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.

Nevada Acute Medical Services-scherr 1 PC (NPI 1992244438)

Key Findings

Field	Value
Entity Type	Organization
Organization	Nevada Acute Medical Services-scherr 1 PC
Address	2500 N Tenaya Way
City	Las Vegas
State	NV
ZIP	89128
Taxonomy	Hospitalist Physician
NPI Enumerated	February 16, 2017

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

This provider is effectively single-payer in the public programs: Medicare billing is listed as none (no Medicare billing on file) while lifetime Medicaid revenue is $13.5M, indicating Medicaid is the sole recorded source of fee-for-service revenue in the dataset. That concentration means any payer or network negotiation will be driven almost entirely by Medicaid relationships rather than Medicare participation.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 83.8% of this provider's total Medicaid revenue, with 99232 responsible for $6.7M (49.4%), 99223 for $2.5M (18.1%), and 99233 for $2.2M (16.3%). Those three codes dominate the financial profile and explain the vast majority of billed Medicaid dollars.

The code mix points to a high-volume inpatient hospitalist practice: the top codes are 99232, 99223, and 99233, which are subsequent and initial hospital inpatient/observation E/M visits at moderate to high complexity. Significant revenue also comes from discharge management codes 99239 ($922.3K, 6.8%) and 99238 ($301.1K, 2.2%), reinforcing that this entity primarily delivers inpatient evaluation/management and discharge services rather than outpatient procedural care.

State-level competitive standing is dominant for the top Medicaid services: 99232 ranks #1 of 427 providers in-state and is described as an "extreme outlier" (100th percentile), while 99223 ranks #2 of 434 providers in-state and is also an "extreme outlier" (100th percentile). 99233 ranks #9 of 472 (98th percentile, "notably above typical"), indicating the provider is a major statewide player for core inpatient E/M codes.

Utilization volumes are unusually high and flagged as outliers: 99232 shows 202.8K claims, 99233 shows 45.9K claims, and 99223 shows 23.6K claims. The data labels for these codes include "extreme outlier" and "notably above typical," which supports interpreting utilization intensity as well above typical in-state patterns rather than marginally increased activity.

Ancillary and documentation-related codes are present at meaningful volumes but produce limited revenue: 99497 appears 4.4K times for $35K in revenue and ranks #4 of 94 in-state (97th percentile, "notably above typical"), and quality/documentation codes such as G8427 (5.9K claims, $0 revenue) rank #9 of 209 (96th percentile, "notably above typical"). These patterns suggest the practice records advance care planning and medication reconciliation activities frequently, even though those lines contribute minimal direct Medicaid dollars.

Procedure-level entries beyond core E/M are small contributors: debridement codes 11042 (1.1K claims, $20K revenue) and 11045 (121 claims, $3K revenue) appear but represent only trace shares of total Medicaid revenue. This mix indicates that while some procedural wound care is billed, the business is functionally centered on inpatient physician evaluation/management services.

The provider has an established enrollment history with NPI enumeration on 2017-02-16 (~9 years ago), providing multiple years for the observed, stable inpatient-focused billing pattern to develop. Given the heavy dependence on a narrow set of inpatient E/M codes (top 3 = 83.8% of Medicaid revenue) and the absence of Medicare billing, payers and network planners should view this entity as a Medicaid-centric, inpatient-focused provider with concentrated revenue exposure driven by very high-volume E/M activity.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	202,800	$30	$6.7M
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…	23,570	$100	$2.5M
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…	45,880	$50	$2.2M
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…	17,400	$50	$922.3K
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…	6,220	$80	$466.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	8,370	$40	$301.1K
99220	N/A	2,490	$100	$259.2K
99231	The 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…	3,630	$20	$69K
99255	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at…	370	$150	$54.8K
99219	N/A	610	$80	$48.8K

Showing 1–10 of 22

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

Nevada Acute Medical Services-scherr 1 PC — 8 of 18 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	9	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…	1	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…	2	430	180	$130	$158K
99220	N/A	3	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…	4	230	160	$70	$99.1K
99219	N/A	6	20	160	$90	$76.3K
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…	7	210	110	$80	$68.6K
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.	23	50	690	$40	$67.7K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	17	20	470	$30	$54.2K
99254	The 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…	40	50	50	$140	$43.6K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Francis Tan	NV	Family Medicine Physician	$408.3K	$33.7K
Muhammad Syed	TX	Internal Medicine Physician	$208.6K	$153.3K
Mark Mckenzie	NV	Internal Medicine Physician	$272.3K	$50.6K
Hatim Gemil	NV	Internal Medicine Physician	$297.5K	$4.6K
Elizabeth Beutler	NV	Nurse Practitioner	$271.2K	$0
Razmig Kratlian	NV	Internal Medicine Physician	$169.3K	$55.4K
Don Leo Sullano Pepito	NV	Internal Medicine Physician	$217.9K	$2.9K
Edward Hoefler	NV	Internal Medicine Physician	$218.2K	$0
James Webb	NV	Medical Physician Assistant	$214.2K	$0
Stanley Kidiavayi	NV	Family Nurse Practitioner	$213.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Mountainview Hospital, Inc.	NV	General Acute Care Hospital	$0	$32.1M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$22.9M
Ellis Bandt Birkin Kollins & Wong PLLC	NV	Diagnostic Radiology Physician	$0	$18.1M
Renal Care Group Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.4M
Laboratory Medicine Consultants Ltd	NV	Clinical Medical Laboratory	$1.9M	$9.2M
Cybt, Inc	NV	In Home Supportive Care Agency	$0	$11.1M
Kan-di-ki LLC	NV	Clinical Medical Laboratory	$5M	$3.6M
Southwest Rehabilitation Physicians & Farhang Associates PLLC	NV	Pain Medicine Physician	$0	$7.1M
New Century Rehabilitation LLC	NV	Physical Therapist	$0	$6.9M
Optum Medical Group Ii Rhodes P C	NV	Internal Medicine Physician	$0	$6.8M

Nevada Acute Medical Services-scherr 1 PC — Billing Profile & Reimbursement Data

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Nevada Acute Medical Services-scherr 1 PC — 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