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.

Sunrise Mountainview Hospital, Inc. (NPI 1104870187)

Key Findings

Field	Value
Entity Type	Organization
Organization	Sunrise Mountainview Hospital, Inc.
Address	3100 N Tenaya Way
City	Las Vegas
State	NV
ZIP	89128
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$32.1M
Medicare	$0

This provider is effectively a single‑payer Medicaid hospital: there is no Medicare billing on file and total Medicaid revenue is $32.1M. The absence of Medicare activity means payer mix is heavily concentrated on Medicaid, which shapes both revenue stability and contracting leverage relative to mixed‑payer peers.

Revenue concentration is high: the precomputed top three Medicaid codes (99283, 99284, G0378) together account for 55.8% of this provider's total Medicaid revenue. Individually those codes contribute $6M (22.3%), $5.9M (21.9%), and $3.1M (11.5%) respectively, indicating a small number of service lines drive the majority of Medicaid dollars.

The code mix points to a high‑volume emergency department and observation operation: 99283, 99284, and 99285 are all among the top revenue drivers and G0378 (hospital observation service, per hour) is the third largest Medicaid revenue contributor. This pattern — dominant E/M ED codes plus observation hours — suggests the hospital’s business model relies on acute unscheduled care, ED throughput, and short‑term observation stays.

For several ED codes the provider is a statewide outlier: 99283 ranks #6 of 390 providers in‑state (99th percentile; extreme outlier, far above typical state volume for this code) and 99284 ranks #8 of 398 (98th percentile; extreme outlier, far above typical state volume for this code). Those rankings indicate market dominance for mid‑acuity and moderate acuity ED visits compared with Nevada peers.

Not all high‑revenue services are outliers. G0378 ranks #9 of 38 providers in‑state (78th percentile; typical, unremarkable volume for this code) and 99285 ranks #28 of 352 providers in‑state (92th percentile; typical, unremarkable volume for this code), showing that while ED visits are concentrated, observation hours and the highest‑acuity ED visits are within a more typical statewide range.

Ancillary and procedural volumes support the ED/acute care profile: large claim counts and material revenues for CT abdomen/pelvis with contrast (74177, $1.4M), CT angiography chest (71275, $531K), high counts of basic chest x‑ray (71045, $512.3K), and high volumes of infusion/IV administration codes (96374 $1.2M, 96372 $443.3K). Multiple lab and imaging CPTs also rank well in‑state and several are described as "notably above typical state volume for this code," which together point to busy diagnostic and treatment throughput consistent with an active ED.

Several specific services are flagged as notably above typical state volume, reinforcing the ED/observation focus: 96374 (35.8K claims) is "notably above typical state volume for this code," 96372 (17K claims) and 76830 (5.2K claims) are also "notably above typical state volume for this code," while 93976 ranks #1 of 23 (100th percentile; notably above typical state volume for this code). These labels signal areas of elevated resource use where the provider outperforms most in‑state peers.

The NPI was enumerated on 2006-05-22 (~20 years ago), indicating an established presence in the market. Combined with the concentrated Medicaid revenue base and the extreme outlier status on mid‑level ED codes, this tenure suggests the facility is a stable, longstanding acute care ED provider with operational scale in Medicaid emergency services.

Medicaid: Complete Services Breakdown

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

272 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	78,000	$80	$6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	64,160	$90	$5.9M
G0378	Hospital observation service, per hour	18,580	$170	$3.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	17,740	$100	$1.7M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11,480	$120	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	35,770	$30	$1.2M
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	6,420	$140	$878.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	11,660	$70	$851.1K
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.	4,130	$150	$599.1K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	3,850	$140	$531K

Showing 1–10 of 272

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

Sunrise Mountainview Hospital, Inc. — 8 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

272 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	9	40	4,770	$110	$1.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	28	350	240	$110	$685.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8	400	200	$90	$442.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10	140	210	$140	$421K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	105	310	680	$50	$373.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	6	390	200	$60	$289.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	10	60	330	$150	$250.4K
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…	26	50	120	$240	$209.3K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	16	100	120	$110	$195.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	21	150	1,440	$20	$193.7K

Showing 1–10 of 272

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$22.9M
Ellis Bandt Birkin Kollins & Wong PLLC	NV	Diagnostic Radiology Physician	$0	$18.1M
Nevada Acute Medical Services-scherr 1 PC	NV	Hospitalist Physician	$0	$13.5M
Renal Care Group Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.4M
Laboratory Medicine Consultants Ltd	NV	Clinical Medical Laboratory	$1.9M	$9.2M
Cybt, Inc	NV	In Home Supportive Care Agency	$0	$11.1M
Kan-di-ki LLC	NV	Clinical Medical Laboratory	$5M	$3.6M
Southwest Rehabilitation Physicians & Farhang Associates PLLC	NV	Pain Medicine Physician	$0	$7.1M
New Century Rehabilitation LLC	NV	Physical Therapist	$0	$6.9M
Optum Medical Group Ii Rhodes P C	NV	Internal Medicine Physician	$0	$6.8M

Sunrise Mountainview Hospital, Inc. — Billing Profile & Reimbursement Data

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Sunrise Mountainview Hospital, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References