HEATHER BACALA, M.D.
6850 N DURANGO DR STE 401, LAS VEGAS, NV 89149
NPI Number
1114281706
Practice location · View on Google Maps
Total Medicaid Payments
$333,345
+26% vs specialty average
Patients Seen
5,219
Total Claims
6,780
$ Per Patient
$64
Specialty avg: $50
Specialty Rank
#16 of 159
Obstetrics & Gynecology providers in Nevada
Peer Average
$265,472
Average total for Obstetrics & Gynecology
Claims per Patient
1.3
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 | $17,623 | |
| 2020 | $52,914 | |
| 2021 | $170,976 | |
| 2022 | $76,558 | |
| 2023 | $15,274 |
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) | 1,797 | $90,584 | 27.2% | $50 |
| 99214 | Office visit for a moderate problem (established patient) | 1,335 | $88,796 | 26.6% | $67 |
| 59400 | Routine obstetric care — prenatal visits, vaginal delivery, and follow-up | 30 | $43,876 | 13.2% | $1,463 |
| 76830 | Transvaginal ultrasound of the uterus | 283 | $28,236 | 8.5% | $100 |
| 99203 | New patient office visit — moderate problem | 357 | $24,135 | 7.2% | $68 |
| 99204 | New patient office visit — detailed visit for a serious problem | 231 | $18,248 | 5.5% | $79 |
| 76805 | Ultrasound of pregnancy (after first trimester) | 130 | $15,127 | 4.5% | $116 |
| 99395 | Wellness checkup — ages 18-39 | 80 | $7,097 | 2.1% | $89 |
| 76817 | Transvaginal ultrasound of pregnancy | 93 | $3,801 | 1.1% | $41 |
| A4550 | Surgical trays | 384 | $1,861 | 0.6% | $5 |
| 99215 | Office visit for a complex or serious problem (established patient) | 20 | $1,644 | 0.5% | $82 |
| 59025 | Pregnancy, delivery, and maternity care | 44 | $1,332 | 0.4% | $30 |
| 76816 | Follow-up ultrasound of pregnancy | 18 | $1,289 | 0.4% | $72 |
| 81025 | Pregnancy test (urine) | 499 | $1,213 | 0.4% | $2 |
| 76815 | Limited ultrasound of pregnancy (quick check) | 21 | $1,107 | 0.3% | $53 |
| 87491 | Chlamydia test | 46 | $1,010 | 0.3% | $22 |
| 87591 | Gonorrhea test | 46 | $1,010 | 0.3% | $22 |
| 96372 | IV infusion or injection of medication | 60 | $604 | 0.2% | $10 |
| 87510 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 46 | $564 | 0.2% | $12 |
| 87660 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 46 | $564 | 0.2% | $12 |
| 87480 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 46 | $564 | 0.2% | $12 |
| 36415 | Drawing blood from a vein (routine blood draw) | 115 | $185 | 0.1% | $2 |
| 84443 | Thyroid function test (TSH) | 14 | $158 | 0.0% | $11 |
| 84702 | Blood chemistry test (checking specific substances in your blood) | 13 | $130 | 0.0% | $10 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 18 | $107 | 0.0% | $6 |
| 82951 | Blood chemistry test (checking specific substances in your blood) | 12 | $104 | 0.0% | $9 |
| 99072 | Special medical service | 981 | $0 | 0.0% | $0 |
| 0503F | Medical service or procedure | 15 | $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.