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.

William Neal Evans Md Ltd (NPI 1548240443)

Key Findings

Field	Value
Entity Type	Organization
Organization	William Neal Evans Md Ltd
Address	3131 La Canada St Ste 230
City	Las Vegas
State	NV
ZIP	89169
Taxonomy	Pediatric Cardiology Physician
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

WILLIAM NEAL EVANS MD LTD is effectively a single‑payer Medicaid practice: there is no Medicare billing on file while lifetime Medicaid revenue totals $25.7M, indicating the provider’s patient panel and reimbursement volume are concentrated in Medicaid. The absence of Medicare activity suggests the provider either does not serve Medicare-aged beneficiaries or bills them under a different entity/NPI.

Revenue concentration is high: the precomputed top three Medicaid codes account for 58.1% of total Medicaid revenue, signaling dependence on a small set of high-volume cardiology services. Those dominant codes (93303, 93306, 99214) combine imaging-heavy echocardiography and moderate-complexity office E/M visits, concentrating margin and operational risk in a narrow service mix.

The top Medicaid revenue driver is 93303 (complete transthoracic echocardiography) with $6.2M (23.9% of total Medicaid revenue) and 41.8K claims; this code ranks #1 of 14 in-state and is labeled an extreme outlier, which positions the provider as a statewide leader in complete transthoracic echo volume for pediatric/congenital heart evaluations. High volume and top rank for 93303 suggest substantial echocardiography capacity (equipment, sonographers/tech time) and a referral footprint that supports repeated diagnostic imaging.

93306 (complete 2D transthoracic echocardiography) is another major revenue source at $5.5M (21.4% of Medicaid revenue) and 27.8K claims; it ranks #3 of 174 in-state and is also an extreme outlier. The pair of high-volume echo codes (93303 and 93306) indicate the practice operates as a high-throughput pediatric cardiology imaging center, likely handling large numbers of congenital heart patients requiring serial and comprehensive echo assessments.

99214 (office established patient E/M, moderate complexity) generates $3.3M (12.9% of Medicaid revenue) across 34.1K claims and ranks #21 of 2254 in-state (99th percentile; extreme outlier). The strong volume of mid-level E/M visits alongside echo services suggests the provider blends diagnostic imaging with substantial ambulatory management and follow-up care, supporting longitudinal cardiology practice rather than imaging-only throughput.

Several additional consultation and inpatient consult codes (99244, 99254, 99255) each rank at or near the top of in-state peers and together contribute materially to revenue (e.g., 99244 $3M, 11.5%; 99254 $1.3M, 4.9%), indicating the provider performs high-volume specialty consultations and inpatient consults in addition to outpatient imaging. These high ranks are described as extreme outlier (for several codes) or top state performer, reinforcing the provider’s dominant market position for pediatric cardiology consultations in Nevada.

Operational footprint is broad: multiple procedure codes tied to cardiac testing and monitoring (93000, 93320, 93325, 93321, 93224) show very large claim counts (e.g., 93000 56.2K claims; 93320 43.8K claims), with many of these codes ranked #1 in-state as extreme outliers. This pattern supports the conclusion that the practice has high throughput across ECGs, Doppler, and echo services and likely owns or controls substantial diagnostic capacity and technical staff to process large volumes.

Provider tenure is long: the NPI was enumerated on 2006-01-18 (~20 years ago), which indicates long-standing presence in the market and helps explain the buildup of referral relationships and the high rank/outlier volumes observed across multiple Medicaid codes. This longevity reinforces the interpretation of entrenched state-level market leadership in pediatric cardiology imaging and consultations.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	41,840	$150	$6.2M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	27,760	$200	$5.5M
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…	34,120	$100	$3.3M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	16,800	$180	$3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20,980	$90	$2M
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	43,790	$40	$1.5M
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	7,980	$160	$1.3M
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	56,200	$20	$899.2K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	46,640	$10	$653K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	3,230	$120	$400.8K

Showing 1–10 of 25

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

William Neal Evans Md Ltd — 11 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	1	10	330	$150	$495.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	22	470	380	$70	$281.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	121	430	500	$40	$214.4K
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…	21	2,250	290	$60	$138K
93304	The provider performs a limited or follow–up transthoracic echocardiography to obtain images of the heart through the chest wall in patients born with heart defects. It is a limited examination of a…	1	10	930	$140	$132.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	3	170	180	$80	$120.5K
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…	315	2,480	330	$50	$107.6K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	1	20	340	$30	$100.8K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	1	80	80	$150	$91.2K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	1	50	50	$140	$43.6K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Evans	NV	Pediatric Cardiology Physician	$11K	$1M
Abraham Rothman	NV	Pediatric Cardiology Physician	$7.3K	$63.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc,	NV	Home Health Agency	$0	$31.3M
Bio-medical Applications Of Nevada, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14M
Allison Curtis Kingsley Meoz Michael & Sanchez PC	NV	Hematology & Oncology Physician	$0	$13.4M
Firstmed Health And Wellness Center Inc	NV	Federally Qualified Health Center (FQHC)	$0	$13.1M
Nkdhc Rudnitsky PLLC	NV	Nephrology Physician	$0	$9.2M
Lsa Lab LLC	NV	Clinical Medical Laboratory	$97.3K	$8.5M
Assurance Professional Management Services Inc.	NV	Addiction (Substance Use Disorder) Counselor	$0	$6.9M
Paradise Healthcare Services, Inc. Dba Paradise Home Care	NV	In Home Supportive Care Agency	$0	$6.8M
Veras Home & Health Care LLC	NV	Personal Care Attendant	$0	$6M
Sunrise Mountainview Multispecialty Clinics, LLC	NV	Neurology Physician	$0	$4.7M

William Neal Evans Md Ltd — 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