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.

Guadalupe Medical Center/okamoto Md PC (NPI 1598703506)

Guadalupe Medical Center/okamoto Md PC is a general practice physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 62 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	Guadalupe Medical Center/okamoto Md PC
Address	1219 E Charleston Blvd
City	Las Vegas
State	NV
ZIP	89104
Taxonomy	General Practice Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

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

62 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…	44,090	$60	$2.5M
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…	5,410	$60	$335.3K
99203	The provider sees a new 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 provider…	3,150	$90	$280.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,300	$110	$138.9K
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.	3,220	$40	$122.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	2,320	$50	$120.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	730	$110	$82K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	610	$110	$65.9K
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…	5,160	$10	$62K
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…	2,460	$20	$51.7K

Showing 1–10 of 62

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

Guadalupe Medical Center/okamoto Md PC — 7 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	192	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…	18	2,480	330	$50	$107.6K
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.	60	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.	81	270	170	$80	$70.6K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	50	90	80	$70	$60.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	34	220	130	$80	$57K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	36	40	80	$60	$48.6K
99203	The provider sees a new 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 provider…	27	860	100	$70	$42.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	15	130	70	$90	$34.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	55	250	320	$10	$29.2K

Showing 1–10 of 62

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dd Personal Care LLC	NV	In Home Supportive Care Agency	$0	$12.7M
Hhcsn Inc.	NV	In Home Supportive Care Agency	$0	$10.6M
Unlv Medicine	NV	Community/Behavioral Health Agency	$0	$8.3M
Tottori Allergy & Asthma Associates PC	NV	Allergy & Immunology Physician	$0	$7.2M
Alfa Homecare, LLC	NV	Home Health Agency	$0	$6.8M
New Hope Personal Care LLC	NV	In Home Supportive Care Agency	$0	$6.2M
Hhcsn Inc.	NV	In Home Supportive Care Agency	$0	$6.2M
Richard F. Weiner, Md PC	NV	Pediatrics Physician	$0	$5.8M
Adult Day Care Of Las Vegas	NV	Health Maintenance Organization	$0	$4.5M
Cielo Vista Senior Day Care LLC	NV	Adult Day Care Clinic/Center	$0	$4.3M

Guadalupe Medical Center/okamoto Md PC — Billing Profile & Reimbursement Data

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Guadalupe Medical Center/okamoto Md PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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