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.

University Medical Center Of Southern Nevada (NPI 1376105478)

University Medical Center Of Southern Nevada is a urgent care clinic/center provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 42 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	University Medical Center Of Southern Nevada
Address	61 N Nellis Blvd
City	Las Vegas
State	NV
ZIP	89110
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	June 28, 2019

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

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

42 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…	13,170	$50	$658.6K
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…	4,010	$80	$308.5K
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…	2,530	$80	$212.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	2,730	$40	$117.3K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	2,250	$20	$40.5K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	1,520	$30	$39.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	4,820	$10	$33.7K
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…	240	$140	$33.7K
3074F	No Summary found for this code	7,000	$1	$14K
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…	230	$50	$12.4K

Showing 1–10 of 42

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

University Medical Center Of Southern Nevada — 3 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	16	60	680	$60	$364.3K
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…	351	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…	95	2,480	330	$50	$107.6K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	7	30	320	$30	$67.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	57	70	2,190	$1	$51.4K
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…	226	780	90	$100	$46.6K
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…	21	860	100	$70	$42.9K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	16	50	1,140	$10	$31.2K
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…	216	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,…	255	540	130	$30	$28K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Center Of Southern Nevada	NV	General Acute Care Hospital	$0	$95.5M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Marizel Yukee	NV	Primary Care Nurse Practitioner	$19.7M	$0
Adam Brochert	CA	Diagnostic Radiology Physician	$1.9M	$0
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
Alexander Kieger	NV	Vascular & Interventional Radiology Physician	$579K	$0
Sean Desilva	MO	Diagnostic Radiology Physician	$290.6K	$40K
Jefferson Yu	NV	Internal Medicine Physician	$308.9K	$0
Keshavan Kodandapani	NV	Nurse Practitioner	$9.2K	$270.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fresenius Medical Care Ne Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.6M
Rachna Gupta	NV	Ophthalmology Physician	$35.3K	$4.2M
Pioneer Pediatrics Inc	NV	Pediatrics Physician	$0	$3.7M
Ferdowsian Global Services PLLC	NV	Clinic/Center	$0	$3.2M
First Dentists LLC	NV	Dentist	$0	$2.1M
Clinica Medica Del Pueblo	NV	Family Medicine Physician	$0	$1.9M
Self Sufficiency Behavioral Health LLC	NV	Community/Behavioral Health Agency	$0	$1.4M
Justo Sataray	NV	Family Medicine Physician	$83.7K	$172.8K
William Derek Richardson	NV	Physical Therapist	$70.7K	$8.9K
Wayne Dunetz	NV	Foot & Ankle Surgery Podiatrist	$53.6K	$5.1K

University Medical Center Of Southern Nevada — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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