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.

Rogelio Machuca Md Family Medicine, PLLC (NPI 1235412073)

Field	Value
Entity Type	Organization
Organization	Rogelio Machuca Md Family Medicine, PLLC
Address	546 N Eastern Ave Ste 140
City	Las Vegas
State	NV
ZIP	89101
Taxonomy	Family Medicine Physician
NPI Enumerated	September 27, 2011

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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
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…	50,770	$40	$2.2M
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…	2,740	$70	$180.6K
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,…	3,160	$30	$94.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	6,190	$10	$61.9K
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…	1,000	$50	$47K
99442	N/A	1,750	$20	$36.8K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	410	$80	$33.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	300	$80	$22.8K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	230	$70	$16.9K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,790	$10	$14.3K

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

Rogelio Machuca Md Family Medicine, PLLC — 3 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
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…	624	2,250	290	$60	$138K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	57	60	2,130	$20	$135.9K
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…	12	2,480	330	$50	$107.6K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	38	50	770	$20	$67.9K
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…	17	30	320	$30	$67.1K
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,…	38	90	290	$20	$51.8K
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…	37	860	100	$70	$42.9K
Q3014	Telehealth originating site facility fee	386	390	670	$20	$42.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	31	130	70	$90	$34.5K
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,…	33	540	130	$30	$28K

Showing 1–10 of 45

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rogelio Machuca Md Family Medicine, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rogelio Machuca	NV	Family Medicine Physician	$32.8K	$248.2K

Nearby Providers

Other providers in the same ZIP code as Rogelio Machuca Md Family Medicine, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Las Vegas	NV	Ambulance	$2.1M	$63.9M
Clark County Department Of Juvenile Justice	NV	Case Management Agency	$0	$20.2M
Ati Inc	NV	Clinical Medical Laboratory	$615.7K	$5.8M
Westcare Nevada Inc	NV	Community/Behavioral Health Agency	$0	$6.1M
Westcare Nevada Inc	NV	Community/Behavioral Health Agency	$0	$5.3M
Cyril Ovuworie, M.d. Prof. Corp	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
True Family Services Inc	NV	Mental Health Counselor	$0	$3.5M
Ameritina Dental Eastern LLC	NV	Dental Clinic/Center	$0	$2.8M
Steven Delisle Dds P.C.	NV	Dentist	$0	$2.4M
Burd Home Health LLC	NV	Home Health Agency	$0	$2.3M

Rogelio Machuca Md Family Medicine, PLLC — Billing Profile & Reimbursement Data

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Rogelio Machuca Md Family Medicine, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References