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.

Children's Bone And Spine Surgery, LLP (NPI 1689738981)

Field	Value
Entity Type	Organization
Organization	Children's Bone And Spine Surgery, LLP
Address	1525 E. Windmill Ln
City	Las Vegas
State	NV
ZIP	89123
Taxonomy	Specialist
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	15,570	$90	$1.4M
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…	17,320	$60	$1.1M
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…	8,150	$100	$790.9K
L2280	Addition to lower extremity, molded inner boot	1,250	$530	$660.2K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	1,710	$150	$252.3K
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…	1,370	$150	$211K
L2820	Addition to lower extremity orthosis, soft interface for molded plastic, below knee section	1,050	$100	$108.6K
76000	In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.	2,160	$50	$105.8K
72170	In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.	3,620	$30	$94K
73100	In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area.	2,800	$30	$89.7K

Showing 1–10 of 50

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

Children's Bone And Spine Surgery, LLP — 12 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L2280	Addition to lower extremity, molded inner boot	1	10	30	$510	$148.9K
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…	128	2,250	290	$60	$138K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	247	310	800	$20	$122.6K
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…	68	2,480	330	$50	$107.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	52	80	80	$150	$91.2K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	2	10	170	$480	$84.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	150	200	510	$30	$81K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	1	10	110	$140	$61.4K
72080	In this diagnostic procedure, the provider performs a minimum of two X–ray views of the area where the thoracic spine meets the lumbar spine to examine the patient's thoracolumbar junction for…	1	10	1,290	$40	$47.7K
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…	51	780	90	$100	$46.6K

Showing 1–10 of 50

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Bone And Spine Surgery, LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gavin Pope	NV	Physician Assistant	$21.9K	$0

Nearby Providers

Other providers in the same ZIP code as Children's Bone And Spine Surgery, LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sl Consulting LLC	NV	Clinical Medical Laboratory	$1.7M	$11.6M
Mountain View Family Services	NV	Behavior Analyst	$0	$11.6M
Ulrike Pasternak	NV	Family Nurse Practitioner	$4M	$0
Caroline A. Bobbett, Dds Apc	NV	Dentist	$0	$3.9M
Freedom Medical Supply LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Nadhc At Eastern, Inc.	NV	Adult Day Care Clinic/Center	$0	$3M
Autism And Brain Institute Inc	NV	Occupational Therapist	$0	$1.6M
Nasim Daoud	NV	Rheumatology Physician	$1.3M	$0
Helga Uzcategui	NV	Ophthalmology Physician	$563.9K	$0
Digestive Disease Center-green Valley	NV	Ambulatory Surgical Clinic/Center	$449.4K	$0

Children's Bone And Spine Surgery, LLP — Billing Profile & Reimbursement Data

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Children's Bone And Spine Surgery, LLP — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References