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.

Desert Pulmonary Rehabilitation And Diagnostics LLC (NPI 1447650486)

Desert Pulmonary Rehabilitation And Diagnostics LLC is a certified respiratory therapist provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 11 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	Desert Pulmonary Rehabilitation And Diagnostics LLC
Address	2980 S Jones Blvd Ste C
City	Las Vegas
State	NV
ZIP	89146
Taxonomy	Certified Respiratory Therapist
NPI Enumerated	August 27, 2014

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
94014	This procedure requires the patient to perform spirometry at a predetermined time each day. The patient records the spirometry findings over a period of 30 days and includes spirometric tracing, data…	21,240	$40	$934.6K
94618	The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.	25,270	$30	$707.6K
94667	The provider performs chest physical therapy using manual methods to mobilize the patient’s lung secretions.	29,690	$20	$653.1K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	25,890	$20	$414.2K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	27,010	$10	$297.1K
94016	This procedure requires the patient to perform spirometry at a predetermined time each day. The recording is performed over a period of 30 days. This code represents the professional component of the…	12,990	$20	$207.8K
94015	This procedure requires the patient to perform spirometry at a predetermined time each day. The patient records the spirometry findings over a period of 30 days and includes hook–up of spirometer,…	8,380	$20	$142.5K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	1,720	$30	$44.8K
94150	In this test the provider measures the total vital capacity of the patient. Vital capacity is the volume of gas that the patient can expel from the lungs from a position of full inspiration.	170	$0	$0
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	160	$0	$0

Showing 1–10 of 11

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

Desert Pulmonary Rehabilitation And Diagnostics LLC — 7 of 8 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
94014	This procedure requires the patient to perform spirometry at a predetermined time each day. The patient records the spirometry findings over a period of 30 days and includes spirometric tracing, data…	1	10	1,630	$40	$329.8K
94618	The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.	1	10	220	$30	$116.2K
94015	This procedure requires the patient to perform spirometry at a predetermined time each day. The patient records the spirometry findings over a period of 30 days and includes hook–up of spirometer,…	1	10	5,170	$20	$82.7K
94667	The provider performs chest physical therapy using manual methods to mobilize the patient’s lung secretions.	1	20	140	$20	$46.1K
94016	This procedure requires the patient to perform spirometry at a predetermined time each day. The recording is performed over a period of 30 days. This code represents the professional component of the…	1	10	240	$20	$43.1K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	10	80	140	$20	$20.9K
94150	In this test the provider measures the total vital capacity of the patient. Vital capacity is the volume of gas that the patient can expel from the lungs from a position of full inspiration.	5	10	150	$10	$17.9K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	1	140	140	$10	$13.7K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	1	50	110	$10	$11.9K
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	1	10	50	$10	$420

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$545.3M
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$129.8M
My Left Foot Children's Therapy	NV	Pediatric Occupational Therapist	$0	$41.8M
Nv St Dv Mh Ds So Nv Mr Svcs	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.6M
Didc Inc.	NV	In Home Supportive Care Agency	$0	$16.2M
State Of Nevada	NV	Case Management Agency	$0	$14M
Above The Rest Home Care Inc.	NV	In Home Supportive Care Agency	$0	$12.3M
Silver Town Incorporated	NV	Adult Day Care Clinic/Center	$0	$12.3M
Eugene Rosenman, Md Ltd	NV	Psychiatry Physician	$0	$12.2M
Nephrology & Endocrine Associates Inc	NV	Nephrology Physician	$0	$11.7M

Desert Pulmonary Rehabilitation And Diagnostics LLC — Billing Profile & Reimbursement Data

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Desert Pulmonary Rehabilitation And Diagnostics LLC — 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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