BANNER HEALTH PHYSICIANS WEST LLC SOS Verified
801 E WILLIAMS AVE, FALLON, NV 89406
NPI Number
1427314186
SOS Verification: Verified
Entity Name: BANNER HEALTH
Entity Number: C976-1993
Entity Type: Foreign Nonprofit Corporation
Entity Status: Active
Formation Date: 1993-02-02
Status Changed: 2015-05-05
Name Match: 90%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Treasurer | BRENDA SCHAEFER | 2901 N. CENTRAL AVE., SUITE 160, PHOENIX, AZ, 85012 | Active |
| President | AMY PERRY | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Other | MARJORIE BESSEL, M.D. | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | ANNE MARIUCCI | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | MICHAEL GARNREITER | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | SUJATA GOSALIA | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | VICKI KEISER | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | JOHN KOSTER, M.D. | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | MARK WALLACE, M.D. | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | QUENTIN SMITH | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Director | CHRISTOPHER VOLK | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Secretary | JEAN LANCE | 2901 N. CENTRAL AVE., SUITE 160, Phoenix, AZ | Active |
| Other | JULIE ANN ALVARADO-DUBEK | 2901 N. Central Avenue, Suite 160, Phoenix, AZ | Active |
| Other | MARY SCHUBERT | 2901 N. CENTRAL AVE., SUITE 160, PHOENIX, AZ | Active |
| Other | STACI DICKERSON | 2901 N. CENTRAL AVE., STE 160, PHOENIX, AZ | Active |
| Director | DEAN HARRISON | 2901 N. CENTRAL AVE., STE 160, PHOENIX, AZ | Active |
| Director | RICK MYERS | 2901 N. CENTRAL AVE., STE 160, PHOENIX, AZ | Active |
| Director | SARA WARD | 2901 N. CENTRAL AVE., STE 160, Phoenix, AZ | Active |
| Director | AMY PERRY | 2901 N. CENTRAL AVE., SUITE 160, Phoenix, AZ | Active |
| Director | MIKE BUTLER | 2901 N. CENTRAL AVE., SUITE 160, Phoenix, AZ | Active |
Campaign Contributions
$104,394Total Contributed
9Candidates Supported
Corporate Matches
Banner HealthConfirmed Match
$250 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| NVOS BonePAC | PAC | $250 | 1 |
Officer / Individual Matches
Quentin SmithPossible Match
Matched via officer: QUENTIN SMITH (Director)
$4,053 across 18 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Quentin Smith | City of Sparks, City Council, Ward 3 | Democratic Party | $4,053 | 18 |
KOSTER, JOHNPossible Match
Matched via officer: JOHN KOSTER, M.D. (Director)
$2,000 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| HELLER, DEAN | U.S. Senate | REP | $36,000 | 18 |
John KosterPossible Match
Matched via officer: JOHN KOSTER, M.D. (Director)
$1,000 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Jim Wheeler | State Assembly, District 39 | Republican Party | $1,000 | 1 |
Quentin SmithPossible Match
Matched via officer: QUENTIN SMITH (Director)
Quentin SmithPossible Match
Matched via officer: QUENTIN SMITH (Director)
$30 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Quentin Smith | City of Sparks, City Council, Ward 3 | Democratic Party | $30 | 1 |
KOSTER, JOHN KPossible Match
Matched via officer: JOHN KOSTER, M.D. (Director)
$600 across 11 contributions
MYERS, RICHARDPossible Match
Matched via officer: RICK MYERS (Director)
$95,988 across 404 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| LAXALT, ADAM | U.S. Senate | REP | $15,750 | 72 |
| BROWN, SAM | U.S. Senate | REP | $9,000 | 24 |
| PETERS, SAMUEL JAMES MR | U.S. House | REP | $4,500 | 18 |
| SERRANO, CAROLINA | U.S. House | REP | $4,500 | 18 |
Mark WallacePossible Match
Matched via officer: MARK WALLACE, M.D. (Director)
$20 across 2 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Joseph Lombardo | Governor | Republican Party | $20 | 2 |
Quentin SmithPossible Match
Matched via officer: QUENTIN SMITH (Director)
$454 across 2 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Quentin Smith | City of Sparks, City Council, Ward 3 | Democratic Party | $454 | 2 |
Quentin SmithPossible Match
Matched via officer: QUENTIN SMITH (Director)
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$232,987
-75% vs specialty average
Patients Seen
3,814
Total Claims
4,267
$ Per Patient
$61
Specialty avg: $98
Specialty Rank
#21 of 32
Clinic/Center, Multi-Specialty providers in Nevada
Peer Average
$945,518
Average total for Clinic/Center, Multi-Specialty
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 | $232,987 |
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 |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 1,514 | $104,193 | 44.7% | $69 |
| 99213 | Office visit for a simple problem (established patient) | 1,134 | $58,147 | 25.0% | $51 |
| 99203 | New patient office visit — moderate problem | 266 | $18,685 | 8.0% | $70 |
| 99391 | Wellness checkup — infant (under 1 year) | 178 | $16,236 | 7.0% | $91 |
| 99392 | Wellness checkup — ages 1-4 | 146 | $15,139 | 6.5% | $104 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 252 | $11,532 | 4.9% | $46 |
| 99212 | Office visit for a minor problem (established patient) | 106 | $3,613 | 1.6% | $34 |
| 99204 | New patient office visit — detailed visit for a serious problem | 15 | $2,113 | 0.9% | $141 |
| 98929 | Osteopathic treatment (hands-on manipulation) | 17 | $1,228 | 0.5% | $72 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 13 | $1,087 | 0.5% | $84 |
| 96372 | IV infusion or injection of medication | 16 | $273 | 0.1% | $17 |
| 83036 | Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes) | 59 | $205 | 0.1% | $3 |
| 90474 | Additional oral or nasal vaccine at the same visit | 12 | $132 | 0.1% | $11 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 57 | $111 | 0.0% | $2 |
| 87804 | Flu test (rapid) | 12 | $98 | 0.0% | $8 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 13 | $96 | 0.0% | $7 |
| 81025 | Pregnancy test (urine) | 15 | $65 | 0.0% | $4 |
| 88720 | Special lab analysis | 12 | $34 | 0.0% | $3 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 69 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 18 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 36 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 12 | $0 | 0.0% | $0 |
| 90700 | Vaccine or immunization | 15 | $0 | 0.0% | $0 |
| 99406 | Medical service or procedure | 20 | $0 | 0.0% | $0 |
| 90461 | Additional vaccine given to a child at the same visit | 211 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 49 | $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.