ALTORA M BATES, M.Ed
NPI 1790036457, individual, Las Vegas, NV, Counselor, Professional
- Billed more hands-on hours than a day holds in 1 month, peaking at 18.0 hours per day across 3 billing organizations.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 31.2 | 29.4 | 19.6 | 26.5 | 251 | 2 | 90832 90837 90876 H2011 | $152K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALTORA M BATES, M.Ed |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 20, 2012, last updated December 29, 2016 |
| Practice location | 7455 ARROYO CROSSING PKWY, Las Vegas, NV 89113-4085, 702-761-6467 |
| Specialties | Rehabilitation Practitioner (225400000X) Counselor, Professional (101YP2500X, primary, license CI0251 NV) |
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 | |
|---|---|---|---|---|---|---|---|
| S9480 | Intensive outpatient psychiatric services per diem | $2.4M | 54% | $1K | $946 (top 5% from $4K) | 77th percentile | |
| 90876 | Psychophysiological therapy with biofeedback 45 min | $886K | 20% | $506 | $392 (top 5% from $816) | 67th percentile | |
| H2011 | Crisis intervention service per 15 min | $710K | 16% | $1K | $181 (top 5% from $3K) | 87th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $329K | 7% | $286 | $191 (top 5% from $442) | 81st percentile | |
| 90832 | Psychotherapy, 30 minutes | $103K | 2% | $296 | $59 (top 5% from $239) | too few months to rank | |
| H0031 | Medicaid service code | $25K | 1% | $133 | $100 (top 5% from $540) | 63rd percentile | |
| 90834 | Psychotherapy, 45 minutes | $15K | 0% | $128 | $101 (top 5% from $318) | too few months to rank | |
| Q3014 | Telehealth originating site facility fee | $14K | 0% | $58 | $21 (top 5% from $84) | 91st percentile |
In this area
338 providers in Clark County, NV carry an indicator in the public record, with $275.7M 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.