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.

R Muthaiah Md PC (NPI 1124170493)

R Muthaiah Md PC is a internal medicine physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 28 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	R Muthaiah Md PC
Address	5061 N Rainbow Blvd Ste 180
City	Las Vegas
State	NV
ZIP	89130
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

28 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…	14,730	$80	$1.2M
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…	1,880	$140	$255.8K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	920	$110	$103.8K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	1,920	$50	$86.2K
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…	1,900	$50	$85.7K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	650	$110	$74.1K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	630	$110	$69.4K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	1,620	$40	$64.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	700	$70	$50.7K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	440	$80	$35.4K

Showing 1–10 of 28

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

R Muthaiah Md PC — 5 of 23 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	70	2,250	290	$60	$138K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	48	170	180	$80	$120.5K
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…	474	2,480	330	$50	$107.6K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	90	90	150	$60	$61.9K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	82	90	80	$70	$60.1K
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…	477	780	90	$100	$46.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	30	130	70	$90	$34.5K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	18	30	200	$40	$27.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	54	310	260	$10	$27.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	65	110	220	$20	$25.7K

Showing 1–10 of 28

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Speakeasy Therapy Services, LLC	NV	Speech-Language Pathologist	$0	$17.3M
Chambers Medical Group, PLLC	NV	Pain Clinic/Center	$0	$9.9M
Eagle Quest	NV	Foster Care Agency	$0	$9.9M
American Ancillaries, Inc.	NV	Oxygen Equipment & Supplies (DME)	$0	$8M
Community Network Counseling Services, LLC	NV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.5M
Specialized Alternatives For Families And Youth Of Nevada, Inc.	NV	Foster Care Agency	$0	$5.6M
Alvins Daughters LLC	NV	Community/Behavioral Health Agency	$0	$5.4M
Fresenius Medical Care Centennial, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4M
Forward Impressions, LLC	NV	Community/Behavioral Health Agency	$0	$2.9M
Almost Home Adult Daycare	NV	Health Maintenance Organization	$0	$2.7M

R Muthaiah Md PC — Billing Profile & Reimbursement Data

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R Muthaiah Md 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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