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.

Optum Medical Group Rhodes P C (NPI 1063458594)

Field	Value
Entity Type	Organization
Organization	Optum Medical Group Rhodes P C
Address	2010 Wellness Way Ste 200
City	Las Vegas
State	NV
ZIP	89106
Taxonomy	Specialist
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

85 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…	17,570	$60	$1.1M
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	4,240	$210	$868.4K
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…	16,410	$40	$574.4K
99203	The provider sees a new 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 provider…	5,790	$50	$295.5K
J2505	Injection, pegfilgrastim, 6 mg	60	$4,640	$269.2K
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…	3,340	$70	$216.9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	1,700	$80	$127.7K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	780	$160	$120.6K
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…	1,580	$60	$100.9K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	150	$500	$77.2K

Showing 1–10 of 85

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

Optum Medical Group Rhodes P C — 4 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	13	40	130	$470	$335.9K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	33	50	430	$270	$299.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	357	470	380	$70	$281.2K
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…	108	430	500	$40	$214.4K
J2505	Injection, pegfilgrastim, 6 mg	2	10	70	$3,000	$207.1K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4	20	240	$90	$189.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	419	430	180	$130	$158K
J2469	Injection, palonosetron hcl, 25 mcg	2	10	150	$70	$140.3K
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…	58	2,250	290	$60	$138K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	4	50	90	$200	$128.2K

Showing 1–10 of 85

Related Providers

Other providers that share a Tax Identification Number (TIN) with Optum Medical Group Rhodes P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Medical Group Ii Rhodes P C	NV	Internal Medicine Physician	$0	$6.8M
Optum Medical Group Rhodes P C	NV	Anesthesiology Physician	$0	$1.8M
Russell Gollard	NV	Hematology & Oncology Physician	$680.6K	$790
Michael Becker	NV	Radiation Oncology Physician	$562.6K	$0
Jeanette Foronda	MD	Physician Assistant	$411.6K	$1.5K
Okwuchukwu Obi	NV	Pain Medicine (Anesthesiology) Physician	$243.8K	$0
Jason Zommick	NV	Specialist	$227.6K	$1
Simhean Lee	NV	Allergy Physician	$222.6K	$2.1K
Fred Francis	NV	Radiation Oncology Physician	$194.9K	$0
Yashmine Ballesteros	NV	Nurse Practitioner	$141.5K	$0

Nearby Providers

Other providers in the same ZIP code as Optum Medical Group Rhodes P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clark County Department Of Family Services	NV	Case Management Agency	$0	$166.5M
Shadow Emergency Physicians PLLC	NV	Emergency Medicine Physician	$0	$75.2M
Valley Hospital Medical Center	NV	General Acute Care Hospital	$0	$47M
Southwest Medical Associates, Inc	NV	Diagnostic Radiology Physician	$418.3K	$15.8M
Las Vegas Paiute Tribe Health & Human Services	NV	General Practice Physician	$0	$13.6M
Fresenius Medical Care West Sahara, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.2M
Bridge Counseling Associates, Inc	NV	Community/Behavioral Health Agency	$0	$12.1M
Iriye Medical Group PLLC	NV	Maternal & Fetal Medicine Physician	$0	$11.9M
Janda, Mahajan & Balsiger PLLC	NV	Neurology Physician	$0	$10.5M
Behavioral Health Institute Inc (singh) PC	NV	Addiction Medicine (Family Medicine) Physician	$0	$9.8M

Optum Medical Group Rhodes P C — Billing Profile & Reimbursement Data

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Optum Medical Group Rhodes P C — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References