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.

Unlv Medicine (NPI 1407397235)

Key Findings

Field	Value
Entity Type	Organization
Organization	Unlv Medicine
Address	3016 W Charleston Blvd Ste 100
City	Las Vegas
State	NV
ZIP	89102
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 13, 2017

Payer Source	Total Paid
Medicaid	$22M
Medicare	$0

This provider has no Medicare billing on file and is effectively a Medicaid-focused billing entity in the available data; total Medicaid revenue on file is $22M and there is no recorded Medicare revenue to compare against. The NPI was enumerated 2017-03-13 (~9 years ago), indicating roughly nine years of active billing under this identifier.

Revenue concentration in Medicaid is high: the precomputed top three Medicaid codes (99213, 99214, 99291) account for 38.6% of the provider's total Medicaid revenue. Those three codes alone include 99213 ($3.8M, 68.6K claims, $56 avg paid/claim, 19.4%), 99214 ($2M, 25.3K claims, $81 avg paid/claim, 10.4%), and 99291 ($1.7M, 10.6K claims, $165 avg paid/claim, 8.8%), so ambulatory E/M and critical care together drive a large share of receipts.

The code mix implies a hybrid operation spanning high-volume outpatient primary care and significant acute/hospital services: very large volumes of established-patient office visits (99213: 68.6K claims; 99214: 25.3K claims) point to extensive ambulatory or primary care panels, while 99291 (10.6K claims) and inpatient subsequent care codes such as 99232 (42.9K claims) show substantial hospital-based critical and inpatient care activity. In addition, strong volumes in preventive and pediatric codes (99391, 99392) and newborn care (99460) indicate integrated preventive and pediatric services alongside obstetric and inpatient work.

The provider ranks as a major statewide participant — and in several measures a dominant outlier — for many Medicaid codes. For example, 99213 ranks #6 of 2476 providers in-state (100th percentile; labeled an extreme outlier, far above typical state volume), 99391 ranks #5 of 296 (99th percentile; extreme outlier), and 90460 ranks #4 of 310 (99th percentile; extreme outlier), signaling volumes that are well above typical peers in Nevada for those services.

Several hospital and obstetric imaging codes also show unusually high volumes relative to state peers, consistent with a system that handles a substantial prenatal/pediatric caseload: 76816 ($1.1M, 11.2K claims) ranks #3 of 52 (96th percentile; notably above typical state volume), 76805 ($563.3K, 4.7K claims) ranks #2 of 72 (99th percentile; extreme outlier), and fetal monitoring 59025 ($398.2K, 18.1K claims) ranks #2 of 86 (99th percentile; extreme outlier). Those standings point to a concentrated maternal–child service line within the Medicaid population.

The provider’s role in preventive and pediatric care is reinforced by high-volume, high-percentile payments for well visits and immunizations: 99391 ($1.5M, 18K claims) and 99392 ($1.1M, 12.3K claims) are both 99th percentile or near it (99391 labeled extreme outlier; 99392 labeled extreme outlier). Combined with 90460 (vaccine administration, $1.3M, 29.5K claims, 99th percentile; extreme outlier) and newborn care 99460 (2.8K claims, $198.7K, rank #2 of 71, 99th percentile; extreme outlier), the profile suggests large-scale pediatric and immunization throughput in the Medicaid population.

While many codes are extreme or notable outliers within Nevada, some high-volume inpatient E/M codes show more typical percentile placement: 99233 ($534.8K, 9.7K claims) ranks #42 of 472 (91st percentile; typical, unremarkable volume) and 99223 ($141.4K, 1K claims) ranks #89 of 434 (80th percentile; typical, unremarkable volume). This mix indicates that the organization’s dominance is most pronounced in outpatient E/M, preventive/pediatric services, and obstetric imaging, while certain inpatient services fall closer to typical peer activity.

From a payer-analytics perspective, the absence of Medicare billing combined with $22M in Medicaid revenue and concentrated reliance on a small set of high-volume E/M and critical-care codes (38.6% from the top three) suggests strategic importance of Medicaid contracting and care-management programs. Analysts evaluating reimbursement risk, network strategy, or capacity planning should treat this provider as a large Medicaid-serving entity with significant outpatient primary care, maternal–child, and acute-care footprints in Nevada rather than as a mixed Medicare/Medicaid operator.

Medicaid: Complete Services Breakdown

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

194 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…	68,590	$60	$3.8M
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…	25,310	$80	$2M
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…	10,580	$170	$1.7M
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…	42,870	$40	$1.7M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	18,050	$80	$1.5M
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.	29,460	$40	$1.3M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,350	$90	$1.1M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	11,190	$100	$1.1M
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	7,360	$110	$779.6K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	4,730	$120	$563.3K

Showing 1–10 of 194

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

Unlv Medicine — 16 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

194 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	38	50	2,770	$150	$6.7M
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.	356	400	200	$90	$442.5K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	3	30	410	$110	$350.1K
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…	5	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.	54	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…	42	470	380	$70	$281.2K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	2	10	320	$740	$238.3K
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…	18	430	500	$40	$214.4K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	3	20	110	$160	$199.9K
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…	89	430	180	$130	$158K

Showing 1–10 of 194

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eisenhower Medical Center	CA	General Acute Care Hospital	$0	$98M
Unlv Medicine	NV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.4M
Unlv Medicine	NV	Community/Behavioral Health Agency	$0	$8.3M
Bachir Younes	CA	Infectious Disease Physician	$2.5M	$0
Lubritz & Nasri, PLLC	NV	Otolaryngology/Facial Plastic Surgery Physician	$0	$2.3M
Caleb Ng	CA	Retina Specialist (Ophthalmology) Physician	$2.2M	$21K
Keisha Baldeosingh	CA	Gastroenterology Physician	$74.3K	$1.7M
Manas Agastya	NV	Internal Medicine Physician	$1.6M	$430
Trevor Derderian	CA	Vascular Surgery Physician	$1.3M	$0
Peter Greenberg	CA	Radiation Oncology Physician	$1.2M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Center Of Southern Nevada	NV	General Acute Care Hospital	$0	$95.5M
Pioneer Health Care LLC	NV	Internal Medicine Physician	$0	$12.2M
New Hope Placement, LLC	NV	Community/Behavioral Health Agency	$0	$11.1M
Coppel Medical Enterprise LLC	NV	Pain Medicine (Anesthesiology) Physician	$0	$10.4M
Coppel Surgical Solutions	NV	Ambulatory Surgical Clinic/Center	$664.2K	$8.1M
Golden Years Personal Care LLC	NV	In Home Supportive Care Agency	$0	$8M
A-team Personal Care, LLC	NV	In Home Supportive Care Agency	$0	$7.9M
West Las Vegas Surgery Center,llc	NV	Ambulatory Surgical Clinic/Center	$1.2M	$6M
At Home Caregivers, LLC	NV	In Home Supportive Care Agency	$0	$7M
Aa Personal Care LLC	NV	Home Health Agency	$0	$6.8M

Unlv Medicine — Billing Profile & Reimbursement Data

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Unlv Medicine — 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