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.

Medical And Behavioral Health Center LLC (NPI 1023721065)

Medical And Behavioral Health Center LLC is a internal medicine physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 31 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	Medical And Behavioral Health Center LLC
Address	4225 S Eastern Ave Ste 8
City	Las Vegas
State	NV
ZIP	89119
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 5, 2023

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

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

31 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…	4,830	$70	$319K
95983	The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…	5,900	$30	$165.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	2,670	$50	$133.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6,290	$20	$119.6K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	6,530	$20	$117.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	6,460	$20	$109.8K
99409	The provider spends more than 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	3,890	$20	$85.5K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	7,420	$10	$81.6K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	7,780	$10	$70K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	6,400	$10	$64K

Showing 1–10 of 31

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

Medical And Behavioral Health Center LLC — 1 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	209	2,250	290	$60	$138K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	45	310	800	$20	$122.6K
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…	1,158	2,480	330	$50	$107.6K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	13	80	1,470	$30	$99K
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	5	20	260	$110	$94.2K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	39	90	580	$40	$89.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	30	200	510	$30	$81K
95983	The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…	4	10	3,590	$20	$71.5K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	7	60	130	$80	$70.8K
97016	In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.	34	40	1,720	$10	$66.1K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Incorporated	NV	Clinical Medical Laboratory	$18.2M	$59.3M
Jed Adam Enterprises, LLC	NV	Home Health Agency	$0	$61.5M
Solace Pediatric Healthcare Nursing Services, Nv, LLC	NV	Home Health Agency	$0	$36.1M
Desert Springs Hospital	NV	General Acute Care Hospital	$0	$22.3M
Founders Healthcare, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$18.9M
A Better Way Home Care, LLC	NV	In Home Supportive Care Agency	$0	$14.7M
Absolute Personal Care,llc	NV	In Home Supportive Care Agency	$0	$11.3M
Accessible Space Inc.	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Healthcare Partners Medical Group Coats Ltd.	NV	Family Medicine Physician	$0	$9.1M
Quality Health Partners Inc	NV	Health Service Clinic/Center	$0	$6.9M

Medical And Behavioral Health Center LLC — Billing Profile & Reimbursement Data

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Medical And Behavioral Health Center LLC — 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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