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.

Valley Pediatric & Specialty Center (NPI 1568892545)

Valley Pediatric & Specialty Center is a specialist provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Valley Pediatric & Specialty Center
Address	3100 W Charleston Blvd
City	Las Vegas
State	NV
ZIP	89102
Taxonomy	Specialist
NPI Enumerated	November 12, 2013

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	19,370	$60	$1.2M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	7,640	$40	$305.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,270	$100	$229.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,440	$90	$217.1K
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,…	4,310	$40	$150.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,510	$90	$134.3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	5,550	$20	$105.5K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	4,310	$20	$73.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	750	$80	$61.5K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	8,350	$10	$58.5K

Showing 1–10 of 36

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

Valley Pediatric & Specialty Center — 4 of 20 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	63	2,480	330	$50	$107.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	89	300	280	$80	$103.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	63	300	240	$80	$97.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	31	310	410	$40	$95K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	27	270	170	$80	$70.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	17	220	130	$80	$57K
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,…	21	540	130	$30	$28K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	158	360	190	$10	$26.9K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	8	150	250	$20	$18.6K
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	30	80	240	$10	$13.8K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teresita Melocoton	NV	Pediatrics Physician	$0	$2.2M
Anne Lou Espinueva	NV	Nurse Practitioner	$29.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Center Of Southern Nevada	NV	General Acute Care Hospital	$0	$95.5M
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

Valley Pediatric & Specialty Center — Billing Profile & Reimbursement Data

Sign up for Valley Pediatric & Specialty Center — Billing Profile & Reimbursement Data policy alerts

Valley Pediatric & Specialty Center — Billing Profile & Reimbursement Data

Sign up for Valley Pediatric & Specialty Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References