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.

Wolfson & Wolfson LLP (NPI 1376635045)

Wolfson & Wolfson LLP is a family medicine physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 25 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	Wolfson & Wolfson LLP
Address	6803 W Tropicana Ave
City	Las Vegas
State	NV
ZIP	89103
Taxonomy	Family Medicine Physician
NPI Enumerated	September 29, 2006

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.

25 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…	24,920	$80	$1.9M
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	3,120	$90	$293.6K
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…	2,160	$130	$286.7K
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…	3,510	$60	$196.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	3,210	$60	$185.9K
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…	850	$20	$17K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	210	$30	$5.8K
93000	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…	340	$10	$3.7K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	160	$20	$3.6K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	140	$20	$3K

Showing 1–10 of 25

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

Wolfson & Wolfson LLP — 4 of 17 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

25 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…	41	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…	307	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…	32	780	90	$100	$46.6K
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…	323	360	90	$70	$28.2K
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…	92	360	190	$10	$26.9K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	8	20	60	$20	$25.1K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	2	70	50	$80	$18K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	4	130	80	$50	$16.8K
93000	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…	76	230	150	$10	$10.6K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	20	30	250	$20	$10.5K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nursecore Management Services, LLC	NV	Home Health Agency	$0	$47.9M
Dna Analytical Laboratory Lv LLC	NV	Clinical Medical Laboratory	$24.9M	$8.9K
Marizel Yukee	NV	Primary Care Nurse Practitioner	$19.7M	$0
Amador Medical, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$16.3M
Spring Valley Surgery Center, LLC	NV	Ambulatory Surgical Clinic/Center	$740.9K	$7.6M
Medical Investment Inc	NV	Durable Medical Equipment & Medical Supplies	$0	$8M
Heart & Heart LLC	NV	In Home Supportive Care Agency	$0	$7.4M
Las Vegas Pain Institute And Medical Center, LLC	NV	Pain Medicine (Anesthesiology) Physician	$0	$7.1M
Leslie Denton	NV	Emergency Medicine Physician	$7M	$0
Alliance Mental Health Specialists Suba Park Cheng PLLC	NV	Psychiatry Physician	$0	$5.1M

Wolfson & Wolfson LLP — 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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