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.

Northern Nevada Medical Group, LLC (NPI 1972751618)

Northern Nevada Medical Group, LLC is a family medicine physician provider located in Sparks, Nevada. This profile covers 0 Medicare and 36 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	Northern Nevada Medical Group, LLC
Address	2345 E Prater Way
City	Sparks
State	NV
ZIP	89434
Taxonomy	Family Medicine Physician
NPI Enumerated	September 6, 2008

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	25,290	$60	$1.5M
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…	8,030	$40	$288.9K
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…	1,240	$120	$145.3K
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…	970	$150	$143.8K
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…	2,120	$60	$120.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,600	$30	$83.2K
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…	1,650	$40	$66.2K
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…	750	$70	$48.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,570	$30	$47K
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…	2,820	$10	$31K

Showing 1–10 of 36

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

Northern Nevada Medical Group, LLC — 1 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

36 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…	25	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…	112	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…	133	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…	82	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…	46	140	690	$40	$145.2K
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…	40	2,250	290	$60	$138K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	28	170	180	$80	$120.5K
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…	47	150	460	$20	$119.6K
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…	155	2,480	330	$50	$107.6K
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…	46	230	160	$70	$99.1K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Miller	NV	Geriatric Medicine (Internal Medicine) Physician	$224.7K	$1.2K
Jeremy Bearfield	NV	Family Medicine Physician	$84K	$79.5K
John Watson	NV	Internal Medicine Physician	$162K	$0
Thomas Nylk	NV	Cardiovascular Disease Physician	$154.8K	$3K
Letitia Anderson	NV	Cardiovascular Disease Physician	$145.7K	$460
Nisreen Yaghmour	IA	Clinical Cardiac Electrophysiology Physician	$123K	$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
Waddy Gonzalez Diaz	NV	Cardiovascular Disease Physician	$98.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sound Physicians Emergency Medicine Of Nevada Bessler PLLC	NV	Emergency Medicine Physician	$0	$14.9M
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
Jessell Owens	NV	Orthopaedic Surgery Physician	$220.6K	$0
Thomas Truong	NV	Interventional Cardiology Physician	$135K	$0
Randall Pierce	NV	Diagnostic Radiology Physician	$91K	$9.8K
Leslie Toulouse	NV	Physical Medicine & Rehabilitation Physician	$100.7K	$0
Elizabeth Hutson	NV	Gynecology Physician	$85.9K	$0
Nicholas Letts	NV	Internal Medicine Physician	$85.9K	$0

Northern Nevada Medical Group, LLC — Billing Profile & Reimbursement Data

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Northern Nevada Medical Group, LLC — 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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