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.

University Medical Center Of Southern Nevada (NPI 1548393127)

Key Findings

Field	Value
Entity Type	Organization
Organization	University Medical Center Of Southern Nevada
Address	1800 W. Charleston Blvd.
City	Las Vegas
State	NV
ZIP	89102
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$95.5M
Medicare	$0

This provider is effectively a single‑payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $95.5M. That concentration exposes the provider’s revenue profile to Medicaid policy and reimbursement changes rather than the dual risk pool dynamics seen at mixed‑payer hospitals.

Revenue is materially concentrated in a small set of evaluation-and-management codes: the precomputed top‑3 Medicaid codes account for 34.4% of this provider’s total Medicaid revenue, and those high‑revenue codes are dominated by emergency and outpatient E/M services (notably 99284, 99285, and 99213). This concentration indicates the hospital’s core revenue drivers are acute and ambulatory patient encounters rather than elective procedural lines.

Emergency department and high‑acuity ED care are major service lines. 99284 ($8.5M, 11.7% of Medicaid revenue) ranks #3 of 398 in‑state (99th percentile; extreme outlier, far above typical state volume) and 99285 ($8.4M, 11.6%) ranks #5 of 352 (99th percentile; notably above typical state volume), showing exceptionally large ED volumes and high‑acuity case mix relative to peers.

Outpatient and primary E/M volume is also oversized compared with in‑state peers: 99213 ($8.1M, 11.2%) ranks #1 of 2476 providers in the state (100th percentile; extreme outlier, far above typical state volume). This suggests substantial ambulatory follow‑up and established‑patient throughput in clinic settings tied to the hospital’s system.

Diagnostic testing and imaging represent a significant revenue stream and operational footprint. U0003 (COVID testing) generated $7.1M (9.8% of Medicaid revenue) and ranks #2 of 60 in‑state (98th percentile; extreme outlier), while CT imaging codes such as 74177 ($4.9M, 6.8%) and 70450 ($2.5M, 3.4%) also appear among top revenue drivers, indicating high laboratory and radiology throughput tied to ED and inpatient evaluation.

Hospital observation and short‑stay services are material to the business model: G0378 (hospital observation, per hour) produced $5M (6.9% of Medicaid revenue) and ranks #1 of 38 in the state (100th percentile; extreme outlier), pointing to routine use of observation care pathways for ED dispositions and inpatient avoidance.

Many of the provider’s high‑revenue CPT/HCPCS codes are statistical outliers in‑state across multiple service categories. Multiple top codes (including 99284, 99283, 99202, 99213, 96374, 99070, and others) are labeled as extreme outliers or at the 100th percentile, which characterizes the hospital as a dominant volume leader in Nevada for emergency, outpatient E/M, ancillary supply, and infusion billing.

The provider has an established operational tenure: the NPI was enumerated on 2007-03-13 (~19 years ago). Coupled with the large Medicaid volumes and frequent #1–#5 statewide ranks, this tenure and scale are consistent with a long‑standing, high‑capacity regional acute care center with heavy ED, observation, and diagnostic service lines.

Medicaid: Complete Services Breakdown

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

528 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	104,750	$80	$8.5M
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.	85,600	$100	$8.4M
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…	162,060	$50	$8.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	122,930	$60	$7.1M
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.	126,420	$50	$6.3M
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…	72,270	$70	$5.2M
G0378	Hospital observation service, per hour	85,900	$60	$5M
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.	26,260	$190	$4.9M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	36,990	$70	$2.5M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	34,440	$60	$2M

Showing 1–10 of 528

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

University Medical Center Of Southern Nevada — 20 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

528 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	48	50	43,690	$60	$3.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	26	30	660	$210	$2.3M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	2	10	60	$330	$1.3M
G0378	Hospital observation service, per hour	1	40	4,770	$110	$1.2M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	2	10	60	$340	$761.8K
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.	5	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.	3	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.	3	140	210	$140	$421K
J0485	Injection, belatacept, 1 mg	1	10	1,890	$200	$380.3K
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.	91	310	680	$50	$373.3K

Showing 1–10 of 528

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unlv Medicine	NV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.4M
Unlv Medicine	NV	Internal Medicine Physician	$0	$22M
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

University Medical Center Of Southern Nevada — 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