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.

Nevada Post-acute Medical Services-scherr 1 PC (NPI 1033658331)

Nevada Post-acute Medical Services-scherr 1 PC is a hospitalist physician provider located in North 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	Nevada Post-acute Medical Services-scherr 1 PC
Address	2856 E Cheyenne Ave
City	North Las Vegas
State	NV
ZIP	89030
Taxonomy	Hospitalist Physician
NPI Enumerated	February 20, 2017

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.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	38,070	$30	$989.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	49,770	$20	$846.1K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	2,880	$60	$169.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	3,950	$40	$142.2K
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…	1,020	$40	$44K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	4,600	$10	$36.8K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	730	$50	$36.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	490	$30	$13.7K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	1,170	$10	$7K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	190	$30	$6.4K

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

Nevada Post-acute Medical Services-scherr 1 PC — 3 of 18 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
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…	311	430	500	$40	$214.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	3	140	690	$40	$145.2K
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…	617	2,250	290	$60	$138K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	4	150	460	$20	$119.6K
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…	1,424	2,480	330	$50	$107.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	5	60	190	$60	$97.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	29	50	690	$40	$67.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	5	70	100	$80	$39.7K
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…	147	360	90	$70	$28.2K
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…	140	200	60	$120	$19.9K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danny Sayegh	NV	Family Medicine Physician	$378.7K	$0
Hatim Gemil	NV	Internal Medicine Physician	$297.5K	$4.6K
Babak Hooshmand	NV	Infectious Disease Physician	$271.3K	$26.2K
Elizabeth Beutler	NV	Nurse Practitioner	$271.2K	$0
Jissy Thomas	NV	Nurse Practitioner	$259.5K	$0
Gini Gireesh	NV	Nurse Practitioner	$248.2K	$2.3K
Don Leo Sullano Pepito	NV	Internal Medicine Physician	$217.9K	$2.9K
James Webb	NV	Medical Physician Assistant	$214.2K	$0
Stanley Kidiavayi	NV	Family Nurse Practitioner	$213.2K	$0
Casey Strobl	NV	Medical Physician Assistant	$200.7K	$7.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Vista Hospital LLC	NV	General Acute Care Hospital	$0	$31.5M
City Of North Las Vegas	NV	Land Ambulance	$849.8K	$20.6M
Superior Emergency Physicians Harris, PLLC	NV	Emergency Medicine Physician	$0	$16.4M
Family Personal Care, LLC	NV	In Home Supportive Care Agency	$0	$9.6M
Digestive Associates LLP	NV	Gastroenterology Physician	$0	$9M
Greater Las Vegas Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.7M
Mama Mia Pediatrics LLC	NV	Pediatrics Physician	$0	$5.4M
Hummer Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M
Civic Center Pediatrics	NV	Pediatrics Physician	$0	$4.3M
Center For Behavioral Health Las Vegas, LLC	NV	Methadone Clinic	$108.2K	$4.1M

Nevada Post-acute Medical Services-scherr 1 PC — Billing Profile & Reimbursement Data

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Nevada Post-acute Medical Services-scherr 1 PC — 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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