JAMES PLAIRE, M.D.
6670 S TENAYA WAY SUITE 180, LAS VEGAS, NV 89113
NPI Number
1104816248
Practice location · View on Google Maps
Total Medicaid Payments
$307,427
-38% vs specialty average
Patients Seen
1,582
Total Claims
1,720
$ Per Patient
$194
Specialty avg: $67
Specialty Rank
#21 of 71
Specialist providers in Nevada
Peer Average
$494,632
Average total for Specialist
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 |
|---|---|---|
| 2018 | $305,919 | |
| 2019 | $1,508 |
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 |
|---|---|---|---|---|---|
| 14040 | Skin flap surgery — moving skin to cover a wound | 274 | $87,642 | 28.5% | $320 |
| 54360 | Male reproductive system surgery | 105 | $60,893 | 19.8% | $580 |
| 54300 | Male reproductive system surgery | 61 | $35,838 | 11.7% | $588 |
| 54161 | Male reproductive system surgery | 364 | $35,303 | 11.5% | $97 |
| 99243 | Office consultation — moderate problem | 254 | $26,254 | 8.5% | $103 |
| 99202 | New patient office visit — simple problem | 259 | $18,299 | 6.0% | $71 |
| 99213 | Office visit for a simple problem (established patient) | 202 | $13,654 | 4.4% | $68 |
| 54304 | Male reproductive system surgery | 17 | $13,395 | 4.4% | $788 |
| 99203 | New patient office visit — moderate problem | 83 | $8,471 | 2.8% | $102 |
| 99214 | Office visit for a moderate problem (established patient) | 89 | $7,138 | 2.3% | $80 |
| 99212 | Office visit for a minor problem (established patient) | 12 | $541 | 0.2% | $45 |
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.