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NPI 1356885222 · North Las Vegas, NV · Emergency Medicine Physician
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Superior Emergency Physicians Harris, PLLC is a emergency medicine physician provider located in North Las Vegas, Nevada. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Superior Emergency Physicians Harris, PLLC |
| Address | 1409 E Lake Mead Blvd |
| City | North Las Vegas |
| State | NV |
| ZIP | 89030 |
| Taxonomy | Emergency Medicine Physician |
| NPI Enumerated | December 13, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $16.4M |
| Medicare | $0 |
This provider has no Medicare billing on file and is effectively a single-payer Medicaid operator: Total Medicare revenue is listed as none below while Total Medicaid revenue is $16.4M, indicating the practice’s entire recorded public-payer footprint in the dataset is driven by Medicaid. Analysts should treat payer-mix conclusions accordingly and not expect Medicare comparators for this entity.
Revenue is highly concentrated in a narrow set of emergency E/M codes: the precomputed top three Medicaid codes (99285, 99284, 99283) account for 91.6% of this provider’s total Medicaid revenue. Those three codes individually account for $7.6M (46.2%), $5.2M (31.6%), and $2.3M (13.7%) respectively, highlighting strong dependence on high-, moderate- and low-acuity emergency department evaluation-and-management visits.
The code mix and payments point to a focused emergency-department practice model: 99285, 99284, and 99283 are all ED E/M codes, and the reported avg paid/claim levels ($120 for 99285, $91 for 99284, $52 for 99283) show that the bulk of revenue derives from volume of ED encounters rather than high per-claim reimbursements. This aligns with the provider’s taxonomy of Emergency Medicine Physician and suggests operational emphasis on throughput of urgent and emergent visits.
Competitive standing within Nevada is concentrated and strong for ED E/M volume: the provider ranks #9 of 352 for 99285 and #10 of 398 for 99284, both at the 98th percentile and described as notably above typical state volume, and ranks #13 of 390 for 99283 at the 97th percentile (also notably above typical state volume). These placements indicate the group is a major state-level participant for core emergency visit codes rather than a modest player.
There is a measurable but secondary presence in critical care services: 99291 appears with 7.6K claims and $1.4M revenue (8.2% of Medicaid revenue), ranking #7 of 87 providers in-state at the 93th percentile and described as typical/unremarkable volume for that code. This suggests the practice occasionally provides critical care-level services in its patient mix, but those services do not drive the majority of revenue.
Other billed services contribute minimally to revenue and are operationally peripheral: 99282 accounts for only $23.3K (0.1% of Medicaid revenue) and 93010 produces $6.4K (0.0% of Medicaid revenue), with 93010 showing high claim counts but negligible dollar impact due to a $1 avg paid/claim. Those low-revenue items indicate routine diagnostics and low-acuity visits are present but are not material revenue drivers for the group.
The provider has an established operational tenure in public datasets: the NPI was enumerated on 2016-12-13 (~10 years ago), providing a multi-year presence against which current volume and rank positions can be evaluated. Given the high concentration in a few ED E/M codes and strong state-level ranks, analysts should consider both sustainability risks from reimbursement or utilization shifts and potential bargaining leverage in network negotiations tied to emergency service volumes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 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. | 63,270 | $120 | $7.6M |
| 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. | 57,010 | $90 | $5.2M |
| 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. | 43,420 | $50 | $2.3M |
| 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… | 7,560 | $180 | $1.4M |
| 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. | 650 | $40 | $23.3K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 6,370 | $1 | $6.4K |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
6 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. | 9 | 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. | 10 | 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… | 7 | 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. | 13 | 390 | 200 | $60 | $289.8K |
| 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. | 45 | 90 | 630 | $40 | $154.6K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 21 | 210 | 200 | $1 | $21.9K |
Other providers in the same ZIP code as Superior Emergency Physicians Harris, PLLC, ranked by combined Medicare and Medicaid revenue.
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