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.

Clinica Medica Del Pueblo (NPI 1619110350)

Clinica Medica Del Pueblo is a family medicine physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 77 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	Clinica Medica Del Pueblo
Address	216 N Lamb Blvd
City	Las Vegas
State	NV
ZIP	89110
Taxonomy	Family Medicine Physician
NPI Enumerated	April 10, 2009

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

77 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…	19,080	$40	$839.6K
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…	5,090	$50	$249.3K
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…	3,440	$60	$203.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,750	$100	$179.7K
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…	1,600	$60	$100.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1,430	$50	$71.6K
Q3014	Telehealth originating site facility fee	2,740	$20	$49.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	410	$110	$45.5K
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…	2,210	$10	$19.9K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	180	$100	$18.5K

Showing 1–10 of 77

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

Clinica Medica Del Pueblo — 1 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	63	470	380	$70	$281.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	65	430	180	$130	$158K
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…	274	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…	64	2,480	330	$50	$107.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	36	230	160	$70	$99.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	207	220	130	$80	$57K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	177	210	640	$10	$54.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	84	90	290	$20	$51.8K
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…	66	860	100	$70	$42.9K
Q3014	Telehealth originating site facility fee	92	390	670	$20	$42.6K

Showing 1–10 of 77

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justo Sataray	NV	Family Medicine Physician	$83.7K	$172.8K
Adrian Castillo Milanes	NV	Family Nurse Practitioner	$950	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fresenius Medical Care Ne Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.6M
Rachna Gupta	NV	Ophthalmology Physician	$35.3K	$4.2M
Pioneer Pediatrics Inc	NV	Pediatrics Physician	$0	$3.7M
Ferdowsian Global Services PLLC	NV	Clinic/Center	$0	$3.2M
First Dentists LLC	NV	Dentist	$0	$2.1M
University Medical Center Of Southern Nevada	NV	Urgent Care Clinic/Center	$0	$1.5M
Self Sufficiency Behavioral Health LLC	NV	Community/Behavioral Health Agency	$0	$1.4M
William Derek Richardson	NV	Physical Therapist	$70.7K	$8.9K
Wayne Dunetz	NV	Foot & Ankle Surgery Podiatrist	$53.6K	$5.1K
David Davis	NV	Optometrist	$19K	$0

Clinica Medica Del Pueblo — Billing Profile & Reimbursement Data

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Clinica Medica Del Pueblo — 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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