COMMITTED 100 MEN HELPING BOYS SOS Verified
4550 W OAKEY BLVD SUITE 104A, LAS VEGAS, NV 89102
NPI Number
1073966206
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: COMMITTED 100 MEN HELPING BOYS
Entity Number: C4473-1991
Entity Type: Domestic Nonprofit Corporation
Entity Status: Active
Formation Date: 1991-05-29
Status Changed: 2011-04-20
Name Match: 100%
Registered Agent
Name: MIKE WALLER
Type: Non-Commercial Registered Agent
Address: 716 S. SIXTH STREET, LAS VEGAS, NV, 89101
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Treasurer | ERNESTINE CATO | 2264 STONEBREEZE AVE, NORTH LAS VEGAS, NV, 89031 | Active |
| President | Michael Waller | 1810 marathon drive, Las Vegas, NV | Active |
| Secretary | Tina Waller-Zinn | 873 Rising Star Rd, Holly Springs, MS | Active |
| Director | Tiriny Prowell | 360 West Street, Apt 41, Holly Springs, MS | Active |
| Director | Alicia Jones | 1521 Laurelwood Place, Apt 8, Collierville, TN | Active |
| Director | Greg Rounds | 1st Street, Spring Valley, IL | Active |
Total Medicaid Payments
$289,588
-77% vs specialty average
Patients Seen
830
Total Claims
2,447
$ Per Patient
$349
Specialty avg: $227
Specialty Rank
#227 of 392
Community/Behavioral Health providers in Nevada
Peer Average
$1,269,573
Average total for Community/Behavioral Health
Claims per Patient
2.9
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 | $116,423 | |
| 2019 | $44,749 | |
| 2020 | $60,282 | |
| 2021 | $68,134 |
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 |
|---|---|---|---|---|---|
| 90837 | Individual therapy session (60 minutes) | 1,508 | $145,451 | 50.2% | $96 |
| S9480 | Intensive outpatient psychiatric program — structured daily mental health treatment without staying overnight | 299 | $76,686 | 26.5% | $256 |
| H0004 | Behavioral health counseling session (per 15 minutes) — for drug, alcohol, or mental health treatment | 289 | $32,144 | 11.1% | $111 |
| 90876 | Individual psychophysiological therapy — biofeedback training | 231 | $20,451 | 7.1% | $89 |
| H0031 | Mental health assessment by a non-physician | 54 | $8,399 | 2.9% | $156 |
| 90847 | Family therapy session with the patient present | 66 | $6,458 | 2.2% | $98 |
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.