE' CHRISTOPHER
North Las Vegas, NV, ranked 175
$59K
  • Listed on the AZ Medicaid exclusion list since September 1, 2024.
  • Medicaid still paid claims in 1 later month, $59,101 in total.
1MANE SHAH
Las Vegas, NV, ranked 205
$40K
  • Listed on the Medicare revocation list since August 16, 2018.
  • Medicaid still paid claims in 15 later months, $40,126 in total.
1JOHN MARIUS TOLENTINO
Las Vegas, NV, ranked 254
$16K
  • Listed on the CA Medicaid exclusion list since December 2, 2022.
  • Medicaid still paid claims in 5 later months, $16,415 in total.
1DAVID ADAMS
Las Vegas, NV, ranked 345
$3K
  • Listed on the CA Medicaid exclusion list since October 2, 2018.
  • Medicaid still paid claims in 2 later months, $3,216 in total.
1VICTOR BRUCE
Las Vegas, NV, ranked 361
$2K
  • Listed on the OIG exclusion list and the NY Medicaid exclusion list and the SAM.gov exclusion list (OPM) since December 20, 2015.
  • Medicaid still paid claims in 2 later months, $2,266 in total.
1AMARA MEDICAL CENTER LLC
Las Vegas, NV, ranked 457
$9
  • Listed on the Medicare revocation list since June 20, 2024.
  • Medicaid still paid claims in 2 later months, $9 in total.
1RODNESHIA CARTER
North Las Vegas, NV, ranked 479
$0
  • Adjudicated (sentenced) per a state attorney general release dated December 9, 2024.
  • No Medicaid payments in the last 12 observed months.
All 338 in NV

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.

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