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.

Intermountain Medical Holdings Nevada Inc (NPI 1245997279)

Intermountain Medical Holdings Nevada Inc is a internal medicine physician provider located in Henderson, Nevada. This profile covers 0 Medicare and 68 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Intermountain Medical Holdings Nevada Inc
Address	595 W Lake Mead Pkwy
City	Henderson
State	NV
ZIP	89015
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 24, 2021

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

68 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…	42,130	$40	$1.6M
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…	15,980	$60	$926.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,180	$50	$290.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	10,520	$30	$262.9K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	9,440	$20	$198.3K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	1,290	$110	$140.1K
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…	1,900	$70	$138.5K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	970	$120	$112K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,180	$90	$109.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,680	$40	$93.8K

Showing 1–10 of 68

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

Intermountain Medical Holdings Nevada Inc — 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	471	470	380	$70	$281.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	166	430	180	$130	$158K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	9	50	230	$110	$144.9K
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…	65	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…	20	2,480	330	$50	$107.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	17	300	280	$80	$103.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	79	230	160	$70	$99.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	36	300	240	$80	$97.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	20	310	410	$40	$95K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	27	120	140	$80	$82.9K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare Partners Affiliates Medical Group	CA	Internal Medicine Physician	$0	$37.7M
Healthcare Partners Medical Group Coats Ltd.	NV	Family Medicine Physician	$0	$9.1M
Healthcare Partners Medical Group Coats Ltd	NV	Family Medicine Physician	$0	$1.5M
Carmen Gota	UT	Rheumatology Physician	$1.2M	$0
Spencer Wells	UT	Pain Medicine (Anesthesiology) Physician	$596.1K	$19.1K
Dustin Boyer	NV	Radiation Oncology Physician	$593.5K	$0
Ihc Health Services, Inc	UT	Family Medicine Physician	$0	$569.9K
Nathan Clements	UT	Interventional Pain Medicine Physician	$402.5K	$0
Steven Larsen	UT	Interventional Pain Medicine Physician	$360.8K	$0
Kevin Tsui	NV	Pulmonary Disease Physician	$254.6K	$39.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Henderson	NV	Land Ambulance	$2.6M	$20.7M
Dignity Health	NV	General Acute Care Hospital	$0	$8.5M
Bamboo Sunrise LLC	NV	Foster Care Agency	$0	$5.5M
Vincent D Ho Psychiatry PLLC	NV	Psychiatry Physician	$0	$4.5M
Loving Hands Of Nevada Home Health Care	NV	Home Health Agency	$0	$2.6M
Lake Mead Pediatrics, LLC.	NV	Pediatrics Physician	$0	$1.7M
Vituity - Nevada Koury & Partners PLLC	NV	Emergency Medicine Physician	$0	$1.3M
Helpcare	NV	Community/Behavioral Health Agency	$0	$1.3M
Fareed Sheikh	NV	Cardiovascular Disease Physician	$403.2K	$66.4K
Christopher Evans	NV	Physical Therapist	$318.9K	$0

Intermountain Medical Holdings Nevada Inc — Billing Profile & Reimbursement Data

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Intermountain Medical Holdings Nevada Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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