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.

Sound Physicians Emergency Medicine Of Nevada Bessler PLLC (NPI 1881151231)

Field	Value
Entity Type	Organization
Organization	Sound Physicians Emergency Medicine Of Nevada Bessler PLLC
Address	2375 E Prater Way
City	Sparks
State	NV
ZIP	89434
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 21, 2019

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $14.9M, so Medicaid accounts for the entirety of reported lifetime federal payer revenue. Analysts should treat this profile as a Medicaid-centric emergency medicine operation rather than a mixed Medicare/Medicaid practice.

Revenue is highly concentrated in a narrow set of emergency E/M codes: 99284 ($6.4M, 42.8% of Medicaid revenue), 99285 ($6M, 40.3% of Medicaid revenue), and 99283 ($2M, 13.7% of Medicaid revenue) together account for 96.8% of this provider's total Medicaid revenue. This concentration means most margin and utilization risk for payers and the provider is tied to those three ED visit levels.

The code mix indicates the provider operates primarily in an emergency-department setting with a large share of visits at moderate and high medical decision-making levels: 99284 (moderate MDM) and 99285 (high MDM) dominate the revenue picture. High counts for these codes (96.6K claims for 99284 and 71.4K claims for 99285) imply a high-volume ED throughput model rather than a low-volume specialty practice.

Competitive standing in-state is elevated for higher-acuity ED services: 99284 ranks #5 of 398 providers in Nevada (99th percentile; extreme outlier) and 99285 ranks #8 of 352 (98th percentile; notably above typical state volume). The provider is also notably above typical volume on 99283 (41.6K claims; ranks #15 of 390, 96th percentile). These ranks characterize the organization as a dominant Medicaid ED biller in Nevada for core visit codes.

Operational and revenue drivers reflect both volume and case mix: 96.6K claims for 99284 at $66 avg paid/claim and 71.4K claims for 99285 at $84 avg paid/claim concentrate revenue into fewer, higher-paid encounters. The higher avg paid/claim for 99285 compared with 99284 helps explain why 99285 generates nearly as much revenue as 99284 despite slightly fewer claims.

Critical care and common ancillary services are present but represent a small share of revenue: 99291 (2.4K claims, $121 avg paid/claim) contributes $288.2K (1.9% of Medicaid revenue) and 93010 (37.9K claims, $5 avg paid/claim) contributes $189.7K (1.3% of Medicaid revenue). These volumes show the group provides occasional critical care and routine ECG interpretation in support of its ED services, but these codes are not primary revenue drivers.

There is a notable billing pattern with 99053 (overnight facility) showing 3.8K claims but $0 avg paid/claim and $0 revenue (0.0% of Medicaid revenue). This indicates the code is reported frequently on claims submitted to Medicaid yet produced no paid Medicaid revenue on file, which could reflect bundling, zero-paid denials on this code, or reporting artifacts that merit follow-up during audit or contract reconciliation.

Despite a relatively recent NPI enumeration date (2019-02-21, ~7 years ago), the provider has scaled to top-tier Medicaid volumes in the state. The combination of high-ranked code volumes and concentrated revenue in ED E/M codes suggests rapid operational scale or integration into high-volume emergency sites since enumeration.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	96,590	$70	$6.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	71,360	$80	$6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	41,600	$50	$2M
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…	2,380	$120	$288.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	37,950	$10	$189.7K
99053	The provider renders overnight services at a 24 hour facility.	3,830	$0	$0

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

Sound Physicians Emergency Medicine Of Nevada Bessler PLLC — 4 of 5 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	8	350	240	$110	$685.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	5	400	200	$90	$442.5K
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…	17	90	190	$160	$332.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15	390	200	$60	$289.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	4	210	200	$1	$21.9K
99053	The provider renders overnight services at a 24 hour facility.	7	140	120	$1	$40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sound Physicians Emergency Medicine Of Nevada Bessler PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis Anderson	NV	Emergency Medicine Physician	$48.9K	$17.1K

Nearby Providers

Other providers in the same ZIP code as Sound Physicians Emergency Medicine Of Nevada Bessler PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sparks Family Hospital Inc	NV	General Acute Care Hospital	$0	$7.6M
Advanced Pediatric Therapies, LLC	NV	Speech-Language Pathologist	$0	$3M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Northern Nevada Medical Group, LLC	NV	Family Medicine Physician	$0	$2.6M
Jessell Owens	NV	Orthopaedic Surgery Physician	$220.6K	$0
Letitia Anderson	NV	Cardiovascular Disease Physician	$145.7K	$460
Thomas Truong	NV	Interventional Cardiology Physician	$135K	$0
Kosta Arger	NV	Cardiovascular Disease Physician	$117.2K	$0
John Leogite	NV	Family Nurse Practitioner	$108.2K	$0
Todd Inman	NV	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$102.1K	$2.4K

Sound Physicians Emergency Medicine Of Nevada Bessler PLLC — Billing Profile & Reimbursement Data

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Sound Physicians Emergency Medicine Of Nevada Bessler PLLC — 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