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.

Rogelio Machuca Md Family Medicine, PLLC (NPI 1023551355)

Field	Value
Entity Type	Organization
Organization	Rogelio Machuca Md Family Medicine, PLLC
Address	546 N Eastern Ave Ste 140
City	Las Vegas
State	NV
ZIP	89101
Taxonomy	Mental Health Counselor
NPI Enumerated	November 17, 2016

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	7,060	$90	$656.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	5,330	$100	$533.1K
H2014	Skills training and development, per 15 minutes	2,860	$50	$134.4K
Q3014	Telehealth originating site facility fee	3,850	$20	$84.7K
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…	870	$90	$79.1K
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…	910	$50	$48.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	370	$110	$41.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	250	$60	$15.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	$70	$7.2K
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…	20	$90	$1.8K

Showing 1–10 of 13

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

Rogelio Machuca Md Family Medicine, PLLC — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	163	330	360	$130	$174.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	63	970	360	$80	$139.2K
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…	679	2,250	290	$60	$138K
H2014	Skills training and development, per 15 minutes	14	110	490	$100	$127.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	6	130	540	$90	$121.3K
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…	762	2,480	330	$50	$107.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	142	330	180	$50	$65.8K
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…	635	780	90	$100	$46.6K
Q3014	Telehealth originating site facility fee	68	390	670	$20	$42.6K
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…	179	200	90	$80	$41.2K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Rogelio Machuca Md Family Medicine, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Las Vegas	NV	Ambulance	$2.1M	$63.9M
Clark County Department Of Juvenile Justice	NV	Case Management Agency	$0	$20.2M
Ati Inc	NV	Clinical Medical Laboratory	$615.7K	$5.8M
Westcare Nevada Inc	NV	Community/Behavioral Health Agency	$0	$6.1M
Westcare Nevada Inc	NV	Community/Behavioral Health Agency	$0	$5.3M
Cyril Ovuworie, M.d. Prof. Corp	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
True Family Services Inc	NV	Mental Health Counselor	$0	$3.5M
Ameritina Dental Eastern LLC	NV	Dental Clinic/Center	$0	$2.8M
Rogelio Machuca Md Family Medicine, PLLC	NV	Family Medicine Physician	$0	$2.7M
Steven Delisle Dds P.C.	NV	Dentist	$0	$2.4M

Rogelio Machuca Md Family Medicine, PLLC — Billing Profile & Reimbursement Data

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Rogelio Machuca Md Family Medicine, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References