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.

Shoshone-paiute Tribes (NPI 1528230224)

Field	Value
Entity Type	Organization
Organization	Shoshone-paiute Tribes
Address	1623 Hospital Loop
City	Owyhee
State	NV
ZIP	89832
Taxonomy	Clinic/Center
NPI Enumerated	April 2, 2008

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

Key Findings

SHOSHONE-PAIUTE TRIBES is effectively a Medicaid-only billing entity in the available data: there is no Medicare billing on file and the provider reports $16.9M in total Medicaid revenue. Its provider taxonomy is Clinic/Center and the enrollment record shows an NPI enumerated on 2008-04-02 (~18 years ago), indicating multi-year operational tenure at the clinic level.

Revenue is extremely concentrated in a single Medicaid code: T1015 (Clinic visit/encounter, all-inclusive) accounts for $16.9M in revenue and represents 99.9% of this provider's total Medicaid revenue. The platform’s precomputed top-3 share for this provider is 100.0%, underscoring that nearly all Medicaid reimbursement is derived from bundled clinic visit encounters rather than a diverse mix of procedure-level billing.

The T1015 volume profile shows 32.6K claims with an average paid per claim of $517, and the provider ranks #9 of 58 in-state for T1015 (86th percentile; described as typical, unremarkable volume). This rank indicates the clinic operates at a higher-than-median scale among similar in-state clinics for bundled clinic visit billing, but the descriptive label signals the volume is not flagged as an exceptional outlier.

Other standalone E/M codes contribute negligible Medicaid revenue relative to T1015: 99213 generated 656 claims and $8.5K in revenue ($13 avg paid/claim) while 99214 generated 43 claims and $860 in revenue ($20 avg paid/claim). These small amounts suggest the practice predominantly bills under the all-inclusive clinic encounter code rather than itemizing office E/M services separately.

Several codes show frequent claim activity but little or no paid value, which may reflect zero-paid encounter lines or cost-center reporting practices: 99211 has 196 claims with $0 avg paid/claim and $0 revenue, and 0011A has 12 claims with $0 avg paid/claim and $0 revenue. These zero-payment lines are material to understanding the clinic’s billing profile because they appear on the claim mix even though they do not drive revenue.

Competitive standing across the Medicaid landscape is mixed: while T1015 places the provider in the 86th percentile among 58 peers—making it a relatively prominent state-level participant for that bundled clinic service—other E/M codes rank much lower (for example, 99213 ranks #901 of 2476 in-state, 64th percentile; 99214 ranks #1861 of 2254 in-state, 17th percentile). This pattern indicates the clinic is competitive for all-inclusive clinic encounters but a modest or typical participant on disaggregated E/M billing.

Business/service-line implications are clear: the dominance of T1015 aligns with a clinic model focused on comprehensive, bundled outpatient encounters rather than fee-for-service E/M intensity. For payers and network planners, this suggests the site functions as a primary access point for ambulatory care within its community and that payment-policy changes to bundled clinic encounter valuation would disproportionately impact this provider.

The extreme revenue concentration in a single code (T1015 representing 99.9% and the top three codes totaling 100.0% of Medicaid revenue) creates operational and reimbursement risk concentration: any modifications to Medicaid payment rules, credentialing, or code applicability for bundled clinic visits could materially affect the provider’s financial footing. Analysts should treat this profile as single-code dependent when modeling contract negotiations, rate-setting, or service-line investments.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	32,650	$520	$16.9M
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…	660	$10	$8.5K
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…	40	$20	$860
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$1	$10
0011A	N/A	10	$0	$0
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	200	$0	$0

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

Shoshone-paiute Tribes — 0 of 4 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	9	60	2,970	$320	$4M
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…	1,861	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…	901	2,480	330	$50	$107.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	509	540	130	$30	$28K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	168	310	260	$10	$27.2K
0011A	N/A	100	100	40	$10	$1.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Shoshone-paiute Tribes, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unm Hospital	NM	General Acute Care Hospital	$0	$462.9M
Christopher Malcom	ID	Diagnostic Radiology Physician	$99.6K	$0
John Gambino	OR	Diagnostic Radiology Physician	$25.3K	$0
Ian Greybull	ND	Nurse Practitioner	$11.4K	$0

Shoshone-paiute Tribes — Billing Profile & Reimbursement Data

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Shoshone-paiute Tribes — 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

Frequently Asked Questions

References