Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Carson Tahoe Physician Clinics (NPI 1023265717)

Carson Tahoe Physician Clinics is a internal medicine physician provider located in Carson City, Nevada. This profile covers 0 Medicare and 71 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Carson Tahoe Physician Clinics
Address	2874 N Carson Street
City	Carson City
State	NV
ZIP	89706
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 25, 2008

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

71 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	25,310	$50	$1.3M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4,150	$70	$294.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,980	$30	$169.2K
99219	N/A	1,990	$60	$117.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	3,180	$30	$92.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,350	$50	$69K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,320	$40	$53K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	430	$80	$35.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5,030	$1	$20.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	120	$100	$12.3K

Showing 1–10 of 71

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Carson Tahoe Physician Clinics — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

71 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99224	N/A	2	10	14,480	$20	$359.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	155	430	500	$40	$214.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	35	50	120	$240	$209.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	64	80	2,150	$20	$183.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	38	2,250	290	$60	$138K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	76	80	160	$140	$122.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	14	170	180	$80	$120.5K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	58	70	2,110	$10	$114.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	234	2,480	330	$50	$107.6K
99220	N/A	40	50	100	$130	$102.7K

Showing 1–10 of 71

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carson Tahoe Regional Healthcare	NV	General Acute Care Hospital	$0	$23.7M
Randall Nixon	NV	Urology Physician	$386.5K	$0
Brian Montgomery	UT	Urology Physician	$360.9K	$0
Jeffrey Basa	NV	Internal Medicine Physician	$271.3K	$0
Nathan Ho	NV	Interventional Cardiology Physician	$267.4K	$0
Jeffrey Turner	NV	Clinical Cardiac Electrophysiology Physician	$236.9K	$0
Nael Aboul-hosn	NV	Cardiovascular Disease Physician	$231.5K	$0
Alban De Schutter	NV	Cardiovascular Disease Physician	$208.4K	$0
Tyler Peterson	NV	Family Medicine Physician	$186.1K	$0
Honeylette Brotonel	NV	Family Medicine Physician	$171.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitality Unlimited	NV	Community/Behavioral Health Agency	$0	$9.9M
Nevada Health Centers Inc	NV	Federally Qualified Health Center (FQHC)	$0	$6.1M
Carson Medical Group Professional Corporation	NV	Family Medicine Physician	$0	$6.1M
Nevada Health Centers, Inc	NV	Federally Qualified Health Center (FQHC)	$0	$5.8M
State Of Nevada	NV	Public Health or Welfare Agency	$0	$5.5M
State Of Nv Aging & Disability Sevices Division- Fe Waiver	NV	PACE Provider Organization	$0	$4.7M
State Of Nevada	NV	Case Management Agency	$0	$3.2M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
State Of Nv Aging And Disability Services Division - Atap	NV	Case Management Agency	$0	$1.7M
State Of Nv Aging & Disability Services Division- Adult Residential	NV	In Home Supportive Care Agency	$0	$1.7M

Carson Tahoe Physician Clinics — Billing Profile & Reimbursement Data

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Carson Tahoe Physician Clinics — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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