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NPI 1245492966 · Las Vegas, NV · Family Medicine Physician
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Rogelio Machuca is a family medicine physician provider located in Las Vegas, Nevada. This profile covers 11 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Rogelio Machuca |
| Address | 546 N Eastern Ave Ste 140 |
| City | Las Vegas |
| State | NV |
| ZIP | 89101 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | June 25, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $248.2K |
| Medicare | $32.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 510 | $50 | $26K |
| 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,… | 40 | $40 | $1.8K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 10 | $160 | $1.8K |
| 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… | 160 | $10 | $1.4K |
| 99442 | N/A | 20 | $50 | $970 |
| 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… | 10 | $40 | $530 |
| 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… | 20 | $10 | $160 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 90 | $1 | $90 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 150 | $0 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 740 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 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… | 2,580 | $60 | $165K |
| 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… | 370 | $100 | $35.1K |
| 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,… | 550 | $40 | $19.8K |
| 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… | 790 | $20 | $15.8K |
| 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… | 340 | $10 | $4.5K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 30 | $100 | $3K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 450 | $1 | $1.8K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 220 | $10 | $1.1K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 310 | $1 | $610 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 20 | $1 | $50 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 377 | 2,480 | 330 | $50 | $107.6K |
| 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… | 206 | 860 | 100 | $70 | $42.9K |
| 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,… | 125 | 540 | 130 | $30 | $28K |
| 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… | 96 | 360 | 190 | $10 | $26.9K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 46 | 70 | 50 | $80 | $18K |
| 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… | 75 | 230 | 150 | $10 | $10.6K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 75 | 90 | 180 | $1 | $5.8K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 105 | 280 | 110 | $1 | $4.2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 69 | 140 | 440 | $1 | $2.8K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 79 | 260 | 120 | $1 | $1.4K |
Showing 1–10 of 11
Other providers in the same ZIP code as Rogelio Machuca, 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 |
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