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.

Childrens Urology Associates, LLC (NPI 1134324668)

Childrens Urology Associates, LLC is a pediatric urology physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 17 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	Childrens Urology Associates, LLC
Address	6670 S Tenaya Way Ste 180
City	Las Vegas
State	NV
ZIP	89113
Taxonomy	Pediatric Urology Physician
NPI Enumerated	June 15, 2007

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
54304	The provider surgically corrects an abnormal curvature of the penis known as a chordee, or he performs the first stage of an operation to repair a hypospadias, a condition where the opening of the…	810	$730	$589K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	3,410	$130	$440K
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…	3,870	$100	$371.7K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	1,200	$310	$368.4K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	2,570	$100	$256.9K
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…	2,430	$90	$214K
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…	2,660	$70	$181.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,770	$70	$125.3K
54360	The provider surgically repairs the angulation, or abnormal curvature, of the penis of the patient.	70	$770	$55.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	920	$40	$39.7K

Showing 1–10 of 17

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

Childrens Urology Associates, LLC — 6 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
54360	The provider surgically repairs the angulation, or abnormal curvature, of the penis of the patient.	5	10	90	$730	$249.3K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	1	20	340	$270	$240.7K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	3	10	550	$260	$196.8K
54304	The provider surgically corrects an abnormal curvature of the penis known as a chordee, or he performs the first stage of an operation to repair a hypospadias, a condition where the opening of the…	1	10	130	$750	$172.1K
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…	362	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…	366	2,480	330	$50	$107.6K
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…	212	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…	22	860	100	$70	$42.9K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	4	90	70	$100	$32.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	91	540	130	$30	$28K

Showing 1–10 of 17

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
Doctor's Health Network, Inc.	NV	Endocrinology, Diabetes & Metabolism Physician	$0	$4.5M
Irene Voo	NV	Ophthalmology Physician	$2.7M	$0

Childrens Urology Associates, LLC — Billing Profile & Reimbursement Data

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Childrens Urology Associates, LLC — 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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