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    OpenPayerNPI Medicare & MedicaidCarson Medical Group Professional Corporation
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    Carson Medical Group Professional Corporation — Billing Profile & Reimbursement Data

    NPI 1780694620 · Carson City, NV · Family Medicine Physician

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    Carson Medical Group Professional Corporation is a family medicine physician provider located in Carson City, Nevada. This profile covers 0 Medicare and 46 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
    OrganizationCarson Medical Group Professional Corporation
    Address1946 Old Hot Springs Rd
    CityCarson City
    StateNV
    ZIP89706
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$6.1M
    Medicare$0

    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…36,800$50$2M
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.26,190$50$1.4M
    99391Preventive 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…10,530$90$894.6K
    99392Preventive 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…9,250$90$841.8K
    90461In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…8,060$40$290.2K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.2,660$90$241.8K
    99214The 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…2,060$70$142.2K
    99174The provider uses instruments to conduct a vision screening exam on both eyes. The procedure includes analysis and report.3,790$30$98.5K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.810$100$78.1K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.980$30$25.4K

    Showing 1–10 of 46

    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

    46 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…4062,250290$60$138K
    99213The 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…262,480330$50$107.6K
    99391Preventive 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…7300280$80$103.8K
    99392Preventive 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…8300240$80$97.1K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.6310410$40$95K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.25270170$80$70.6K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.41220130$80$57K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.1990170$30$42.9K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…459070$100$32.9K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…9716060$50$28.4K

    Showing 1–10 of 46

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carson Medical Group Professional Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven ElliottNVFamily Medicine Physician$215.4K$0
    Timothy GentnerNVFamily Medicine Physician$149.2K$0
    Jeffrey SandersNVFamily Medicine Physician$148.3K$0
    Dustin RileyNVFamily Medicine Physician$130K$0
    Bryan RicksNVFamily Medicine Physician$129.8K$0
    Cara-louise FoxNVFamily Medicine Physician$121.6K$0
    Sarah MaplesNVFamily Medicine Physician$102.4K$0
    Laura StroupNVFamily Medicine Physician$91.7K$0
    Zuzana HallNVFamily Medicine Physician$86.9K$0
    Anna TorresNVFamily Medicine Physician$60.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Carson Medical Group Professional Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitality UnlimitedNVCommunity/Behavioral Health Agency$0$9.9M
    Nevada Health Centers IncNVFederally Qualified Health Center (FQHC)$0$6.1M
    Nevada Health Centers, IncNVFederally Qualified Health Center (FQHC)$0$5.8M
    State Of NevadaNVPublic Health or Welfare Agency$0$5.5M
    State Of Nv Aging & Disability Sevices Division- Fe WaiverNVPACE Provider Organization$0$4.7M
    State Of NevadaNVCase Management Agency$0$3.2M
    Carson Tahoe Physician ClinicsNVInternal Medicine Physician$0$2.3M
    Routt Dialysis LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.8M
    State Of Nv Aging And Disability Services Division - AtapNVCase Management Agency$0$1.7M
    State Of Nv Aging & Disability Services Division- Adult ResidentialNVIn Home Supportive Care Agency$0$1.7M

    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
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Carson Medical Group Professional Corporation — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada