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.

Community Care Services LLC (NPI 1720031768)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Care Services LLC
Address	1155 Mill St
City	Reno
State	NV
ZIP	89502
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file and total Medicaid revenue reported is $15.1M, indicating the organization operates almost entirely within the Medicaid payer stream. The absence of Medicare activity suggests payer mix is highly concentrated on Medicaid rather than a balanced Medicare/Medicaid practice mix.

Revenue is highly concentrated in a small set of evaluation-and-management codes: the precomputed top-3 Medicaid codes account for 48.5% of this provider's total Medicaid revenue, led by 99214 ($3M, 20.6% of Medicaid revenue), followed by 99232 ($2.2M, 15.2%) and 99233 ($1.8M, 12.8%). This concentration implies that a large portion of cash flow depends on high-volume E/M services rather than a broad diversity of procedure-based revenue.

The code mix points to a hybrid hospital-inpatient and ambulatory internal medicine operation: high inpatient/observation E/M codes appear throughout (99232, 99233, 99223, 99239, 99238) alongside outpatient established-patient visits (99214, 99213) and preventive medicine codes (99391, 99392). The presence of critical care (99291, 99292), newborn hospital care (99460), and ESRD monthly management (90960) suggests the practice provides care across acuity levels—from ambulatory primary/preventive care to inpatient and intensive services.

Competitive standing in-state is strong for several high-volume codes. 99214 is an extreme outlier in Nevada, with 46.3K claims, $64 avg paid/claim, $3M revenue and ranking #13 of 2254 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). Similarly, 99223 (13.3K claims, $132 avg paid/claim, $1.8M revenue) ranks #7 of 434 providers in-state (99th percentile; extreme outlier), and 99232 (49.6K claims, $44 avg paid/claim, $2.2M revenue) ranks #15 of 427 (97th percentile; notably above typical state volume), indicating this provider is a major statewide volume contributor for both outpatient and high-acuity inpatient E/M.

There is a measurable critical-care footprint: 99291 accounts for $1.2M (8.2% of Medicaid revenue) with 6.8K claims and ranks #8 of 87 providers in-state (92th percentile; typical, unremarkable volume for this code), and the add-on 99292 shows 626 claims, $109 avg paid/claim, $68.2K revenue and ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume for this code). This pattern indicates repeated billing for time-based critical care services consistent with continuous ICU-level or emergency critical-care involvement.

Preventive and immunization throughput is also material to revenue and patient flow: 90471 appears with 11.4K claims, $18 avg paid/claim and $205.5K revenue (1.4% of Medicaid revenue) and ranks #7 of 361 providers in-state (98th percentile; notably above typical state volume for this code), while 99391/99392 contribute $549.2K and $316.4K respectively. These volumes point to a steady pipeline of well visits and vaccination encounters that complement the high-acuity inpatient activity.

The provider shows niche or dominant positions in several codes with small statewide provider pools: 95951 reports 1.4K claims, $151 avg paid/claim, $218.6K revenue and ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code), and J0585 ($226.3K) ranks #4 of 5 providers in-state (25th percentile). High rank positions in low-competition codes suggest specialized services or local concentration in certain procedural lines, but the small denominator for those codes should be considered when interpreting dominance.

This NPI has long tenure in the marketplace—enumerated on 2006-05-19 (~20 years ago)—which likely contributes to its established referral relationships and the high volume observed across both ambulatory and inpatient E/M codes. Long-standing presence combined with the concentrated Medicaid revenue base supports a profile of an entrenched, Medicaid-centric internal medicine practice with broad service lines across preventive, ambulatory, inpatient, and critical-care settings.

Medicaid: Complete Services Breakdown

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

131 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	46,250	$60	$3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	49,610	$40	$2.2M
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…	28,730	$60	$1.8M
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…	13,300	$130	$1.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6,780	$170	$1.2M
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…	15,470	$50	$804.3K
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…	9,900	$70	$693.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,040	$80	$549.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,060	$80	$316.4K
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…	2,680	$110	$286.2K

Showing 1–10 of 131

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

Community Care Services LLC — 11 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

131 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	4	10	1,390	$370	$849.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	297	350	240	$110	$685.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	114	400	200	$90	$442.5K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	7	10	1,730	$90	$373.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8	90	190	$160	$332.4K
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.	265	390	200	$60	$289.8K
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…	15	470	380	$70	$281.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15	430	500	$40	$214.4K
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…	7	430	180	$130	$158K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	75	90	630	$40	$154.6K

Showing 1–10 of 131

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renown Regional Medical Center	NV	General Acute Care Hospital	$0	$63.7M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Community Care Services LLC	NV	Pediatrics Physician	$0	$3.8M
Community Care Services LLC	NV	Family Medicine Physician	$0	$2.6M
Santhosh Ambika	NV	Hematology & Oncology Physician	$1.9M	$1.6K
Hometown Health Management Company	NV	Family Medicine Physician	$0	$1.7M
David Julian	NV	Internal Medicine Physician	$813.3K	$192.3K
Reema Munir	CA	Diagnostic Radiology Physician	$949.4K	$0
Danish Atwal	CA	Cardiovascular Disease Physician	$493.7K	$0
Daniel Truong	CA	Neurology Physician	$344.2K	$55.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reno Sparks Indian Colony	NV	Clinic/Center	$390	$47.4M
Regional Emergency Medical Services Authority	NV	Ambulance	$8.2M	$26.1M
Medtrans Behavioral Nevada Casal, PLLC	NV	Community/Behavioral Health Agency	$0	$26.4M
Consumer Direct Services For Nevada, LLC	NV	Personal Care Attendant	$0	$23.3M
Brown, Calvanese, Cameron Ltd	NV	Emergency Medicine Physician	$0	$19.7M
Washoe County School District	NV	Local Education Agency (LEA)	$0	$16.5M
Medical Services Of Nevada Inc	NV	In Home Supportive Care Agency	$0	$12.7M
Community Health Alliance	NV	Federally Qualified Health Center (FQHC)	$0	$7M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M
Small Smiles Of Reno, LLC	NV	General Practice Dentistry	$0	$6.9M

Community Care Services LLC — Billing Profile & Reimbursement Data

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Community Care Services LLC — 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