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.

Women's Health Associates Of Southern Nevada- Martin, PLLC (NPI 1598906166)

Key Findings

Field	Value
Entity Type	Organization
Organization	Women's Health Associates Of Southern Nevada- Martin, PLLC
Address	8906 Spanish Ridge Ave Ste 202
City	Las Vegas
State	NV
ZIP	89148
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	March 11, 2009

Payer Source	Total Paid
Medicaid	$22.7M
Medicare	$0

This provider has no Medicare billing on file and is effectively a Medicaid-focused practice, reporting $22.7M in total Medicaid revenue. The absence of Medicare activity and the scale of Medicaid revenue indicate a single-payer concentration of billed services toward Medicaid patients rather than a dual Medicare/Medicaid mix.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 49.3% of this provider's total Medicaid revenue, driven by 99213, 76830, and 99214. This concentration shows that a small set of outpatient evaluation-and-management and ultrasound services generate nearly half of the practice’s Medicaid revenue.

The code mix identifies a full-scope Obstetrics & Gynecology operation: high-volume office visits (99213: $5.6M, 25.7% of Medicaid revenue; 99214: $2.2M, 10.2%) paired with significant prenatal and delivery services (59400 $926.4K; 59514 $329.7K). These E/M and global delivery codes together indicate the practice provides routine outpatient gynecologic care plus substantial obstetric care and deliveries.

Imaging is a core capacity: 76830 (transvaginal ultrasound) alone accounts for $2.9M and 13.5% of Medicaid revenue and ranks #1 of 115 in-state (100th percentile; extreme outlier). Additional ultrasound codes (76856, 76805, 76816, 76817, 76818, 76815) further reflect high in-house scanning volume and diagnostic imaging throughput.

Lab and sexually transmitted infection screening is another major service line: 87491 and 87591 each show ~48K claims and about $1.2M in revenue, and probes/tests such as 87510, 87480, and 87660 each have 52.6K–52.7K claims with roughly $737K revenue apiece. Several of these lab codes rank at or near #1 in-state (for example, 87510 and 87480 are #1 of their peer groups at the 100th percentile), signaling an unusually large STI and gynecologic testing program relative to peers.

The provider’s competitive standing in Nevada is dominant for multiple services: 76830 is ranked #1 of 115 (100th percentile; extreme outlier), 99213 ranks #3 of 2476 (100th percentile; extreme outlier), and multiple lab and procedure codes (87510, 87480, 87660, 99219, 59514, 99459, 81025) are ranked at or near the top of their in-state peer lists. These high ranks and percentiles indicate the practice is a major statewide operator for key women’s health services rather than a modest participant.

Operationally, the mix of very high claim volumes for low-dollar, high-frequency services (e.g., 99213 with 93K claims at $60/claim) together with high-value, lower-frequency obstetric globals (59400 at $1,910/claim) suggests the practice combines a high-throughput clinic model with significant procedural and delivery capacity. That combination likely drives scale in both outpatient visits and ancillary services (ultrasound and lab testing).

The NPI was enumerated on 2009-03-11 (~17 years ago), indicating an established presence in the market; this tenure is consistent with the provider’s developed service lines and the extreme-volume rankings observed across multiple Medicaid codes.

Medicaid: Complete Services Breakdown

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

108 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…	93,010	$60	$5.6M
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	22,350	$130	$2.9M
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…	26,110	$90	$2.2M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	48,330	$20	$1.2M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	48,210	$20	$1.2M
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	490	$1,910	$926.4K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	7,440	$120	$907.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	7,710	$100	$763.4K
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	52,680	$10	$737.5K
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	52,670	$10	$737.3K

Showing 1–10 of 108

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

Women's Health Associates Of Southern Nevada- Martin, PLLC — 18 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

108 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	5	30	410	$110	$350.1K
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.	343	390	200	$60	$289.8K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	2	20	40	$1,820	$210.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	62	150	1,440	$20	$193.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4	50	230	$110	$144.9K
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	2,250	290	$60	$138K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	35	40	80	$110	$136.6K
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…	3	2,480	330	$50	$107.6K
59510	In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…	2	10	40	$1,650	$94K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	3	40	130	$10	$89.5K

Showing 1–10 of 108

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamie Shutter	NV	Anatomic Pathology & Clinical Pathology Physician	$582.7K	$0
Sheldon Paul	NV	Obstetrics & Gynecology Physician	$28.1K	$240.1K
Donna Miller	NV	Obstetrics & Gynecology Physician	$15.4K	$239.5K
Irwin Glassman	NV	Obstetrics & Gynecology Physician	$12.9K	$48.6K
Guita Tabassi	NV	Obstetrics & Gynecology Physician	$5.2K	$50.9K
Alexander Lee	WA	Family Medicine Physician	$44.7K	$0
Megan Hyla	NV	Physician Assistant	$5.2K	$27.5K
John Kelley	NV	Obstetrics & Gynecology Physician	$5.2K	$27K
Christina Nguyen	NV	Obstetrics & Gynecology Physician	$4.8K	$25.6K
Lisa Roberts	NV	Obstetrics & Gynecology Physician	$11.2K	$14.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Hills Medical Center, LLC	NV	General Acute Care Hospital	$0	$19.8M
Adashek And Wilkes LLP	NV	Maternal & Fetal Medicine Physician	$0	$16.7M
Eid Nevada Critical Care PLLC	NV	Critical Care Medicine (Internal Medicine) Physician	$0	$16.2M
Therapy Blocks L.L.C.	NV	Occupational Therapist	$0	$15.2M
Kevin Bernstein Md LLC	NV	Geriatric Psychiatry Physician	$0	$7.5M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$4.8M
Innovative Care Physicians	NV	Internal Medicine Physician	$0	$4.5M
Dmytro Bond	NV	Pediatrics Physician	$0	$3.7M
The Speech House LLC	NV	Speech-Language Pathologist	$0	$3.7M
The Aac Speech Clinic, LLC	NV	Speech-Language Pathologist	$0	$3.4M

Women's Health Associates Of Southern Nevada- Martin, PLLC — 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