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.

Optum Medical Group Ii Rhodes P C (NPI 1790329407)

Optum Medical Group Ii Rhodes P C is a internal medicine physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 167 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Optum Medical Group Ii Rhodes P C
Address	2704 N Tenaya Way
City	Las Vegas
State	NV
ZIP	89128
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 5, 2019

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

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

167 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	45,250	$70	$2.9M
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	4,240	$240	$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…	61,120	$20	$916.7K
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…	157,900	$10	$789.5K
01936	Deleted effective Jan. 1, 2022	880	$150	$132.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,000	$110	$107.9K
01992	The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…	570	$170	$96K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,440	$30	$83K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,290	$60	$73.2K
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…	580	$90	$54.6K

Showing 1–10 of 167

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

Optum Medical Group Ii Rhodes P C — 9 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

167 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	38	40	130	$470	$335.9K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	18	20	110	$160	$199.9K
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…	10	2,250	290	$60	$138K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	3	50	90	$200	$128.2K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	17	30	80	$220	$123.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	32	80	160	$140	$122.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	41	170	180	$80	$120.5K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	71	70	2,110	$10	$114.5K
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…	2	2,480	330	$50	$107.6K
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…	6	300	280	$80	$103.8K

Showing 1–10 of 167

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Medical Associates, Inc	NV	Diagnostic Radiology Physician	$418.3K	$15.8M
Southwest Medical Associates Inc.	NV	Ambulatory Surgical Clinic/Center	$125.1K	$5.2M
Optum Medical Group Rhodes P C	NV	Specialist	$0	$4.4M
Optum Medical Group Rhodes P C	NV	Anesthesiology Physician	$0	$1.8M
Russell Gollard	NV	Hematology & Oncology Physician	$680.6K	$790
Michael Becker	NV	Radiation Oncology Physician	$562.6K	$0
Russell Nevins	NV	Orthopaedic Surgery Physician	$492K	$20.4K
Jeanette Foronda	MD	Physician Assistant	$411.6K	$1.5K
Okwuchukwu Obi	NV	Pain Medicine (Anesthesiology) Physician	$243.8K	$0
Jason Zommick	NV	Specialist	$227.6K	$1

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Mountainview Hospital, Inc.	NV	General Acute Care Hospital	$0	$32.1M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$22.9M
Ellis Bandt Birkin Kollins & Wong PLLC	NV	Diagnostic Radiology Physician	$0	$18.1M
Nevada Acute Medical Services-scherr 1 PC	NV	Hospitalist Physician	$0	$13.5M
Renal Care Group Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.4M
Laboratory Medicine Consultants Ltd	NV	Clinical Medical Laboratory	$1.9M	$9.2M
Cybt, Inc	NV	In Home Supportive Care Agency	$0	$11.1M
Kan-di-ki LLC	NV	Clinical Medical Laboratory	$5M	$3.6M
Southwest Rehabilitation Physicians & Farhang Associates PLLC	NV	Pain Medicine Physician	$0	$7.1M
New Century Rehabilitation LLC	NV	Physical Therapist	$0	$6.9M

Optum Medical Group Ii Rhodes P C — Billing Profile & Reimbursement Data

Sign up for Optum Medical Group Ii Rhodes P C — Billing Profile & Reimbursement Data policy alerts

Optum Medical Group Ii Rhodes P C — Billing Profile & Reimbursement Data

Sign up for Optum Medical Group Ii Rhodes P C — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References