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SUPER YOUTH OF NEVADA SOS Verified

Rehabilitation Practitioner · LAS VEGAS, NV

867 WORRELL AVE, LAS VEGAS, NV 89123

NPI Number
1174895890
Street View of 867 WORRELL AVE, LAS VEGAS, NV 89123

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: SUPER YOUTH OF NEVADA, LLC
Entity Number: E0384652011-7
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2011-07-07
Name Match: 90%
Registered Agent
Name: RED ROCK CORPORATE SOLUTIONS, LLC
Type: Commercial Registered Agent
Address: 3275 S JONES BLVD STE 104, LAS VEGAS, NV, 89146
Officers / Principals
TitleNameAddressStatus
ManagerDemetrius Hunter3404 White Bark Pine St, Las Vegas, NVActive
Total Medicaid Payments
$800,239
+321% vs specialty average
Patients Seen
1,773
Total Claims
5,348
$ Per Patient
$451
Specialty avg: $296
Specialty Rank
#2 of 37
Rehabilitation Practitioner providers in Nevada
Peer Average
$190,242
Average total for Rehabilitation Practitioner
Claims per Patient
3.0
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$50,559
2019$45,927
2020$134,130
2021$9,601
2022$113,321
2023$91,721
2024$354,980

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
H2011Crisis intervention — emergency help during a mental health crisis (per 15 minutes)921$336,177
42.0%
$365
S9480Intensive outpatient psychiatric program — structured daily mental health treatment without staying overnight1,619$191,995
24.0%
$119
H0004Behavioral health counseling session (per 15 minutes) — for drug, alcohol, or mental health treatment1,254$133,118
16.6%
$106
90847Family therapy session with the patient present1,101$91,344
11.4%
$83
90837Individual therapy session (60 minutes)293$36,555
4.6%
$125
H0031Mental health assessment by a non-physician51$8,399
1.0%
$165
T1016Case management — a coordinator helping you navigate your healthcare (per 15 minutes)89$2,066
0.3%
$23
H0002Behavioral health screening to determine need for treatment20$585
0.1%
$29

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.