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.

Southern Hills Medical Center, LLC (NPI 1457306359)

Field	Value
Entity Type	Organization
Organization	Southern Hills Medical Center, LLC
Address	9300 W Sunset Rd
City	Las Vegas
State	NV
ZIP	89148
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$19.8M
Medicare	$0

Key Findings

Provider payer mix is effectively single‑payer: there is no Medicare billing on file while Total Medicaid revenue is $19.8M, so Medicaid drives the provider’s entire reported federal-program revenue base. That concentration means analyses of volume and financial performance should focus on Medicaid-coded activity rather than split Medicare/Medicaid comparisons.

Revenue is highly concentrated in a small set of emergency and observation services: the precomputed top 3 Medicaid codes account for 55.6% of this provider’s total Medicaid revenue, led by 99283 ($4M, 23.0%), 99284 ($3.5M, 20.0%), and G0378 ($2.2M, 12.5%). This concentration indicates that a majority of Medicaid dollars are tied to a narrow set of acute care encounter types rather than a broad mix of outpatient or procedural lines.

The code mix indicates a high-volume emergency department and acute care throughput: 99283 shows 53.2K claims ($75 avg paid/claim) and 99284 shows 39.9K claims ($87 avg paid/claim), and the hospital also reports substantial counts for 99285, 99282, and 99281. These volumes, together with frequent IV/infusion administration codes (96374: 24.3K claims; 96361: 14.5K claims; 96372: 12.2K claims), point to an ED-centric operation with frequent medication administration and short-stay care.

G0378 (Hospital observation service, per hour) appears as a top revenue driver with 13.4K claims and $162 avg paid/claim generating $2.2M in revenue and ranks #12 of 38 in-state (70th percentile). The prominence of G0378 alongside high ED E/M volumes suggests an active observation unit or prolonged ED observation practice that captures a material share of Medicaid revenue.

Competitive standing within the state is strong for core ED codes: 99283 ranks #9 of 390 providers in-state (98th percentile) and 99284 ranks #16 of 398 (96th percentile), both described as "notably above typical state volume." These rank/percentile positions characterize SOUTHERN HILLS MEDICAL CENTER, LLC as a major regional provider for ED-level care under Medicaid for those specific service lines.

Beyond ED and observation, the hospital also generates meaningful revenue from non-ED services that support acute care throughput: 41899 (dental/related alveolar procedures) accounts for $1.1M (6.4% of Medicaid revenue) and ranks #6 of 24 (78th percentile), while CT imaging codes such as 74177 ($839.5K, 4.8%) and 71275 ($285.1K, 1.6%) indicate sizable diagnostic imaging activity tied to acute presentations. The presence of dental procedure revenue at scale is notable for a general acute care hospital and may reflect ED‑to‑OR/dental service workflows or trauma-related dental care.

High laboratory and basic imaging claim volumes point to substantial diagnostic throughput supporting the acute-care volume: lab panels like 80053 (31.3K claims) and 80048 (20.7K claims), a high count of basic chest x‑rays 71045 (19.1K claims), and a relatively large volume of point-of-care or instrumented drug screening 80307 (6.1K claims) are all present. These ancillary volumes are consistent with a busy ED/observation facility that processes large numbers of short‑stay Medicaid patients and relies on rapid diagnostics.

The provider has an established NPI tenure (enumerated 2006-05-23, ~20 years ago), indicating long-standing participation in Medicaid billing. That longevity combined with the current single‑payer (Medicaid-only) revenue profile suggests organizational experience in Medicaid workflows but also exposes the provider to payer-concentration risk if Medicaid policy or rates change.

Medicaid: Complete Services Breakdown

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

215 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	53,170	$80	$4M
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.	39,910	$90	$3.5M
G0378	Hospital observation service, per hour	13,380	$160	$2.2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,470	$750	$1.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,940	$120	$839.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	9,820	$90	$834.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	24,340	$30	$657.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,150	$70	$631.4K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	3,420	$150	$502K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	14,550	$30	$465.5K

Showing 1–10 of 215

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

Southern Hills Medical Center, LLC — 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

215 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	20	470	$640	$1.5M
G0378	Hospital observation service, per hour	12	40	4,770	$110	$1.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	37	350	240	$110	$685.4K
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.	16	400	200	$90	$442.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	17	140	210	$140	$421K
97530	The 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.	258	310	680	$50	$373.3K
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.	9	390	200	$60	$289.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	17	60	330	$150	$250.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	30	50	120	$240	$209.3K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	22	100	120	$110	$195.8K

Showing 1–10 of 215

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southern Hills Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Hills Medical Center, LLC	NV	General Acute Care Hospital	$0	$2.6M

Nearby Providers

Other providers in the same ZIP code as Southern Hills Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women's Health Associates Of Southern Nevada- Martin, PLLC	NV	Obstetrics & Gynecology Physician	$0	$22.7M
Adashek And Wilkes LLP	NV	Maternal & Fetal Medicine Physician	$0	$16.7M
Eid Nevada Critical Care PLLC	NV	Critical Care Medicine (Internal Medicine) Physician	$0	$16.2M
Therapy Blocks L.L.C.	NV	Occupational Therapist	$0	$15.2M
Kevin Bernstein Md LLC	NV	Geriatric Psychiatry Physician	$0	$7.5M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$4.8M
Innovative Care Physicians	NV	Internal Medicine Physician	$0	$4.5M
Dmytro Bond	NV	Pediatrics Physician	$0	$3.7M
The Speech House LLC	NV	Speech-Language Pathologist	$0	$3.7M
The Aac Speech Clinic, LLC	NV	Speech-Language Pathologist	$0	$3.4M

Southern Hills Medical Center, LLC — Billing Profile & Reimbursement Data

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Southern Hills Medical Center, LLC — 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