PRIME MEDICAL CENTER LLC SOS Verified
1917 ROSE CORAL AVE, LAS VEGAS, NV 89106
NPI Number
1043936990
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Prime Medical Center LLC
Entity Number: E22290242022-1
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2022-04-04
Status Changed: 2022-04-04
Name Match: 95%
Registered Agent
Name: Jorge Puebla Isaac
Type: Non-Commercial Registered Agent
Address: 1917 Rose Coral Ave, Las Vegas, NV, 89106
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Jorge Puebla Isaac | 1917 Rose Coral Ave, Las Vegas, NV | Active |
Total Medicaid Payments
$200,890
-90% vs specialty average
Patients Seen
926
Total Claims
5,613
$ Per Patient
$217
Specialty avg: $102
Specialty Rank
#7 of 10
Clinic/Center, Health Services providers in Nevada
Peer Average
$2,029,763
Average total for Clinic/Center, Health Services
Claims per Patient
6.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2023 | $200,890 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 90876 | Individual psychophysiological therapy — biofeedback training | 1,962 | $178,794 | 89.0% | $91 |
| Q3014 | Telehealth originating site facility fee | 1,961 | $13,284 | 6.6% | $7 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 1,652 | $7,481 | 3.7% | $5 |
| 96158 | Medical service or procedure | 38 | $1,332 | 0.7% | $35 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.