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.

Brown, Calvanese, Cameron Ltd (NPI 1275568479)

Key Findings

Field	Value
Entity Type	Organization
Organization	Brown, Calvanese, Cameron Ltd
Address	1155 Mill St
City	Reno
State	NV
ZIP	89502
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

BROWN, CALVANESE, CAMERON LTD is effectively a Medicaid-focused emergency medicine operation: there is no Medicare billing on file and the provider reported $19.7M in Medicaid revenue, indicating a single-payer footprint concentrated in state Medicaid. The claims and code mix are dominated by emergency department E/M visits, consistent with an ED-centric practice model.

Revenue is extremely concentrated in three ED E/M codes: 99285, 99284, and 99283 together account for 96.2% of the provider's total Medicaid revenue. Individually these codes generated $10.1M (99285), $6.2M (99284), and $2.7M (99283), so payer negotiations or rate changes for these services would materially affect this provider's topline.

Volume metrics reinforce the ED operational profile: the provider reported 97K claims for 99285, 76.1K claims for 99284, and 57.9K claims for 99283, with average paid/claim of $104, $82, and $46 respectively. These large claim counts paired with mid-range per-claim payments indicate a high-throughput emergency department workflow rather than reliance on a few high-dollar inpatient encounters.

Statewide competitive standing on core ED codes is dominant: the provider ranks #4 of 352 in-state for 99285 and #6 of 398 for 99284, both in the 99th percentile and described as extreme outliers, and #8 of 390 for 99283 (98th percentile, notably above typical state volume). These rankings indicate the provider is a major volume driver for high- and moderate-level ED E/M services in Nevada.

The provider also appears to bill significant same-day admission/discharge inpatient/observation E/M services: 99236 produced $319.6K (1.6% of Medicaid revenue) and 99235 produced $120.8K (0.6%), with both codes ranked #1 in-state for their respective peer groups and labeled extreme/notably above typical state volume. This suggests the group handles a meaningful number of observation or brief admission cases in addition to ED throughput.

Higher-acuity services beyond routine ED E/M are present but are a much smaller share of revenue: 99291 (critical care) yielded $91K (0.5% of revenue) and 99223 (initial hospital inpatient high complexity) yielded $60.5K (0.3%), both ranking in middle percentiles and described as typical/unremarkable volumes. These figures imply the practice occasionally provides critical or inpatient-level care but does not rely on it for the bulk of billing.

Operational longevity is established: the NPI was enumerated on 2006-07-12 (~20 years ago), indicating long-standing presence in the market that could support stable referral pathways and institutional relationships. That tenure combined with outsized ED volumes suggests embedded access to a high-volume clinical site or sites within the state Medicaid system.

Non-ED ancillary codes show limited revenue impact and generally typical volumes: 93010 (ECG interpretation) generated $104.4K and ranks #5 of 209 in-state (98th percentile, typical), while 69210 (earwax removal) and 99053 (overnight facility services) contributed immaterial amounts. This pattern further underscores a service line concentrated on ED evaluation and management rather than broad ambulatory procedural revenue streams.

Medicaid: Complete Services Breakdown

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

13 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.	96,980	$100	$10.1M
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.	76,100	$80	$6.2M
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.	57,930	$50	$2.7M
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1,860	$170	$319.6K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	910	$130	$120.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	34,790	$1	$104.4K
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…	510	$180	$91K
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…	500	$120	$60.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	340	$70	$24.2K
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.	510	$30	$16.3K

Showing 1–10 of 13

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

Brown, Calvanese, Cameron Ltd — 6 of 12 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	4	350	240	$110	$685.4K
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.	6	400	200	$90	$442.5K
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…	31	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.	8	390	200	$60	$289.8K
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…	136	430	180	$130	$158K
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.	51	90	630	$40	$154.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	58	210	110	$80	$68.6K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1	20	60	$170	$37.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	33	160	60	$50	$28.4K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1	10	40	$110	$24.8K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renown Regional Medical Center	NV	General Acute Care Hospital	$0	$63.7M
Reno Sparks Indian Colony	NV	Clinic/Center	$390	$47.4M
Regional Emergency Medical Services Authority	NV	Ambulance	$8.2M	$26.1M
Medtrans Behavioral Nevada Casal, PLLC	NV	Community/Behavioral Health Agency	$0	$26.4M
Consumer Direct Services For Nevada, LLC	NV	Personal Care Attendant	$0	$23.3M
Washoe County School District	NV	Local Education Agency (LEA)	$0	$16.5M
Community Care Services LLC	NV	Internal Medicine Physician	$0	$15.1M
Medical Services Of Nevada Inc	NV	In Home Supportive Care Agency	$0	$12.7M
Community Health Alliance	NV	Federally Qualified Health Center (FQHC)	$0	$7M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M

Brown, Calvanese, Cameron Ltd — 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

Nearby Providers

Frequently Asked Questions

References