LAKE MEAD PEDIATRICS, LLC. SOS Verified
129 W LAKE MEAD PKWY STE 10, HENDERSON, NV 89015
NPI Number
1073087581
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: LAKE MEAD PEDIATRICS, LLC.
Entity Number: E0202952009-0
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2009-04-09
Status Changed: 2009-07-15
Name Match: 95%
Registered Agent
Name: TULLES AND ASSOCIATES
Type: Non-Commercial Registered Agent
Address: 2810 W CHARLESTON BLVD SUITE E-51, LAS VEGAS, NV, 89102
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | MARIA TERESITA ZAGALA | 129 W. LAKE MEAD PKWY STE 10, HENDERSON, NV, 89015-7055 | Active |
| Manager | TELESFORO ZAGALA | 129 W. LAKE MEAD PKWY STE. 10, HENDERSON, NV, 89015-7055 | Active |
Total Medicaid Payments
$1,689,536
+106% vs specialty average
Patients Seen
29,506
Total Claims
31,949
$ Per Patient
$57
Specialty avg: $37
Specialty Rank
#40 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.1
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 |
|---|---|---|
| 2019 | $138,591 | |
| 2020 | $201,917 | |
| 2021 | $245,407 | |
| 2022 | $420,783 | |
| 2023 | $352,444 | |
| 2024 | $330,393 |
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 |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 13,861 | $824,119 | 48.8% | $59 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 5,195 | $250,230 | 14.8% | $48 |
| 99392 | Wellness checkup — ages 1-4 | 2,334 | $201,624 | 11.9% | $86 |
| 99393 | Wellness checkup — ages 5-11 | 1,960 | $172,187 | 10.2% | $88 |
| 99391 | Wellness checkup — infant (under 1 year) | 1,780 | $147,488 | 8.7% | $83 |
| 99394 | Wellness checkup — ages 12-17 | 690 | $66,441 | 3.9% | $96 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 696 | $14,184 | 0.8% | $20 |
| 90686 | Vaccine or immunization | 1,230 | $2,511 | 0.1% | $2 |
| 90471 | Giving a vaccine by injection (shot) | 116 | $2,365 | 0.1% | $20 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 25 | $2,033 | 0.1% | $81 |
| 36416 | Finger or heel stick for blood collection | 378 | $1,474 | 0.1% | $4 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 13 | $1,298 | 0.1% | $100 |
| 99214 | Office visit for a moderate problem (established patient) | 15 | $1,160 | 0.1% | $77 |
| 99188 | Other medical service | 73 | $861 | 0.1% | $12 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 74 | $512 | 0.0% | $7 |
| 90680 | Vaccine or immunization | 463 | $444 | 0.0% | $1 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 921 | $293 | 0.0% | $0 |
| 90648 | Haemophilus influenzae type b (Hib) vaccine (4-dose) | 287 | $222 | 0.0% | $1 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 143 | $89 | 0.0% | $1 |
| 90723 | DTaP-HepB-IPV combination vaccine | 67 | $0 | 0.0% | $0 |
| 90677 | Vaccine or immunization | 60 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 293 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 132 | $0 | 0.0% | $0 |
| 90671 | Vaccine or immunization | 296 | $0 | 0.0% | $0 |
| 90716 | Chickenpox (varicella) vaccine | 311 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 126 | $0 | 0.0% | $0 |
| 90707 | MMR vaccine (protects against measles, mumps, rubella) | 321 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 48 | $0 | 0.0% | $0 |
| 90620 | Vaccine or immunization | 13 | $0 | 0.0% | $0 |
| 90696 | DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio) | 12 | $0 | 0.0% | $0 |
| 90656 | Vaccine or immunization | 16 | $0 | 0.0% | $0 |
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.