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.

Nephrology & Endocrine Associates Inc (NPI 1801886700)

Nephrology & Endocrine Associates Inc is a nephrology physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 25 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	Nephrology & Endocrine Associates Inc
Address	1294 S Jones Blvd
City	Las Vegas
State	NV
ZIP	89146
Taxonomy	Nephrology Physician
NPI Enumerated	October 24, 2005

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	123,690	$60	$7.3M
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…	77,100	$40	$2.7M
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…	3,930	$130	$490.9K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	15,100	$30	$392.5K
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…	4,500	$80	$368.6K
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…	4,070	$40	$175K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,780	$40	$135.9K
99255	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at…	210	$170	$35.5K
90961	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…	660	$40	$24.5K
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…	360	$30	$11.5K

Showing 1–10 of 25

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

Nephrology & Endocrine Associates Inc — 4 of 19 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	6	10	1,510	$520	$697.4K
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…	4	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…	68	90	190	$160	$332.4K
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…	2	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…	3	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…	33	430	180	$130	$158K
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…	244	2,250	290	$60	$138K
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…	1,207	2,480	330	$50	$107.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	133	210	110	$80	$68.6K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	1	10	220	$30	$60.5K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nephrology & Endocrine Associates Inc	NV	Ambulatory Surgical Clinic/Center	$1.7M	$1.4M
Richard De Vera	NV	Family Nurse Practitioner	$592.1K	$0
Marwah Al-khazaali	NV	Nephrology Physician	$249.4K	$0
Elihu Wyatt	NV	Gerontology Nurse Practitioner	$226.1K	$0
Mark Vishnepolsky	NV	Nephrology Physician	$217.3K	$5.3K
Taurino Avelar	NV	Nephrology Physician	$218.6K	$2.7K
Gaurav Jain	NV	Nephrology Physician	$220.7K	$0
John Havill	NV	Nephrology Physician	$213K	$0
Nauman Tahir	NV	Nephrology Physician	$205K	$4.3K
Parag Parekh	NV	Nephrology Physician	$205.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$545.3M
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$129.8M
My Left Foot Children's Therapy	NV	Pediatric Occupational Therapist	$0	$41.8M
Nv St Dv Mh Ds So Nv Mr Svcs	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.6M
Didc Inc.	NV	In Home Supportive Care Agency	$0	$16.2M
State Of Nevada	NV	Case Management Agency	$0	$14M
Above The Rest Home Care Inc.	NV	In Home Supportive Care Agency	$0	$12.3M
Silver Town Incorporated	NV	Adult Day Care Clinic/Center	$0	$12.3M
Eugene Rosenman, Md Ltd	NV	Psychiatry Physician	$0	$12.2M
High Class Personal Care LLC	NV	In Home Supportive Care Agency	$0	$11M

Nephrology & Endocrine Associates Inc — Billing Profile & Reimbursement Data

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Nephrology & Endocrine Associates Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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