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.

Platinum Hospitalists LLP (NPI 1861627242)

Key Findings

Field	Value
Entity Type	Organization
Organization	Platinum Hospitalists LLP
Address	10624 S Eastern Ave Ste A-955
City	Henderson
State	NV
ZIP	89052
Taxonomy	Hospitalist Physician
NPI Enumerated	May 28, 2009

Payer Source	Total Paid
Medicaid	$38.8M
Medicare	$0

PLATINUM HOSPITALISTS LLP reports $38.8M in lifetime Medicaid revenue and has no Medicare billing on file, making its public payer footprint effectively single-payer Medicaid. Its NPI was enumerated on 2009-05-28 (~17 years ago), indicating long-standing enrollment and multi-year operation in the market.

Revenue is highly concentrated in a very small set of inpatient E/M codes: the top three Medicaid codes (99233, 99223 and 99239) together account for 80.7% of this provider’s total Medicaid revenue. Individually those codes generated $18.7M (48.2%), $7.1M (18.4%), and $5.5M (14.2%) respectively, showing the business is driven almost entirely by inpatient evaluation/management and discharge services.

The code mix points to a core hospitalist inpatient service model: 99223 (high-intensity initial hospital care), 99233 (high-intensity subsequent hospital care), and 99239 (discharge day management >30 minutes) dominate billing. This pattern implies operations focused on admissions, ongoing inpatient management, and complex discharge workflows rather than outpatient clinic-based care.

PLATINUM HOSPITALISTS is a clear statewide leader for these inpatient codes. The provider ranks #1 in-state (100th percentile, described as an "extreme outlier") for 99233 (267.1K claims, $70 avg paid/claim), 99223 (56.2K claims, $127 avg paid/claim) and 99239 (78.5K claims, $70 avg paid/claim), indicating market dominance and volumes far above typical state peers.

Operationally, the absolute claim volumes for core E/M codes are large and sustained: examples include 267.1K claims for 99233 and 94.6K claims for 99232. These volumes suggest continuous inpatient coverage capacity and substantial numbers of daily admissions, follow-ups, and discharges, which has implications for staffing, scheduling, and hospital partnerships even though specific affiliations are not shown in the data.

Despite the strong inpatient focus, the provider also bills a modest range of ancillary inpatient and post-acute codes at much lower revenue levels — for example 99291 (critical care) generated $114.6K, 99309 (subsequent nursing facility) $124.8K, and 99306 (initial nursing facility) $11.6K. These smaller-revenue codes indicate some breadth of services beyond core hospitalist E/M but they represent a very small fraction of total Medicaid revenue.

Average paid-per-claim patterns reinforce an admission-heavy mix: 99223 carries a higher average paid ($127 avg paid/claim) than the major subsequent and discharge codes (99233 and 99239 at $70 avg paid/claim each), consistent with higher reimbursement for complex initial inpatient evaluations. Analysts should interpret the revenue mix as driven by high-volume, repetitive inpatient encounters where admission-level work is paid at a premium relative to revisit and discharge events.

Several codes beyond the top three are flagged as "extreme outlier" or unusually high in-state volume (for example 99220, 99217, and 99497 each rank at the 100th percentile for Nevada), reinforcing that this provider’s utilization pattern is an outlier across multiple inpatient and related service codes. Collectively, the rank and percentile data indicate this provider is not a modest participant but a dominant state-level provider for hospitalist-style Medicaid billing.

Medicaid: Complete Services Breakdown

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

29 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…	267,080	$70	$18.7M
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…	56,210	$130	$7.1M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	78,510	$70	$5.5M
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…	94,620	$40	$4.2M
99220	N/A	20,370	$120	$2.4M
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…	2,860	$80	$225.7K
99217	N/A	2,510	$50	$128K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	5,670	$20	$124.8K
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…	490	$230	$114.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	19,950	$1	$59.8K

Showing 1–10 of 29

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

Platinum Hospitalists LLP — 8 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	32	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…	1	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…	2	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…	1	430	180	$130	$158K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	22	140	690	$40	$145.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	61	150	460	$20	$119.6K
99220	N/A	1	50	100	$130	$102.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	230	160	$70	$99.1K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	7	30	260	$110	$98.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	24	60	190	$60	$97.6K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zongqi Yang	NV	Internal Medicine Physician	$614.3K	$192.8K
Syed Akbarullah	NV	Pulmonary Disease Physician	$155.8K	$302.1K
Eduardo Ramos	NV	Internal Medicine Physician	$401.4K	$0
Jason Gubler	NV	Family Medicine Physician	$341.2K	$27.2K
Ankeet Vakharia	NV	Internal Medicine Physician	$362.9K	$0
Roy Marie Margallo	NV	Internal Medicine Physician	$335.8K	$0
Kovin Huynh	NV	Internal Medicine Physician	$317.6K	$1.9K
Omer Tarar	NV	Endocrinology, Diabetes & Metabolism Physician	$284.1K	$0
Shivani Golden	NV	Family Medicine Physician	$278.7K	$0
Zeshan Mudasir	NV	Neurology Physician	$272.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Urgent Care Nevada, LLC	NV	Urgent Care Clinic/Center	$0	$34.9M
Dignity Health	NV	General Acute Care Hospital	$0	$18.7M
Behavioral Health Solutions LLC	NV	Community/Behavioral Health Agency	$0	$11.4M
Lamotte Pediatrics, LLP	NV	Pediatrics Physician	$0	$9.4M
Minghsun Liu Md PC	NV	Infectious Disease Physician	$0	$5.1M
Optimized Management LLC	NV	Clinical Social Worker	$0	$5M
Misch/hyun/hodapp Healthcare, LLP	NV	Pediatrics Physician	$0	$4.5M
Ellsworth Cox Pediatric Dentistry LLC	NV	Pediatric Dentistry	$0	$3.7M
Total Infusion Care LLC	NV	Home Infusion Therapy Pharmacy	$0	$3.1M
Rupesh Parikh	NV	Hematology & Oncology Physician	$3.1M	$9.6K

Platinum Hospitalists LLP — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References