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.

Innovative Care Physicians (NPI 1235843608)

Field	Value
Entity Type	Organization
Organization	Innovative Care Physicians
Address	5506 S Fort Apache Rd Ste 100
City	Las Vegas
State	NV
ZIP	89148
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 10, 2023

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	9,620	$320	$3M
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	11,450	$50	$515.1K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	1,940	$260	$513K
Q3014	Telehealth originating site facility fee	11,390	$20	$239.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	5,180	$20	$93.3K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	2,190	$30	$69.9K
95044	In this procedure, the provider performs patch testing of an area to determine a possible allergic reaction.	90	$260	$23.7K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	20	$0	$0

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

Innovative Care Physicians — 5 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1	50	430	$270	$299.9K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	12	10	130	$30	$99.1K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	2	70	120	$240	$92.2K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	3	90	580	$40	$89.2K
Q3014	Telehealth originating site facility fee	19	390	670	$20	$42.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	34	310	260	$10	$27.2K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	9	50	520	$20	$25.6K
95044	In this procedure, the provider performs patch testing of an area to determine a possible allergic reaction.	1	10	50	$240	$11.2K

Nearby Providers

Other providers in the same ZIP code as Innovative Care Physicians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women's Health Associates Of Southern Nevada- Martin, PLLC	NV	Obstetrics & Gynecology Physician	$0	$22.7M
Southern Hills Medical Center, LLC	NV	General Acute Care Hospital	$0	$19.8M
Adashek And Wilkes LLP	NV	Maternal & Fetal Medicine Physician	$0	$16.7M
Eid Nevada Critical Care PLLC	NV	Critical Care Medicine (Internal Medicine) Physician	$0	$16.2M
Therapy Blocks L.L.C.	NV	Occupational Therapist	$0	$15.2M
Kevin Bernstein Md LLC	NV	Geriatric Psychiatry Physician	$0	$7.5M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$4.8M
Dmytro Bond	NV	Pediatrics Physician	$0	$3.7M
The Speech House LLC	NV	Speech-Language Pathologist	$0	$3.7M
The Aac Speech Clinic, LLC	NV	Speech-Language Pathologist	$0	$3.4M

Innovative Care Physicians — Billing Profile & Reimbursement Data

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Innovative Care Physicians — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References