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.

North Vista Hospital LLC (NPI 1720037799)

Key Findings

Field	Value
Entity Type	Organization
Organization	North Vista Hospital LLC
Address	1409 E Lake Mead Blvd
City	North Las Vegas
State	NV
ZIP	89030
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$31.5M
Medicare	$0

This provider is effectively single-payer in the available dataset: there is no Medicare billing on file while Medicaid revenue totals $31.5M, indicating the provider’s measurable billing activity in this data is concentrated entirely in Medicaid. Analysts should treat Medicaid as the primary payer when evaluating volume, utilization, and contract leverage for this entity.

Revenue concentration is high and dominated by emergency department evaluation-and-management services: the precomputed top 3 Medicaid codes by revenue account for 55.9% of this provider's total Medicaid revenue, led by 99285 ($5.7M, 22.2%), 99284 ($4.7M, 18.3%), and 99283 ($4.0M, 15.4%). This mix signals that a majority of billed Medicaid dollars flow from high-volume ED encounters rather than elective inpatient or specialty clinic procedures.

The code mix and individual code ranks demonstrate this is an ED-centric acute care operation: 99284 ranks #9 of 398 providers in-state (98th percentile; extreme outlier) and 99283 ranks #5 of 390 (99th percentile; extreme outlier), while 99285 ranks #12 of 352 (97th percentile; notably above typical state volume). Those percentile placements show the hospital is a major state-level ED volume center and, for several ED codes, performs at volumes far above typical peers.

Critical care and observation services are present but proportionally smaller: 99291 (critical care) accounts for $555.6K (2.2%) of Medicaid revenue and G0378 (hospital observation, per hour) accounts for $417.6K (1.6%). Together these codes indicate the provider manages acute, higher-acuity cases beyond basic ED visits but that critical care and observation are not the dominant revenue drivers.

Imaging throughput is a significant supporting service line for the ED: CT abdomen/pelvis without contrast 74176 accounts for $1.7M (6.7%) and 74177 with contrast $1.0M (4.1%), while CT head 70450 contributes $843.3K (3.3%) and CTA chest 71275 contributes $516.8K (2.0%). These imaging revenues, all at or above typical in-state percentiles, are consistent with high ED utilization for abdominal, pelvic, head, and chest diagnostics.

High-volume laboratory and infectious-disease testing support ED and inpatient workflows: presumptive drug testing 80307 is $1.0M (4.0%), definitive drug testing G0480 is $498.3K (1.9%) and G0481 is $313.5K (1.2%), while COVID testing codes 87426 ($513.2K, 2.0%) and U0003 ($509.8K, 2.0%) also appear as notable contributors. The mix indicates sustained demand for point-of-care screening plus higher-complexity confirmatory testing aligned with an active emergency practice.

Frequent use of parenteral administration and infusion codes shows substantial throughput of IV therapies and injections in acute settings: 96372 is $441.5K (1.7%) and ranks #2 of 363 providers in-state (100th percentile; extreme outlier), with complementary codes 96374 ($488.5K, 1.9%), 96375 ($278.4K, 1.1%), 96361 ($273K, 1.1%), and 96365 ($222.3K, 0.9%). These volumes reinforce the characterization of the hospital as a high-volume ED and acute care site where rapid medication administration and short infusions are routine.

The provider has a longstanding enrollment date (NPI enumerated 2006-05-08, ~20 years ago), which, combined with the Medicaid-dominated revenue profile and the high in-state ranks on multiple ED-related codes, suggests an established acute-care hospital in North Las Vegas that functions as a major Medicaid-serving emergency and diagnostic center for the region.

Medicaid: Complete Services Breakdown

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

228 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	48,870	$120	$5.7M
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.	62,900	$80	$4.7M
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.	82,480	$50	$4M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	12,330	$140	$1.7M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,570	$230	$1M
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.	38,590	$30	$1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	13,390	$60	$843.3K
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…	3,910	$140	$555.6K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	1,940	$270	$516.8K
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,…	27,010	$20	$513.2K

Showing 1–10 of 228

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

North Vista Hospital LLC — 10 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

228 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	17	40	4,770	$110	$1.2M
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.	12	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.	9	400	200	$90	$442.5K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	10	10	2,390	$80	$440.1K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	22	140	210	$140	$421K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	5	60	680	$60	$364.3K
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…	13	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.	5	390	200	$60	$289.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	19	60	330	$150	$250.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	17	50	120	$240	$209.3K

Showing 1–10 of 228

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of North Las Vegas	NV	Land Ambulance	$849.8K	$20.6M
Superior Emergency Physicians Harris, PLLC	NV	Emergency Medicine Physician	$0	$16.4M
Family Personal Care, LLC	NV	In Home Supportive Care Agency	$0	$9.6M
Digestive Associates LLP	NV	Gastroenterology Physician	$0	$9M
Greater Las Vegas Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.7M
Mama Mia Pediatrics LLC	NV	Pediatrics Physician	$0	$5.4M
Hummer Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M
Civic Center Pediatrics	NV	Pediatrics Physician	$0	$4.3M
Center For Behavioral Health Las Vegas, LLC	NV	Methadone Clinic	$108.2K	$4.1M
Nader Abdelsayed	NV	Obstetrics & Gynecology Physician	$980	$3.6M

North Vista Hospital 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

Nearby Providers

Frequently Asked Questions

References