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.

Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC (NPI 1336483742)

Key Findings

Field	Value
Entity Type	Organization
Organization	Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC
Address	8950 W Tropicana Ave Ste 1
City	Las Vegas
State	NV
ZIP	89147
Taxonomy	Psychiatry Physician
NPI Enumerated	November 26, 2012

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

FOCUS MENTAL HEALTH SOLUTIONS BHUSHAN WIRJO ITZHAKI STILL PLLC shows essentially single‑payer activity: it has no Medicare billing on file and all reported lifetime revenue is from Medicaid, totaling $15.3M. This indicates the provider’s operating footprint and reimbursement dependence are concentrated in Medicaid rather than Medicare populations.

Revenue concentration is high: the top three Medicaid codes (99233, 99223, 99232) together account for 80.6% of this provider’s total Medicaid revenue. This means the business is heavily driven by a narrow set of inpatient E/M services rather than a broad mix of outpatient psychotherapy or outpatient evaluation codes.

The code mix points to an inpatient-focused practice model. The top revenue codes are 99233, 99223, and 99232 — all hospital inpatient or observation E/M services — and together they generate the majority of Medicaid revenue, implying the provider primarily delivers initial and subsequent inpatient evaluation/management care rather than ambulatory psychotherapy services.

Competitive standing in Nevada for key inpatient codes is unusually strong. For 99233 the provider ranks #5 of 472 in-state (99th percentile) and is described as an "extreme outlier, far above typical state volume for this code," and for 99223 it ranks #4 of 434 (99th percentile) also labeled an "extreme outlier." Those rankings characterize the entity as a major statewide presence for high-acuity inpatient E/M services.

For 99232 the provider ranks #16 of 427 in-state (96th percentile) and is described as "notably above typical state volume for this code," which reinforces that high-volume subsequent inpatient care is a consistent pattern across multiple related E/M codes rather than a single outlier spike. Together the rank/percentile descriptions indicate sustained, unusually large inpatient claim volumes relative to in-state peers.

Other codes commonly associated with outpatient psychiatry and facility-based longitudinal care (for example 99308 nursing facility follow-up, 90792 psychiatric evaluation, and established office visit codes 99214/99213) appear but represent much smaller shares individually (each under ~3% of Medicaid revenue). This supports the interpretation that the practice’s scale and reimbursement are centered on hospital inpatient E/M work, with more modest volume in nursing facility visits and standard outpatient psychiatry.

The provider has an established NPI tenure, enumerated ~14 years ago (2012-11-26), indicating a multi-year presence in the market. The combination of long tenure and concentrated inpatient volume suggests an operational focus and possibly referral relationships that sustain high inpatient throughput.

Several administrative/quality measure codes (G8421, G8427, G8420, G8417) appear in the claim mix but contribute negligible revenue; their presence is typical of electronic reporting or charting measures and does not change the core business signal that inpatient E/M codes dominate revenue generation.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	87,970	$80	$6.8M
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…	19,340	$150	$2.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	44,170	$60	$2.6M
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…	14,520	$80	$1.2M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	17,750	$30	$443.8K
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…	5,790	$70	$388.2K
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…	5,980	$50	$317.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,920	$90	$176.5K
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.	1,140	$90	$103.6K
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…	680	$100	$69K

Showing 1–10 of 31

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

Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC — 5 of 21 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

31 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.	73	350	240	$110	$685.4K
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.	341	390	200	$60	$289.8K
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…	5	470	380	$70	$281.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	16	430	500	$40	$214.4K
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…	4	430	180	$130	$158K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	42	140	690	$40	$145.2K
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…	181	2,250	290	$60	$138K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	13	150	460	$20	$119.6K
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…	204	2,480	330	$50	$107.6K
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…	5	230	160	$70	$99.1K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Noel Diao	NV	Psychiatric/Mental Health Nurse Practitioner	$181.3K	$78.2K
Jonathan Wirjo	NV	Psychiatry Physician	$159.2K	$49.9K
Priyanki Pareek	MT	Psychiatry Physician	$52.1K	$0
Aviv Itzhaki	NV	Psychiatry Physician	$39.1K	$2.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Luis Velazquez Md PLLC	NV	Pain Medicine (Anesthesiology) Physician	$0	$5.1M
My Besthealth First LLC	NV	Family Medicine Physician	$0	$4.9M
Wee Care Pediatrics	NV	Pediatrics Physician	$0	$4.5M
Las Vegas Wound Care	NV	Pharmacist	$0	$4.4M
Germin Clinical Neurology West	NV	Neurology Physician	$0	$3.9M
Nevada Integrated Healthcare	NV	Internal Medicine Physician	$0	$2.3M
Helios Medical Center LLC	NV	General Practice Physician	$0	$1.8M
De Craig Ranch, LLC	NV	General Acute Care Hospital	$0	$1.6M
Shazia Hamid Md	NV	Internal Medicine Physician	$0	$1.5M
Care To Be Home LLC	NV	In Home Supportive Care Agency	$0	$1.4M

Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC — Billing Profile & Reimbursement Data

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Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC — 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