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.

Urgent Care Nevada, LLC (NPI 1134546575)

Key Findings

Field	Value
Entity Type	Organization
Organization	Urgent Care Nevada, LLC
Address	10652 S Eastern Ave
City	Henderson
State	NV
ZIP	89052
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	March 24, 2014

Payer Source	Total Paid
Medicaid	$34.9M
Medicare	$0

This provider effectively operates as a Medicaid-oriented urgent care network: Medicare revenue is listed as none while Medicaid revenue totals $34.9M, so operational and reimbursement exposure is concentrated almost entirely in the Medicaid program. Absent Medicare billing on file, payers and analysts should treat this profile as a single-payer (Medicaid) revenue stream when assessing reimbursement risk and contracting leverage.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 78.0% of this provider’s total Medicaid revenue. Those top drivers are 99214 ($15.6M, 44.8% of Medicaid revenue), 99203 ($6M, 17.3%), and 99204 ($5.5M, 15.9%), indicating that a very small set of E/M services produces the majority of Medicaid dollars for this entity.

The operation is clinically focused on office/outpatient evaluation-and-management visits: the dominant codes are 99214, 99203, 99204 and 99213, with very large claim volumes (for example, 99214: 208.2K claims; 99203: 86.3K claims; 99204: 58.9K claims). This mix suggests throughput-oriented urgent care workflows that handle both new and established patients at low-to-moderate complexity levels, with substantial visit time captured in code selection.

High-volume infectious-disease testing and point-of-care diagnostics are a material secondary service line: COVID and respiratory test codes appear frequently (87426: 54.1K claims; 87428: 31.4K claims; 87635: 11K claims) and rapid influenza and strep tests are also large (87804: 57.9K claims; 87880: 44.8K claims). These testing volumes, coupled with the urgent care E/M mix, indicate on-site lab/POC capabilities that supplement visit-based revenue streams.

The provider’s Medicaid competitive standing is dominant for core visit codes: 99214, 99203 and 99204 each rank #1 in-state (100th percentile) and are labeled as extreme outliers, while 99213 ranks #5 of 2476 providers (100th percentile). These rankings signal a statewide outlier position for visit volume and make the provider a major competitor for Medicaid-managed care contracting around urgent care visits.

Payment levels show moderate per-claim reimbursements: average paid/claim for the top E/Ms are $75 for 99214, $70 for 99203 and $94 for 99204, indicating that total Medicaid revenue is being driven predominantly by very high volume rather than unusually high unit prices. Analysts should therefore treat utilization management and visit volume as the primary drivers of dollar flow rather than fee schedule anomalies.

Several diagnostic and ancillary codes also report very high state rankings, reinforcing the breadth of services: 87426 ranks #2 of 91 providers (99th percentile) and 87428 ranks #1 of 28 providers (100th percentile), while 87804 and 87880 each rank #1 in-state (100th percentile). These placements confirm the provider’s role as a high-throughput testing hub for infectious respiratory conditions within Nevada.

The entity has an established operational history, with NPI enumeration on 2014-03-24 (~12 years ago), and the combination of tenure plus the scale of claims (hundreds of thousands for top E/M codes) suggests either a multi-site urgent care footprint or a single very high-volume center. For payers and competitors, that longevity paired with extreme volumes indicates operational stability and capacity that will materially influence market access and network negotiations.

Medicaid: Complete Services Breakdown

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

45 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…	208,170	$80	$15.6M
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…	86,310	$70	$6M
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…	58,920	$90	$5.5M
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…	69,230	$70	$4.6M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	54,140	$20	$920.4K
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…	11,990	$60	$659.3K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	31,380	$10	$439.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	10,960	$30	$284.9K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	57,910	$1	$231.6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	44,820	$1	$179.3K

Showing 1–10 of 45

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

Urgent Care Nevada, LLC — 10 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	56	60	680	$60	$364.3K
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…	1	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…	5	2,480	330	$50	$107.6K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	1	30	320	$30	$67.1K
S9083	Global fee urgent care centers	2	10	30	$60	$61.8K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	2	90	290	$20	$51.8K
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…	1	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…	1	860	100	$70	$42.9K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	54	250	320	$10	$29.2K
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…	44	360	90	$70	$28.2K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leslie Denton	NV	Emergency Medicine Physician	$7M	$0
Michael Allen	AK	Family Medicine Physician	$43.7K	$105.5K
Tyrone Hanks	AZ	Family Medicine Physician	$122.7K	$0
David Budge	NV	Medical Physician Assistant	$22.9K	$81.2K
Robin Wellington	NV	Family Nurse Practitioner	$27.6K	$66.3K
Ryan Huang	NV	Family Medicine Physician	$93.4K	$0
Oliver Torrefranca	NV	Family Nurse Practitioner	$91.6K	$0
Chrystal Taylor	NV	Physician Assistant	$1.3K	$77.5K
Eduardo Ortiz	NV	Family Nurse Practitioner	$77.1K	$0
Ryon Parker	NV	Internal Medicine Physician	$59.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Platinum Hospitalists LLP	NV	Hospitalist Physician	$0	$38.8M
Dignity Health	NV	General Acute Care Hospital	$0	$18.7M
Behavioral Health Solutions LLC	NV	Community/Behavioral Health Agency	$0	$11.4M
Lamotte Pediatrics, LLP	NV	Pediatrics Physician	$0	$9.4M
Minghsun Liu Md PC	NV	Infectious Disease Physician	$0	$5.1M
Optimized Management LLC	NV	Clinical Social Worker	$0	$5M
Misch/hyun/hodapp Healthcare, LLP	NV	Pediatrics Physician	$0	$4.5M
Ellsworth Cox Pediatric Dentistry LLC	NV	Pediatric Dentistry	$0	$3.7M
Total Infusion Care LLC	NV	Home Infusion Therapy Pharmacy	$0	$3.1M
Rupesh Parikh	NV	Hematology & Oncology Physician	$3.1M	$9.6K

Urgent Care Nevada, LLC — Billing Profile & Reimbursement Data

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Urgent Care Nevada, LLC — 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