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.

Carson Tahoe Regional Healthcare (NPI 1255360160)

Key Findings

Field	Value
Entity Type	Organization
Organization	Carson Tahoe Regional Healthcare
Address	1600 Medical Pkwy
City	Carson City
State	NV
ZIP	89703
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

CARSON TAHOE REGIONAL HEALTHCARE shows an effectively single‑payer footprint in the available files: there is no Medicare billing on file and reported Medicaid revenue is $23.7M. This means payer negotiations and utilization patterns in the dataset are driven entirely by Medicaid activity rather than a mixed Medicare/Medicaid case mix.

Medicaid revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top-three Medicaid codes account for 66.1% of Medicaid revenue, led by 99285 ($7.3M, 35.6%), 99284 ($4.8M, 23.6%), and 99283 ($1.4M, 6.8%). This concentration indicates that a large share of the provider’s Medicaid dollars flows through high-acuity and mid-acuity ED visits, which creates revenue sensitivity to ED volume and reimbursement changes on those codes.

The code mix and descriptions point to an acute care, ED-centric operation with supporting inpatient/observation capability: large volumes on 99285/99284/99283 are complemented by G0378 (hospital observation service, $588.9K) and 99291 (critical care, $267.5K). Together these codes suggest the hospital manages both high-acuity emergency presentations and observation/short-stay patients rather than being focused only on elective ambulatory procedures.

On statewide competitive standing for core ED services, the provider performs at the high end of the distribution: 99285 ranks #20 of 352 providers in-state (95th percentile; typical, unremarkable volume for this code) and 99284 ranks #20 of 398 (95th percentile; notably above typical state volume for this code), while 99283 ranks #30 of 390 (93th percentile; typical, unremarkable volume for this code). These rankings imply CARSON TAHOE is a major regional ED provider relative to most in Nevada for high- and moderate-acuity ED visits.

Beyond emergency care, the Medicaid billing profile shows substantial ambulatory and outpatient throughput with some extreme statistical signals: 99212 ($788.9K) ranks #2 of 536 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 99245 ($183.6K) ranks #1 of 39 (100th percentile; extreme outlier, far above typical state volume for this code). The combination of exceptionally high low-level visit volume and top-ranked consultations suggests a large outpatient clinic footprint alongside ED activity.

Ancillary and imaging services contribute meaningful, diversified Medicaid revenue supporting the acute care base: notable non-ED drivers include 78452 (cardiac SPECT, $720.9K), 97110 (therapeutic exercise/physical therapy, $607.8K), 77067 (mammography, $342.1K), and multiple CT/MRI codes (e.g., 74177 $292.8K, 70553 $222.6K, 72148 $232.5K). These patterns point to in‑house diagnostic and rehab capacity that supports both emergent and outpatient episodes of care.

Operational tenure is long-established: the provider’s NPI was enumerated on 2006-07-02 (~20 years ago), indicating a sustained presence in the Nevada market that aligns with the breadth of services observed across ED, imaging, and outpatient codes. That longevity supports interpretation of these utilization patterns as stable operational behavior rather than a short-term anomaly.

For payers and contracting teams, the absence of Medicare billing and the strong Medicaid concentration (single‑payer profile plus 66.1% of Medicaid revenue tied to three ED codes) imply contracting and utilization-management efforts should focus on Medicaid reimbursement design and ED utilization controls. Given the provider’s high statewide rankings on key ED codes and extreme outlier status for some outpatient visit codes, payers evaluating risk-sharing or network placement should account for the provider’s ED-driven revenue sensitivity and sizable ambulatory clinic volumes.

Medicaid: Complete Services Breakdown

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

366 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	28,910	$250	$7.3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	32,490	$150	$4.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	19,150	$70	$1.4M
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…	21,630	$40	$843.4K
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,…	32,870	$20	$788.9K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	1,770	$410	$720.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	17,370	$40	$607.8K
G0378	Hospital observation service, per hour	14,360	$40	$588.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10,520	$30	$357.7K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	4,560	$80	$342.1K

Showing 1–10 of 366

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

Carson Tahoe Regional Healthcare — 5 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

366 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	22	20	470	$640	$1.5M
G0378	Hospital observation service, per hour	11	40	4,770	$110	$1.2M
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	4	10	370	$660	$760.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20	350	240	$110	$685.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	124	150	1,060	$50	$482K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	400	200	$90	$442.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14	140	210	$140	$421K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	99	310	680	$50	$373.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	29	90	190	$160	$332.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30	390	200	$60	$289.8K

Showing 1–10 of 366

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carson Tahoe Physician Clinics	NV	Internal Medicine Physician	$0	$2.3M
Nael Aboul-hosn	NV	Cardiovascular Disease Physician	$231.5K	$0
Tatsiana Furman	NV	Nurse Practitioner	$107.3K	$0
Christine Silsby	NV	Medical Physician Assistant	$40.7K	$7.5K
Elizabeth Haase	NV	Neurology Physician	$40.1K	$0
Sarah Gentile	NV	Family Nurse Practitioner	$32.3K	$0
Joshua Pierce	NV	Nurse Practitioner	$16.6K	$0
Dana Julian	NV	Gerontology Nurse Practitioner	$7.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carson Tahoe Emergency Physicians	NV	Emergency Medicine Physician	$0	$5.2M
Dwarakanath Vuppalapati	NV	Psychiatry Physician	$366.5K	$2.6M
Usacs Integrated Acute Care Services Of Nevada Bagnoli P C	NV	Hospitalist Physician	$0	$2.6M
Ziqiang Wu	NV	Ophthalmology Physician	$1.5M	$0
Carson Endoscopy Center, LLC	NV	Endoscopy Clinic/Center	$829.4K	$295.4K
Physicians' Surgery Center Of Nevada LLC	NV	Ambulatory Surgical Clinic/Center	$723.2K	$232.1K
Gary Campbell	NV	Radiation Oncology Physician	$899.5K	$0
Western Nevada Surgical Center Inc	NV	Ophthalmologic Surgery Clinic/Center	$703.5K	$2.3K
Robert Wolff	NV	Ophthalmology Physician	$627K	$0
Mehdi Vazeen	NV	Ophthalmology Physician	$417.4K	$0

Carson Tahoe Regional Healthcare — Billing Profile & Reimbursement Data

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Carson Tahoe Regional Healthcare — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References