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.

Desert Springs Hospital (NPI 1154317964)

Key Findings

Field	Value
Entity Type	Organization
Organization	Desert Springs Hospital
Address	2075 E Flamingo Rd
City	Las Vegas
State	NV
ZIP	89119
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 27, 2005

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

DESERT SPRINGS HOSPITAL reports no Medicare billing on file and $22.3M in lifetime Medicaid revenue, making its billed activity effectively single-payer in the available dataset. The absence of Medicare revenue versus a substantive Medicaid total suggests the provider’s reported revenue exposure is concentrated in the Medicaid program rather than split across traditional Medicare/Medicaid payer mixes.

Revenue is highly concentrated in three emergency/observation codes: the top three Medicaid codes (99285, 99284, G0378) together account for 48.0% of the provider’s total Medicaid revenue. Individually those codes are reported as $4.6M (24.7%) for 99285, $2.3M (12.1%) for 99284, and $2.1M (11.3%) for G0378, indicating that nearly half of all Medicaid revenue is driven by high-acuity ED visits and hospital observation hours.

The code mix points to a high-volume emergency department and observation service model: 99285, 99284, and G0378 are the top drivers and their descriptions reflect high/moderate ED evaluation and management and per-hour hospital observation services. This operational profile is reinforced by frequent lower-acuity ED codes (99283, 99282) and heavy use of IV/infusion administration codes (96374, 96361, 96375, 96365, 96360), consistent with rapid ED treatment and short-term inpatient observation workflows.

DESERT SPRINGS shows substantial imaging and diagnostic activity supporting emergency care: 74177 ($1.5M, 8.2%), 74176 ($820.8K, 4.4%), 70450 ($726.6K, 3.9%), and 71275 ($600.2K, 3.2%) appear among the top Medicaid revenue codes. The presence of contrast supply Q9967 ($210.8K, 1.1%) alongside multiple CT and CTA codes underscores reliance on advanced imaging as a routine complement to ED/observation care.

Laboratory and monitoring services are frequent and contribute meaningfully to Medicaid revenue: 80307 (22.5K claims, $539.2K, 2.9%), 85025 (62.7K claims, $188.1K, 1.0%), and 93005 (34.7K claims, $173.7K, 0.9%) show high claim volumes that support throughput in an acute-care setting. These volumes, together with the high counts for IV/infusion codes, indicate a care pathway dominated by diagnostic testing and short-duration therapeutic interventions in the ED/observation environment.

On state-level competitive standing for key ED codes, DESERT SPRINGS ranks in the upper percentiles: 99285 is #16 of 352 providers in-state (96th percentile), 99284 is #26 of 398 (94th percentile), and 99283 is #24 of 390 (94th percentile); each of these carries the dataset label "typical, unremarkable volume for this code." These placements indicate the provider is a major Medicaid ED/acute-care participant in Nevada by volume, even when the dataset characterizes the volumes as typical for those codes.

One statistical exception in the mix is 96372, which is flagged "notably above typical state volume for this code" and sits at the 98th percentile (19.4K claims, $271.5K, 1.4%). That elevated standing for intramuscular/subcutaneous injections relative to peers may reflect protocolized treatment pathways (e.g., frequent injections administered in ED/observation) and is a measurable outlier contrasted with many other codes labeled "typical, unremarkable."

DESERT SPRINGS has a long NPI tenure, enumerated 2005-09-27 (~21 years ago), which supports interpreting these patterns as established operational behavior rather than a nascent billing footprint. The combination of long tenure and Medicaid concentration suggests the hospital’s near-term revenue risk and contracting leverage will be sensitive to changes in Medicaid policy, reimbursement, or managed-care relationships given the lack of Medicare revenue in the file.

Medicaid: Complete Services Breakdown

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

230 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	42,160	$110	$4.6M
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.	24,640	$90	$2.3M
G0378	Hospital observation service, per hour	18,150	$120	$2.1M
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.	6,730	$230	$1.5M
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.	25,980	$50	$1.3M
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.	5,230	$160	$820.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,080	$80	$726.6K
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…	2,550	$240	$600.2K
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.	22,470	$20	$539.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30,150	$20	$512.5K

Showing 1–10 of 230

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

Desert Springs Hospital — 2 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

230 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	10	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.	16	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.	26	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.	18	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.	96	310	680	$50	$373.3K
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…	11	60	680	$60	$364.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	55	90	190	$160	$332.4K
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.	24	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…	14	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…	13	50	120	$240	$209.3K

Showing 1–10 of 230

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Incorporated	NV	Clinical Medical Laboratory	$18.2M	$59.3M
Jed Adam Enterprises, LLC	NV	Home Health Agency	$0	$61.5M
Solace Pediatric Healthcare Nursing Services, Nv, LLC	NV	Home Health Agency	$0	$36.1M
Founders Healthcare, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$18.9M
A Better Way Home Care, LLC	NV	In Home Supportive Care Agency	$0	$14.7M
Absolute Personal Care,llc	NV	In Home Supportive Care Agency	$0	$11.3M
Accessible Space Inc.	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Healthcare Partners Medical Group Coats Ltd.	NV	Family Medicine Physician	$0	$9.1M
Quality Health Partners Inc	NV	Health Service Clinic/Center	$0	$6.9M
Medical And Dental Center Of Nevada LLC	NV	Ambulatory Surgical Clinic/Center	$565.1K	$6M

Desert Springs Hospital — 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

Nearby Providers

Frequently Asked Questions

References