WILLIAM DOWNEY, M.D.
10105 BANBURRY CROSS DR SUITE 370, LAS VEGAS, NV 89144
NPI Number
1477533867
Practice location · View on Google Maps
Total Medicaid Payments
$149,809
-82% vs specialty average
Patients Seen
4,344
Total Claims
4,549
$ Per Patient
$34
Specialty avg: $37
Specialty Rank
#119 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.0
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 | $149,809 |
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) | 708 | $45,287 | 30.2% | $64 |
| 99391 | Wellness checkup — infant (under 1 year) | 393 | $33,901 | 22.6% | $86 |
| 99392 | Wellness checkup — ages 1-4 | 323 | $30,968 | 20.7% | $96 |
| 90471 | Giving a vaccine by injection (shot) | 648 | $13,030 | 8.7% | $20 |
| 90472 | Additional vaccine injection at the same visit | 452 | $8,011 | 5.3% | $18 |
| 99460 | Newborn baby care — first exam in the hospital | 74 | $5,312 | 3.5% | $72 |
| 99238 | Hospital discharge — doctor manages your release (30 minutes or less) | 78 | $4,712 | 3.1% | $60 |
| 99393 | Wellness checkup — ages 5-11 | 44 | $4,193 | 2.8% | $95 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 143 | $1,271 | 0.8% | $9 |
| 99214 | Office visit for a moderate problem (established patient) | 12 | $1,234 | 0.8% | $103 |
| 90474 | Additional oral or nasal vaccine at the same visit | 124 | $1,192 | 0.8% | $10 |
| 94760 | Breathing test or lung function test | 267 | $605 | 0.4% | $2 |
| 36415 | Drawing blood from a vein (routine blood draw) | 15 | $62 | 0.0% | $4 |
| 85018 | Blood cell or clotting test | 13 | $27 | 0.0% | $2 |
| 90686 | Vaccine or immunization | 112 | $0 | 0.0% | $0 |
| 90716 | Chickenpox (varicella) vaccine | 61 | $0 | 0.0% | $0 |
| 90681 | Rotavirus vaccine (protects babies from stomach illness) | 140 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 295 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 213 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 99 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 230 | $0 | 0.0% | $0 |
| 99000 | Special medical service | 43 | $0 | 0.0% | $0 |
| 90707 | MMR vaccine (protects against measles, mumps, rubella) | 62 | $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.