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.

Doctor's Health Network, Inc. (NPI 1073931952)

Doctor's Health Network, Inc. is a endocrinology, diabetes & metabolism physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 42 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	Doctor's Health Network, Inc.
Address	7895 W Sunset Rd Ste 102
City	Las Vegas
State	NV
ZIP	89113
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	March 28, 2014

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

42 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…	25,860	$80	$2.1M
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…	5,720	$120	$703.7K
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…	6,680	$100	$674.2K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	2,240	$160	$351.1K
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…	4,830	$50	$251.1K
Q3014	Telehealth originating site facility fee	4,920	$20	$103.4K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	4,030	$30	$100.8K
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…	1,160	$70	$78K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	8,730	$10	$43.6K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	470	$80	$39.2K

Showing 1–10 of 42

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

Doctor's Health Network, Inc. — 6 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	45	50	120	$240	$209.3K
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…	36	2,250	290	$60	$138K
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…	243	2,480	330	$50	$107.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	5	80	80	$150	$91.2K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	26	30	60	$60	$64K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	19	30	30	$80	$55.7K
J2785	Injection, regadenoson, 0.1 mg	26	30	470	$80	$50.7K
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…	5	780	90	$100	$46.6K
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…	88	860	100	$70	$42.9K
Q3014	Telehealth originating site facility fee	56	390	670	$20	$42.6K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zia Khan	NV	Cardiovascular Disease Physician	$732.9K	$24.7K
Warren Smith	NV	Family Medicine Physician	$730.4K	$0
Quang Nguyen	NV	Endocrinology, Diabetes & Metabolism Physician	$349.2K	$129.7K
Michael Uzmann	NV	Endocrinology, Diabetes & Metabolism Physician	$110.6K	$96.4K
Kenneth Fatkin	NV	Primary Podiatric Medicine Podiatrist	$140.3K	$0
Philip Larsen	NV	Foot & Ankle Surgery Podiatrist	$136.8K	$0
Priya Samant	NV	Podiatrist	$44.6K	$0
Jared Norman	NV	Chiropractor	$10.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Inc	NV	Ambulance	$5.1M	$47.2M
Fielden Hanson Isaacs Miyada Robison Yeh Ltd	NV	Anesthesiology Physician	$0	$13.9M
Dignity Health	NV	General Acute Care Hospital	$0	$8M
Vituity - Nevada Koury & Partners PLLC	NV	Emergency Medicine Physician	$0	$6.7M
Center For Wellness And Pain Care Of Las Vegas Inc	NV	Pain Medicine (Anesthesiology) Physician	$0	$6.5M
Independent Life LLC	NV	Home Health Agency	$0	$5.4M
Bess Chang	NV	Neurology Physician	$5.2M	$0
Fresenius Medical Care Spring Valley, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Childrens Urology Associates, LLC	NV	Pediatric Urology Physician	$0	$2.7M
Irene Voo	NV	Ophthalmology Physician	$2.7M	$0

Doctor's Health Network, Inc. — Billing Profile & Reimbursement Data

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Doctor's Health Network, Inc. — 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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