MOUNTAIN INTERVAL, LLC SOS Verified
4425 S JONES BLVD SUITE D3, LAS VEGAS, NV 89103
NPI Number
1023324076
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: MOUNTAIN INTERVAL, LLC
Entity Number: E0326122010-3
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2010-07-08
Name Match: 95%
Registered Agent
Name: DCFIVE, LLC
Type: Non-Commercial Registered Agent
Address: 943 CENTAUR AVENUE, LAS VEGAS, NV, 89123
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | DC FIVE LLC | 943 CENTAUR AVE, LAS VEGAS, NV, 89123 | Active |
Total Medicaid Payments
$412,440
-68% vs specialty average
Patients Seen
687
Total Claims
5,371
$ Per Patient
$600
Specialty avg: $227
Specialty Rank
#191 of 392
Community/Behavioral Health providers in Nevada
Peer Average
$1,269,573
Average total for Community/Behavioral Health
Claims per Patient
7.8
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $320,655 | |
| 2019 | $82,748 | |
| 2020 | $9,037 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation — helping rebuild social and daily living skills (per 15 minutes) | 2,068 | $225,648 | 54.7% | $109 |
| H2014 | Skills training and development — learning coping and life skills (per 15 minutes) | 2,328 | $102,354 | 24.8% | $44 |
| 90876 | Individual psychophysiological therapy — biofeedback training | 506 | $47,066 | 11.4% | $93 |
| S9480 | Intensive outpatient psychiatric program — structured daily mental health treatment without staying overnight | 262 | $19,269 | 4.7% | $74 |
| 90837 | Individual therapy session (60 minutes) | 168 | $17,088 | 4.1% | $102 |
| H0002 | Behavioral health screening to determine need for treatment | 39 | $1,015 | 0.2% | $26 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.