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.

Procare Medical Group LLC (NPI 1366618019)

Procare Medical Group LLC is a urgent care clinic/center provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 70 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	Procare Medical Group LLC
Address	6870 S Rainbow Blvd
City	Las Vegas
State	NV
ZIP	89118
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	May 2, 2008

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

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

70 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	37,250	$50	$1.7M
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…	6,500	$70	$435.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	2,790	$60	$153.6K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	1,210	$100	$120.1K
99203	The provider sees a new 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 provider…	1,600	$70	$117.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	6,450	$20	$116.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,400	$50	$68.6K
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,…	1,390	$30	$43.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	4,160	$10	$33.3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	1,310	$10	$18.3K

Showing 1–10 of 70

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

Procare Medical Group LLC — 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

70 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	163	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…	25	2,480	330	$50	$107.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	189	310	410	$40	$95K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	248	270	170	$80	$70.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	161	220	130	$80	$57K
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…	534	780	90	$100	$46.6K
94667	The provider performs chest physical therapy using manual methods to mobilize the patient’s lung secretions.	13	20	140	$20	$46.1K
99203	The provider sees a new 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 provider…	65	860	100	$70	$42.9K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	155	250	320	$10	$29.2K
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,…	66	540	130	$30	$28K

Showing 1–10 of 70

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Valley Medical Center	NV	General Acute Care Hospital	$0	$33.5M
Option 1 Nutrition Solutions, LLC	NV	Parenteral & Enteral Nutrition Supplies (DME)	$0	$15.1M
Optum Frontier Therapies Ii, LLC	NV	Community/Retail Pharmacy	$0	$9.3M
J Paul Wiesner & Associates Chartered	NV	Diagnostic Radiology Physician	$0	$5.6M
Spring Valley Dialysis Center LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.4M
Little Smiles LLC	NV	Pediatric Dentistry	$0	$4.2M
1 Love Wellness Society LLC	NV	Community/Behavioral Health Agency	$0	$2.1M
Mobile Mental Health Support Services, Inc.	NV	Physical Disabilities Residential Treatment Facility	$0	$2.1M
Rosa Bellota	NV	Child & Adolescent Psychiatry Physician	$51.1K	$2M
My Genius Lab LLC	NV	Clinical Medical Laboratory	$544.7K	$1.5M

Procare Medical Group LLC — Billing Profile & Reimbursement Data

Sign up for Procare Medical Group LLC — Billing Profile & Reimbursement Data policy alerts

Procare Medical Group LLC — Billing Profile & Reimbursement Data

Sign up for Procare Medical Group LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References