HAROLD ZILBERMAN, M.D.
3201 S MARYLAND PKWY STE 608, LAS VEGAS, NV 89109
NPI Number
1518950401
Practice location · View on Google Maps
Total Medicaid Payments
$136,771
-83% vs specialty average
Patients Seen
3,455
Total Claims
3,586
$ Per Patient
$40
Specialty avg: $37
Specialty Rank
#125 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 | $136,771 |
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) | 640 | $41,734 | 30.5% | $65 |
| 99214 | Office visit for a moderate problem (established patient) | 250 | $24,392 | 17.8% | $98 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 424 | $22,859 | 16.7% | $54 |
| 99391 | Wellness checkup — infant (under 1 year) | 193 | $17,821 | 13.0% | $92 |
| 99058 | Special medical service | 403 | $7,406 | 5.4% | $18 |
| 99392 | Wellness checkup — ages 1-4 | 69 | $6,839 | 5.0% | $99 |
| 87804 | Flu test (rapid) | 172 | $3,316 | 2.4% | $19 |
| 92567 | Hearing or speech test or therapy | 255 | $3,139 | 2.3% | $12 |
| 94010 | Breathing test or lung function test | 93 | $2,813 | 2.1% | $30 |
| 87880 | Strep throat test (rapid) | 274 | $2,792 | 2.0% | $10 |
| 99393 | Wellness checkup — ages 5-11 | 16 | $1,518 | 1.1% | $95 |
| 99238 | Hospital discharge — doctor manages your release (30 minutes or less) | 18 | $1,251 | 0.9% | $69 |
| 92015 | Eye exam or vision test | 147 | $555 | 0.4% | $4 |
| 36416 | Finger or heel stick for blood collection | 50 | $193 | 0.1% | $4 |
| 92587 | Hearing or speech test or therapy | 142 | $145 | 0.1% | $1 |
| 90700 | Vaccine or immunization | 84 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 113 | $0 | 0.0% | $0 |
| 90685 | Vaccine or immunization | 50 | $0 | 0.0% | $0 |
| 90648 | Haemophilus influenzae type b (Hib) vaccine (4-dose) | 60 | $0 | 0.0% | $0 |
| 90713 | Polio vaccine | 59 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 61 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 13 | $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.