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.

Absolute Primary Care Center (NPI 1205265279)

Field	Value
Entity Type	Organization
Organization	Absolute Primary Care Center
Address	6857 W Charleston Blvd
City	Las Vegas
State	NV
ZIP	89117
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 10, 2013

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	33,030	$40	$1.3M
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…	12,820	$60	$795K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	6,760	$50	$351.7K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	3,140	$90	$273.1K
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…	4,390	$50	$201.8K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	6,220	$10	$87.1K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	210	$70	$14.7K
99058	The provider renders emergency services to a patient in the provider’s office during regular office hours without an appointment and ahead of other scheduled patients.	850	$10	$11.9K
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…	130	$90	$10.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	110	$70	$7.2K

Showing 1–10 of 18

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

Absolute Primary Care Center — 6 of 16 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

18 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…	80	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…	34	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…	326	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…	17	860	100	$70	$42.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	51	130	70	$90	$34.5K
99058	The provider renders emergency services to a patient in the provider’s office during regular office hours without an appointment and ahead of other scheduled patients.	20	70	370	$20	$24.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	35	90	60	$90	$20.7K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	7	150	250	$20	$18.6K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	1	70	50	$80	$18K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1	130	80	$50	$16.8K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Absolute Primary Care Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keshavan Kodandapani	NV	Nurse Practitioner	$9.2K	$270.7K

Nearby Providers

Other providers in the same ZIP code as Absolute Primary Care Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Personal Care Solutions, Inc.	NV	Home Health Agency	$0	$22.3M
Golden Cross Home Care, LLC.	NV	In Home Supportive Care Agency	$0	$19.4M
Nevada Best Pca, LLC	NV	Personal Care Attendant	$0	$11M
Jay Selznick	NV	Oral and Maxillofacial Surgery (Dentist)	$0	$8.7M
Tufail & Associates	NV	Internal Medicine Physician	$0	$7.5M
Leanne Wright	NV	Speech-Language Pathologist	$0	$6.8M
A Novo Care LLC	NV	In Home Supportive Care Agency	$0	$6.6M
Community Medicine Inc.	NV	Internal Medicine Physician	$0	$6M
Amy Lapres	NV	Pediatric Occupational Therapist	$0	$5.7M
Infectious Disease Specialists, LLC	NV	Infectious Disease Physician	$0	$5.4M

Absolute Primary Care Center — Billing Profile & Reimbursement Data

Sign up for Absolute Primary Care Center — Billing Profile & Reimbursement Data policy alerts

Absolute Primary Care Center — Billing Profile & Reimbursement Data

Sign up for Absolute Primary Care Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References