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 1538694575)

Field	Value
Entity Type	Organization
Organization	Unlv Medicine
Address	3016 W Charleston Blvd Ste 100
City	Las Vegas
State	NV
ZIP	89102
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 27, 2017

Payer Source	Total Paid
Medicaid	$31.4M
Medicare	$0

Key Findings

UNLV MEDICINE (LAS VEGAS, NV) is registered under the Mental Health Clinic/Center taxonomy and has been enumerated since 2017-04-27 (~9 years ago), indicating several years of operational history in the state behavioral health market. The NPI tenure supports assessment of medium-term billing patterns rather than a startup or transient filer.

This provider has no Medicare billing on file (none (no Medicare billing on file)) and reports $31.4M in lifetime Medicaid revenue, making its publicly visible payer footprint effectively single-payer with Medicaid as the sole recorded source of federal program revenue. Analysts should treat comparisons that rely on Medicare activity as inapplicable for this entity.

Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, and in practice a single code — T1017 — accounts for $31.4M (100.0% of this provider's total Medicaid revenue). This extreme concentration means the provider’s Medicaid performance is driven almost entirely by activity tied to that one service type.

The billed service mix centers on T1017 (Targeted case management, each 15 minutes), with 468K claims and a $67 avg paid/claim, which signals an operational emphasis on high-volume targeted case management and care-coordination activities typical of community mental health centers rather than low-volume, high-intensity procedural billing. The code-level profile aligns with a programmatic focus on case management services delivered in frequent, short units of service.

On competitive standing within Nevada for T1017, UNLV MEDICINE ranks #2 of 50 providers and sits in the 98th percentile, described in the source data as an "extreme outlier, far above typical state volume for this code." This ranking identifies the provider as a major statewide participant for targeted case management, far exceeding the typical in-state peer volume for this service.

The combination of 468K claims and $31.4M of Medicaid revenue driven entirely by T1017 creates material operational and reimbursement concentration risk; any changes to T1017 coverage policy, rate-setting, prior authorization, or program enrollment could substantially affect overall revenue. For payer/provider analysts, this concentration should flag the need to monitor policy changes, utilization controls, and eligibility shifts tied to case management programs.

Strategically, the data suggest UNLV MEDICINE functions as a large-scale case management hub in Nevada’s Medicaid system rather than a diversified clinical billing entity: the provider’s role appears oriented to care coordination and community-based mental health supports. For network planning and contract negotiations, this profile implies value in contracting for case management capacity but a limited role for other outpatient or Medicare-aligned services.

Data limitations and interpretation notes: the provider has no Medicare claims on file so cross-payer comparisons are not possible, and the precomputed summary indicates the top-3 Medicaid codes aggregate to 100.0%, leaving little granular diversity in the public code-level revenue breakdown. Analysts should corroborate this billing concentration with program-level documents or state Medicaid enrollment/contract data if assessing long-term network reliance or payment reform impacts.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	467,970	$70	$31.4M

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 — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	2	50	2,770	$150	$6.7M

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unlv Medicine	NV	Internal Medicine Physician	$0	$22M
Unlv Medicine	NV	Community/Behavioral Health Agency	$0	$8.3M
Manas Agastya	NV	Internal Medicine Physician	$1.6M	$430
Ram Singh	NV	Interventional Cardiology Physician	$258.1K	$93.3K
Amish Prasad	NV	Cardiovascular Disease Physician	$287K	$42.9K
Jonathan Wirjo	NV	Psychiatry Physician	$159.2K	$49.9K
Kathleen Benson	NV	Interventional Cardiology Physician	$121.8K	$77.2K
Ali Kia	NV	Internal Medicine Physician	$48.2K	$90K
Hidenobu Shigemitsu	NV	Pulmonary Disease Physician	$126K	$0
Birjees Ahmed	NV	Internal Medicine Physician	$101.5K	$0

Nearby Providers

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

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