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.

Emerald Medical Center LLC (NPI 1679169767)

Emerald Medical Center LLC is a primary care nurse practitioner provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 29 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	Emerald Medical Center LLC
Address	2950 E Flamingo Rd Ste B
City	Las Vegas
State	NV
ZIP	89121
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	December 14, 2020

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.

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90876	In this service, the provider performs 45 minutes of psychophysiological therapy using biofeedback training along with psychotherapy to alter the behavior of the patient.	25,340	$70	$1.7M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	5,870	$40	$252.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,820	$50	$129.5K
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…	3,060	$40	$122.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	3,010	$30	$84.4K
99336	N/A	740	$70	$49.6K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	550	$60	$32.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	450	$60	$27.8K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	870	$20	$14.7K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	1,050	$10	$12.6K

Showing 1–10 of 29

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

Emerald Medical Center LLC — 2 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90876	In this service, the provider performs 45 minutes of psychophysiological therapy using biofeedback training along with psychotherapy to alter the behavior of the patient.	11	420	1,370	$80	$309K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	36	140	690	$40	$145.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	447	970	360	$80	$139.2K
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…	304	2,250	290	$60	$138K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	31	150	460	$20	$119.6K
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…	1,647	2,480	330	$50	$107.6K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	38	90	390	$60	$90.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	156	240	380	$30	$83.4K
90901	The provider trains patients to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily functions that are normally not controlled voluntarily.	25	40	330	$30	$53.3K
99204	The provider sees a new 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 provider…	315	780	90	$100	$46.6K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clark County School District	NV	Local Education Agency (LEA)	$0	$49.6M
Bridge Counseling Associates, Inc	NV	Community/Behavioral Health Agency	$0	$14M
Absolute Home Care Inc.	NV	In Home Supportive Care Agency	$0	$12.8M
Wwb Incorporated	NV	In Home Supportive Care Agency	$0	$9.2M
Always For You Home Care Services LLC	NV	In Home Supportive Care Agency	$0	$8.2M
Creek View Home Health LLC	NV	Home Health Agency	$0	$5.2M
Pacifica Healthcare Providers LLC	NV	General Practice Physician	$0	$4.6M
Aarti Home Care	NV	Home Health Agency	$0	$4.2M
Behavioral Services Of Nevada, LLC	NV	Community/Behavioral Health Agency	$0	$4.2M
Mind Relief LLC	NV	Mental Health Counselor	$0	$4M

Emerald Medical Center LLC — Billing Profile & Reimbursement Data

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Emerald Medical Center LLC — 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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