Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPriscilla Flores
    Ask Trek AI about this page

    Priscilla Flores — Billing Profile & Reimbursement Data

    NPI 1427503853 · Las Vegas, NV · Occupational Therapist

    Customize your policy alerts

    Sign up for Priscilla Flores — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Priscilla Flores is a occupational therapist provider located in Las Vegas, Nevada. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPriscilla Flores
    Address5085 Wild Creek Falls Way
    CityLas Vegas
    StateNV
    ZIP89141
    TaxonomyOccupational Therapist
    NPI EnumeratedAugust 15, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$67.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.950$20$21.9K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.950$20$18.1K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…110$60$6.1K
    92526The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.60$70$3.8K
    97167The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…50$70$3.4K
    97166The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…40$80$2.9K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…160$20$2.9K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…40$80$2.9K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.10$180$2.2K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…110$20$2.1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    925071010270$60$22.1K
    92526810240$60$19.3K
    97110540680460$20$16.1K
    9753089520370$20$15.1K
    97112368480310$20$10.3K
    9252381030$170$9.8K
    9261071070$60$3.4K
    97535314050$20$2.9K
    97165134030$80$2.3K
    9716633020$70$2.1K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Priscilla Flores, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elcin ZanNYNuclear Imaging & Therapy Physician$842.2K$1.1K
    Dylan WintNVPsychiatry Physician$407.4K$0
    Zoltan MariNVNeurology Physician$275.7K$0
    Virginia HillOHDiagnostic Radiology Physician$75.9K$193.1K
    Odinachi OguhNVNeurology Physician$222.6K$0
    Paresh MahajanFLDiagnostic Radiology Physician$164K$0
    Guiyun WuTNNuclear Medicine Physician$130.5K$0
    Matthew KiczekMDDiagnostic Radiology Physician$110.7K$0
    Todd EmchOHDiagnostic Radiology Physician$108.3K$0
    Volodymyr StatsevychOHDiagnostic Radiology Physician$107.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Priscilla Flores, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Debbie Tilton Otrl IncNVOccupational Therapist$0$5.7M
    Matters Of The Mind LLCNVCommunity/Behavioral Health Agency$0$2.9M
    Powerful Minds Mental Health LLCNVMental Health Clinic/Center (Including Community Mental Health Center)$0$2.1M
    Tiltons Therapy IncNVOccupational Therapist$0$1.5M
    Southwestern Health Solution LLCNVIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$1.5M
    Divine Healthcare Solutions LLCNVPsychiatric/Mental Health Nurse Practitioner$0$1.4M
    Brighter Development Behavorial Health ServicesNVMental Illness Community Based Residential Treatment Facility$0$1.3M
    Behzad KermaniNVInternal Medicine Physician$73.4K$502.6K
    Thomas HaNVOptometrist$25.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Nevada Distribution
    Priscilla Flores — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada