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.

Las Vegas Paiute Tribe Health & Human Services (NPI 1861511271)

Field	Value
Entity Type	Organization
Organization	Las Vegas Paiute Tribe Health & Human Services
Address	1257 Paiute Cir
City	Las Vegas
State	NV
ZIP	89106
Taxonomy	General Practice Physician
NPI Enumerated	March 28, 2007

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Key Findings

This provider’s billing is effectively single-payer: there is no Medicare billing on file and all reported federal fee-for-service revenue comes from Medicaid, with total Medicaid revenue of $13.6M. The absence of Medicare activity indicates the organization operates primarily within the Medicaid-financed safety-net or tribal health ecosystem rather than serving a Medicare-majority population.

Medicaid revenue is highly concentrated in a single procedure category: T1015 (Clinic visit/encounter, all-inclusive) accounts for $13.6M and represents 100.0% of the provider’s total Medicaid revenue according to the precomputed top-3 share. That concentration implies the site’s services are delivered and reimbursed almost entirely under clinic-visit encounter payments rather than a diverse set of procedure or specialist codes.

The top revenue-driving code, T1015, also appears in-state with a substantial claim volume of 24.7K claims and an average paid per claim of $550. This mix suggests the operation is primarily ambulatory primary-care or general clinic encounters recorded as comprehensive clinic-visit encounters, consistent with the provider taxonomy of General Practice Physician. The average paid/claim level indicates each encounter is being reimbursed at a mid-range clinic-visit rate for Medicaid.

On competitive standing within Nevada for T1015, this provider ranks #12 of 58 providers (81st percentile), which positions it as a solid, above-typical participant but not a dominant outlier in the state. The rank indicates the provider contributes meaningful volume for this code relative to peers, consistent with a mid-to-large-sized clinic footprint among Medicaid-serving providers in Nevada.

The provider has a long tenure in the NPI registry, enumerated on 2007-03-28 (about 19 years ago). That extended enrollment tenure supports stability and suggests the billing patterns observed are likely established operational practices rather than the result of a recent startup or short-term program.

Because revenue is concentrated entirely in an all-inclusive clinic visit code, business and service-line implications include a likely emphasis on general primary care, wraparound clinic services, or bundled encounter models common in tribal and community health settings. The absence of line-item specialist CPT codes or procedure diversity limits visibility into ancillary services (e.g., procedures, imaging) and suggests most care is billed under broad clinic encounter payments.

The data do not show Medicare activity at all, so any analysis of Medicare payer mix, Medicare-specific service lines, or comparison to national Medicare peers is not applicable. For payer-mix considerations, Medicaid constitutes 100% of reported federal payer revenue on file, indicating near-total dependence on Medicaid reimbursement streams for this provider’s federally reported claims.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	24,670	$550	$13.6M

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

Las Vegas Paiute Tribe Health & Human Services — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	12	60	2,970	$320	$4M

Nearby Providers

Other providers in the same ZIP code as Las Vegas Paiute Tribe Health & Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clark County Department Of Family Services	NV	Case Management Agency	$0	$166.5M
Shadow Emergency Physicians PLLC	NV	Emergency Medicine Physician	$0	$75.2M
Valley Hospital Medical Center	NV	General Acute Care Hospital	$0	$47M
Southwest Medical Associates, Inc	NV	Diagnostic Radiology Physician	$418.3K	$15.8M
Fresenius Medical Care West Sahara, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.2M
Bridge Counseling Associates, Inc	NV	Community/Behavioral Health Agency	$0	$12.1M
Iriye Medical Group PLLC	NV	Maternal & Fetal Medicine Physician	$0	$11.9M
Janda, Mahajan & Balsiger PLLC	NV	Neurology Physician	$0	$10.5M
Behavioral Health Institute Inc (singh) PC	NV	Addiction Medicine (Family Medicine) Physician	$0	$9.8M
Pulmonary Associates, Inc.	NV	Pulmonary Disease Physician	$0	$8.5M

Las Vegas Paiute Tribe Health & Human Services — Billing Profile & Reimbursement Data

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Las Vegas Paiute Tribe Health & Human Services — Billing Profile & Reimbursement Data

Sign up for Las Vegas Paiute Tribe Health & Human Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References