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.

Renown Regional Medical Center (NPI 1124098421)

Field	Value
Entity Type	Organization
Organization	Renown Regional Medical Center
Address	1155 Mill Street
City	Reno
State	NV
ZIP	89502
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 26, 2006

Payer Source	Total Paid
Medicaid	$63.7M
Medicare	$0

Key Findings

RENOWN REGIONAL MEDICAL CENTER reports $63.7M in lifetime Medicaid revenue and has no Medicare billing on file; with Medicare absent from the claims record, the provider is effectively operating with a Medicaid-dominant payer mix across the available data. This single-payer skew should be treated as a core feature of its revenue profile when evaluating network strategy or risk exposure.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top 3 Medicaid codes account for 48.8% of total Medicaid revenue, led by 99284 ($9.2M, 21.5%), 99285 ($8.1M, 18.9%), and 99283 ($3.6M, 8.4%). Those three codes alone drive nearly half of the provider’s reported Medicaid receipts, indicating a narrow set of high-revenue services.

Operationally, the code mix points to a high-volume acute-care and ED-focused operation: 99284 (96.8K claims), 99285 (54.2K claims), and 99283 (68.8K claims) are the largest contributors, and G0378 (18.6K claims, hospital observation per hour) also appears among top codes. Together these codes indicate substantial ED throughput plus observation-unit utilization rather than revenue driven by elective inpatient surgery or outpatient specialty clinic services.

Competitive standing in-state is dominant for ED and high-throughput outpatient E/M: 99284 ranks #4 of 398 in-state (99th percentile; extreme outlier), 99285 ranks #11 of 352 (97th percentile; notably above typical state volume), and 99283 ranks #7 of 390 (98th percentile; extreme outlier). These ranks and percentile labels characterize RENOWN as a major Medicaid ED provider in Nevada, well above typical peer volumes for these codes.

Beyond the ED, the provider bills meaningful volumes for imaging and specialty procedures that support an acute-care platform: 74177 (CT abdomen/pelvis) produced $2.2M, 70553 (MRI brain with and without contrast) $693.9K, 70450 (CT head without contrast) $632.2K, and 78452 (cardiac SPECT) $788.4K. Those imaging revenues, combined with diagnostic and procedural codes, reflect broad on-site radiology and cardiac imaging capability supportive of emergency and inpatient care.

Oncology and infusion services are visible in the top codes: 96413 (chemotherapy infusion) generated $1.3M and J9271 (pembrolizumab, 1 mg) produced $860.2K; 96365 (initial IV infusion) is a 100th-percentile outlier at rank #1 of 59 providers. This pattern shows the hospital supports significant infusion/oncology throughput and is a high-volume site for parenteral therapies within the state Medicaid population.

High-volume outpatient and procedural throughput is reinforced by large claim counts for routine E/M and ancillary services: 99213 ($2.8M; ranks #10 of 2476, 100th percentile, extreme outlier), 99212 ($606.5K; ranks #3 of 536, 100th percentile), 80053 (CMP lab panel: 164.8K claims, $659.2K; rank #2 of 125, 99th percentile), and multiple injection/infusion administration codes (96374, 96375, 96372) with very high claim volumes. These data indicate a substantial ambulatory and procedural throughput tied into the hospital’s Medicaid population.

Pandemic-era and infectious testing volume is notable: U0003 (SARS-CoV-2 NAAT high-throughput) shows 28.3K claims and $1.6M in revenue, ranking #3 of 60 in-state (97th percentile). This suggests the hospital served as a regional testing hub during periods of high COVID-19 demand and accounted for elevated Medicaid testing volume relative to most peers.

The provider’s NPI was enumerated on 2006-01-26 (~20 years ago), signaling long tenure in the market; combined with the extreme outlier ranks on multiple ED and outpatient E/M codes, this tenure aligns with a long-established regional acute-care hospital that carries a large Medicaid-facing case mix and substantial emergency-department demand.

Medicaid: Complete Services Breakdown

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

633 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	96,780	$100	$9.2M
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.	54,200	$150	$8.1M
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.	68,750	$50	$3.6M
G0378	Hospital observation service, per hour	18,640	$180	$3.3M
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…	60,650	$50	$2.8M
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.	13,270	$170	$2.2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	28,270	$60	$1.6M
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…	10,420	$130	$1.3M
J9271	Injection, pembrolizumab, 1 mg	170	$5,120	$860.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	44,910	$20	$853.3K

Showing 1–10 of 633

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

Renown Regional Medical Center — 15 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

633 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	1	10	1,070	$1,900	$1.5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	8	20	470	$640	$1.5M
G0378	Hospital observation service, per hour	8	40	4,770	$110	$1.2M
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	2	10	27,660	$30	$868.8K
J9271	Injection, pembrolizumab, 1 mg	1	10	170	$5,120	$860.1K
J0585	Injection, onabotulinumtoxina, 1 unit	3	10	1,390	$370	$849.7K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	3	10	370	$660	$760.9K
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.	11	350	240	$110	$685.4K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	6	10	2,010	$50	$677.8K
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.	4	400	200	$90	$442.5K

Showing 1–10 of 633

Related Providers

Other providers that share a Tax Identification Number (TIN) with Renown Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Services LLC	NV	Internal Medicine Physician	$0	$15.1M
Hometown Health Management Company	NV	Family Medicine Physician	$0	$1.7M
David Julian	NV	Internal Medicine Physician	$813.3K	$192.3K
Cathey Hamman	NV	Family Nurse Practitioner	$311.6K	$0
Tom Herbert	NV	Hospitalist Physician	$180.4K	$0
Cari Reese	NV	Nurse Practitioner	$178.6K	$0
Cheruba Abraham	NV	Family Medicine Physician	$173.7K	$0
Nancy Inman	NV	Physician Assistant	$164.1K	$0
Sukumar Gargya	NV	Internal Medicine Physician	$106.3K	$0
Naomi Albertson	NV	Sports Medicine (Family Medicine) Physician	$101.3K	$1.5K

Nearby Providers

Other providers in the same ZIP code as Renown Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reno Sparks Indian Colony	NV	Clinic/Center	$390	$47.4M
Regional Emergency Medical Services Authority	NV	Ambulance	$8.2M	$26.1M
Medtrans Behavioral Nevada Casal, PLLC	NV	Community/Behavioral Health Agency	$0	$26.4M
Consumer Direct Services For Nevada, LLC	NV	Personal Care Attendant	$0	$23.3M
Brown, Calvanese, Cameron Ltd	NV	Emergency Medicine Physician	$0	$19.7M
Washoe County School District	NV	Local Education Agency (LEA)	$0	$16.5M
Medical Services Of Nevada Inc	NV	In Home Supportive Care Agency	$0	$12.7M
Community Health Alliance	NV	Federally Qualified Health Center (FQHC)	$0	$7M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M
Small Smiles Of Reno, LLC	NV	General Practice Dentistry	$0	$6.9M

Renown Regional Medical Center — Billing Profile & Reimbursement Data

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Renown Regional Medical Center — 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