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.

Las Vegas Rheumatology Associates (NPI 1316365141)

Las Vegas Rheumatology Associates is a rheumatology physician provider located in North Las Vegas, Nevada. This profile covers 0 Medicare and 10 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	Las Vegas Rheumatology Associates
Address	4100 N Martin L King Blvd Ste A
City	North Las Vegas
State	NV
ZIP	89032
Taxonomy	Rheumatology Physician
NPI Enumerated	March 29, 2014

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	14,110	$90	$1.2M
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1,070	$170	$180.3K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	310	$230	$69.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	560	$100	$58.2K
99204	The provider sees a new 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 provider…	360	$140	$49.5K
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…	1,010	$40	$39.4K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	100	$20	$2.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$140	$1.6K
J7050	Infusion, normal saline solution, 250 cc	500	$1	$500
36000	The provider introduces a needle or intracatheter into a vein to administer or withdraw fluids or other substances.	470	$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

Las Vegas Rheumatology Associates — 2 of 9 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	7	20	240	$90	$189.3K
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…	74	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…	702	2,480	330	$50	$107.6K
99204	The provider sees a new 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 provider…	179	780	90	$100	$46.6K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	5	40	90	$140	$29.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	349	360	90	$70	$28.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	5	200	60	$120	$19.9K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	4	10	100	$20	$12.8K
J7050	Infusion, normal saline solution, 250 cc	16	30	500	$1	$3.8K
36000	The provider introduces a needle or intracatheter into a vein to administer or withdraw fluids or other substances.	1	10	30	$1	$40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sun Valley Surgery Center, LLC	NV	Ambulatory Surgical Clinic/Center	$0	$16.8M
Gentle Touch Behavioral Health LLC	NV	Community/Behavioral Health Agency	$0	$16.4M
De Craig Ranch, LLC	NV	General Acute Care Hospital	$0	$13.9M
Elsube LLC	NV	Home Health Agency	$0	$12.1M
Jaren Jensen	NV	Pediatric Dentistry	$0	$9.8M
North Las Vegas Behavioral Health	NV	Psychiatry Physician	$0	$8.1M
Steven Delisle Dds P.C.	NV	General Practice Dentistry	$0	$6.8M
State Of Nevada - Sncas Case Management	NV	Community/Behavioral Health Agency	$0	$6.2M
Just Like Family	NV	Preferred Provider Organization	$0	$4.3M
Advanced Psychiatry Inc	NV	Psychiatry Physician	$0	$4.2M

Las Vegas Rheumatology Associates — Billing Profile & Reimbursement Data

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Las Vegas Rheumatology Associates — 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