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    OpenPayerNPI Medicare & MedicaidEid Nevada Critical Care PLLC
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    Eid Nevada Critical Care PLLC — Billing Profile & Reimbursement Data

    NPI 1962712828 · Las Vegas, NV · Critical Care Medicine (Internal Medicine) Physician

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    Eid Nevada Critical Care PLLC is a critical care medicine (internal medicine) physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEid Nevada Critical Care PLLC
    Address6040 S Fort Apache Rd Ste 100
    CityLas Vegas
    StateNV
    ZIP89148
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedOctober 13, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$16.2M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid payments total $16.2M, so all reported government fee‑for‑service revenue is driven by Medicaid claims. Analysts should treat Medicaid as the sole government payer when modeling this entity's reimbursement profile and network leverage.

    Revenue is extremely concentrated in a very small set of inpatient/critical care codes: the top three Medicaid codes (99233, 99291, 99232) account for 91.9% of this provider's total Medicaid revenue. Those three codes individually represent 46.3%, 33.4%, and 12.2% of Medicaid revenue respectively, indicating most cash flow is tied to repeat inpatient and critical care encounters.

    The code mix indicates a specialized inpatient critical care practice rather than a general outpatient or office-based practice: 99291 (critical care) and high‑level subsequent hospital care codes 99233 and 99232 dominate billing, and 99223 also appears among the top codes (9.9K claims, $114 avg paid/claim, $1.1M revenue). This profile is consistent with regular ICU/critical care coverage and frequent management of complex, time‑intensive hospitalized patients.

    On statewide competitive standing the provider is a clear volume outlier for core critical care codes: 99291 ranks #1 of 87 providers in‑state (100th percentile; extreme outlier) and 99233 ranks #3 of 472 providers in‑state (100th percentile; extreme outlier, far above typical state volume for this code). 99232 ranks #14 of 427 providers in‑state (97th percentile; notably above typical), so the group is a top performer in Nevada for both critical care and high‑complexity subsequent hospital care.

    Operational scale is substantial on a claims basis: 99233 shows 118.9K claims with $63 avg paid/claim and $7.5M revenue, 99291 shows 31.6K claims with $171 avg paid/claim and $5.4M revenue, and 99232 shows 50.5K claims with $39 avg paid/claim and $2M revenue. These volumes underscore a high throughput of inpatient encounters and sizable per‑claim payments on critical care services.

    Ancillary and procedure mix supports the inpatient/ICU interpretation: the provider reports 35 claims for 31500 (tracheal intubation) with $72 avg paid/claim and ranks #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available), and 600 claims for 99497 (advance care planning) with $7 avg paid/claim (ranks #19 of 94 providers in‑state; 81th percentile). The presence of airway procedures and advance care planning alongside heavy critical care billing suggests involvement in high‑acuity, time‑sensitive hospital services.

    The business is exposed to concentration risk because a small set of inpatient/critical care codes generates the majority of Medicaid revenue; any policy, reimbursement, or utilization change that affects 99291, 99233, or 99232 would materially impact overall revenue. Given the absence of Medicare billing, reimbursement pressure or rate changes in Medicaid would be especially consequential for financial forecasting and contracting strategy.

    The NPI has been enumerated since 2010-10-13 (~16 years ago), indicating an established presence in the market; combined with the high statewide ranks on core critical care codes, this suggests sustained, high‑volume operations rather than a short‑term billing spike.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…118,910$60$7.5M
    99291Critical 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…31,570$170$5.4M
    99232The 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…50,470$40$2M
    99223The 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…9,920$110$1.1M
    99222The 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…1,280$80$106.2K
    99213The 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…650$40$26K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…1,080$20$18.4K
    99239The 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…200$70$14.6K
    99214The 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…100$60$5.6K
    99254The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…50$100$5.2K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99291Critical 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…190190$160$332.4K
    99233The 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…3470380$70$281.2K
    99232The 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…14430500$40$214.4K
    99223The 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…13430180$130$158K
    99214The 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…1,5742,250290$60$138K
    99213The 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…9022,480330$50$107.6K
    99239The 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…103230160$70$99.1K
    99222The 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…28210110$80$68.6K
    99254The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…225050$140$43.6K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…2690250$20$32.1K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Eid Nevada Critical Care PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Asher ShahzadNVInfectious Disease Physician$437.5K$483.4K
    Bogdan SimaNVHospitalist Physician$348.7K$0
    Syed RahmanNVGeriatric Medicine (Internal Medicine) Physician$288.4K$14K
    Andre SetaghianNVMedical Physician Assistant$273.2K$0
    Razmig KratlianNVInternal Medicine Physician$169.3K$55.4K
    Chukwuemeka IrohaNVInternal Medicine Physician$134.3K$88.5K
    Manoj SharmaNVInternal Medicine Physician$198.7K$3.9K
    Annabelle SocaocoNVNurse Practitioner$131.7K$35.7K
    Michael GaleNVCritical Care Medicine (Internal Medicine) Physician$146.6K$0
    Nitin GuptaCOCritical Care Medicine (Internal Medicine) Physician$97.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Eid Nevada Critical Care PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Women's Health Associates Of Southern Nevada- Martin, PLLCNVObstetrics & Gynecology Physician$0$22.7M
    Southern Hills Medical Center, LLCNVGeneral Acute Care Hospital$0$19.8M
    Adashek And Wilkes LLPNVMaternal & Fetal Medicine Physician$0$16.7M
    Therapy Blocks L.L.C.NVOccupational Therapist$0$15.2M
    Kevin Bernstein Md LLCNVGeriatric Psychiatry Physician$0$7.5M
    Fremont Emergency Services Scherr LtdNVEmergency Medicine Physician$0$4.8M
    Innovative Care PhysiciansNVInternal Medicine Physician$0$4.5M
    Dmytro BondNVPediatrics Physician$0$3.7M
    The Speech House LLCNVSpeech-Language Pathologist$0$3.7M
    The Aac Speech Clinic, LLCNVSpeech-Language Pathologist$0$3.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Eid Nevada Critical Care PLLC — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada