FGKG LLC SOS Verified
1620 RAIDERS WAY STE 140, HENDERSON, NV 89052
NPI Number
1205834355
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: FGKG, LLC
Entity Number: LLC4975-1999
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 1999-07-07
Status Changed: 2011-09-08
Name Match: 100%
Registered Agent
Name: RESIDENT AGENTS OF NEVADA, INC.
Type: Commercial Registered Agent
Address: 711 S. Carson St. Ste. 4, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Zachary Nelson | 1620 Raiders Way, #140, Henderson, NV | Active |
| Manager | Vanis Gardea | 1620 Raiders Way Suite 140, Henderson, NV | Active |
Total Medicaid Payments
$65,289
-84% vs specialty average
Patients Seen
124
Total Claims
144
$ Per Patient
$527
Specialty avg: $141
Specialty Rank
#2 of 4
Durable Medical Equipment & Medical Supplies, Customized Equipment providers in Nevada
Peer Average
$400,705
Average total for Durable Medical Equipment & Medical Supplies, Customized Equipment
Claims per Patient
1.2
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 | $23,052 | |
| 2019 | $33,828 | |
| 2021 | $703 | |
| 2023 | $7,705 |
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 |
|---|---|---|---|---|---|
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra | 60 | $56,880 | 87.1% | $948 |
| L0180 | Cervical, multiple post collar, occipital/mandibular supports, adjustable | 13 | $4,285 | 6.6% | $330 |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 45 | $3,420 | 5.2% | $76 |
| A9900 | Miscellaneous medical equipment supply, accessory, and/or service component of another procedure code code | 26 | $703 | 1.1% | $27 |
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.