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    OpenPayerNPI Medicare & MedicaidDignity Health
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    Dignity Health — Billing Profile & Reimbursement Data

    NPI 1770626426 · Henderson, NV · General Acute Care Hospital

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    Dignity Health is a general acute care hospital provider located in Henderson, Nevada. This profile covers 0 Medicare and 266 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDignity Health
    Address3001 Saint Rose Pkwy
    CityHenderson
    StateNV
    ZIP89052
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedFebruary 14, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$18.7M
    Medicare$0

    Key Findings

    This provider reports no Medicare billing on file and $18.7M in lifetime Medicaid revenue, indicating the billing footprint is effectively single‑payer Medicaid rather than a mixed Medicare/Medicaid operation. Analysts should treat Medicare-related competitive or utilization comparisons as not applicable for this entity because there is no Medicare revenue to benchmark against.

    Revenue concentration is high: the precomputed top three Medicaid codes account for 50.8% of the provider's total Medicaid revenue, driven by 99284 ($3.1M, 20.5%), 99285 ($2.7M, 17.7%), and 99283 ($1.9M, 12.6%). This concentration in three emergency‑department E/M codes suggests earnings are tightly coupled to ED volume and acuity mix.

    The code mix points to an ED‑centric acute care operation with substantial imaging and observation activity: high‑revenue ED codes (99284, 99285, 99283) combine with major imaging codes such as 74177 ($1.6M, 10.6%) and 70450 ($757.3K, 5.0%), plus observation services G0378 ($684K, 4.5%). Together these patterns are consistent with a general acute care hospital that manages large emergency volumes and follows with CT/CTA imaging, observation, and inpatient/observation triage.

    Competitive standing within Nevada is strong for core ED services: 99284 ranks #14 of 398 providers in‑state (97th percentile) and 99283 ranks #16 of 390 (96th percentile), both labeled as notably above typical state volume. By contrast 99285 is labeled as typical/unremarkable volume despite a 94th percentile rank, indicating that while high‑acuity ED care is meaningful to this provider’s revenue, it is not uniformly dominant across every ED complexity level.

    Imaging and ancillary services are meaningful secondary revenue drivers and show above‑median market participation: 74177 (CT abdomen/pelvis with contrast) is $1.6M (10.6%) and ranks in the 90th percentile, 71275 (CTA chest) contributes $528.7K (3.5%) in the 79th percentile, and 70450 (CT head) is $757.3K (5.0%) in the 93th percentile. These placements suggest the hospital is a regional access point for advanced CT imaging tied to its ED throughput.

    Certain supply and lab items are disproportionately used relative to peers: Q9967 (contrast material) is $190.5K (1.3%) and ranks #7 of 72 providers in‑state (92th percentile) and 99070 (excess supplies) is $147.9K (1.0%) and ranks #4 of 132 (98th percentile). These rankings — including the provided label of notably above typical for Q9967 — reinforce that imaging and related consumables are a repeated revenue stream beyond pure professional E/M billing.

    Operational tenure: the provider’s NPI was enumerated on 2007-02-14 (~19 years ago), establishing nearly two decades of billing history under this identification which supports comparing longitudinal Medicaid utilization or contracting relationships within the state market. That tenure makes observed patterns (ED concentration, imaging intensity) likely established components of the provider’s service mix rather than transient phenomena.

    Several high‑volume clinical support codes show broad utilization but are described as typical in-state volume, indicating scale rather than specialty concentration: examples include 80053 (CMP) 63.2K claims for $252.8K (1.7%, 92th percentile) and 85025 (CBC) 71.9K claims for $215.6K (1.4%, 94th percentile). These large claim counts with modest per‑claim payments are consistent with a high‑throughput acute hospital supporting ED and inpatient care rather than narrow specialty outpatient clinics.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    266 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.43,670$70$3.1M
    99285The 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.28,410$90$2.7M
    99283The 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.39,820$50$1.9M
    74177The 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.8,410$190$1.6M
    70450The 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.12,210$60$757.3K
    G0378Hospital observation service, per hour12,670$50$684K
    71275In 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…2,730$190$528.6K
    74176The 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.4,450$120$525.1K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.22,920$10$320.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.12,590$20$302.2K

    Showing 1–10 of 266

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    266 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0378Hospital observation service, per hour13404,770$110$1.2M
    99285The 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.21350240$110$685.4K
    99284The 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.14400200$90$442.5K
    74177The 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.15140210$140$421K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.152310680$50$373.3K
    99291Critical 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…2390190$160$332.4K
    99283The 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.16390200$60$289.8K
    71275In 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…1360330$150$250.4K
    54360The provider surgically repairs the angulation, or abnormal curvature, of the penis of the patient.81090$730$249.3K
    54161The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.1120340$270$240.7K

    Showing 1–10 of 266

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dignity Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    De Craig Ranch, LLCNVGeneral Acute Care Hospital$0$13.9M
    Dignity HealthNVGeneral Acute Care Hospital$0$8.5M
    Dignity HealthNVGeneral Acute Care Hospital$0$8M
    De Craig Ranch, LLCNVGeneral Acute Care Hospital$0$7.8M
    De Craig Ranch, LLCNVGeneral Acute Care Hospital$0$3M
    De Craig Ranch, LLCNVGeneral Acute Care Hospital$0$1.6M

    Nearby Providers

    Other providers in the same ZIP code as Dignity Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Platinum Hospitalists LLPNVHospitalist Physician$0$38.8M
    Urgent Care Nevada, LLCNVUrgent Care Clinic/Center$0$34.9M
    Behavioral Health Solutions LLCNVCommunity/Behavioral Health Agency$0$11.4M
    Lamotte Pediatrics, LLPNVPediatrics Physician$0$9.4M
    Minghsun Liu Md PCNVInfectious Disease Physician$0$5.1M
    Optimized Management LLCNVClinical Social Worker$0$5M
    Misch/hyun/hodapp Healthcare, LLPNVPediatrics Physician$0$4.5M
    Ellsworth Cox Pediatric Dentistry LLCNVPediatric Dentistry$0$3.7M
    Total Infusion Care LLCNVHome Infusion Therapy Pharmacy$0$3.1M
    Rupesh ParikhNVHematology & Oncology Physician$3.1M$9.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Dignity Health — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada