GOOD SAMARITAN LLC SOS Verified
3201 S MARYLAND PKWY TOWER 1 SUITE 314, LAS VEGAS, NV 89109
NPI Number
1528607512
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Good Samaritan LLC
Entity Number: E1048652019-2
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2019-09-16
Status Changed: 2019-09-16
Name Match: 95%
Registered Agent
Name: Shaun Jang
Type: Non-Commercial Registered Agent
Address: 5940 S. Rainbow Blvd., #4006, Las Vegas, NV, 89118
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Shaun Jang | 3201 S. Maryland Parkway, #314, Las Vegas, NV | Active |
Total Medicaid Payments
$326,443
-28% vs specialty average
Patients Seen
4,511
Total Claims
5,138
$ Per Patient
$72
Specialty avg: $55
Specialty Rank
#88 of 446
Internal Medicine providers in Nevada
Peer Average
$452,600
Average total for Internal Medicine
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 |
|---|---|---|
| 2020 | $16 | |
| 2021 | $6,545 | |
| 2022 | $62,840 | |
| 2023 | $147,761 | |
| 2024 | $109,280 |
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) | 2,489 | $144,768 | 44.3% | $58 |
| 99214 | Office visit for a moderate problem (established patient) | 1,734 | $137,123 | 42.0% | $79 |
| 99204 | New patient office visit — detailed visit for a serious problem | 149 | $18,809 | 5.8% | $126 |
| 99203 | New patient office visit — moderate problem | 200 | $18,073 | 5.5% | $90 |
| 99215 | Office visit for a complex or serious problem (established patient) | 16 | $2,071 | 0.6% | $129 |
| 99396 | Wellness checkup — ages 40-64 | 14 | $1,578 | 0.5% | $113 |
| 99395 | Wellness checkup — ages 18-39 | 15 | $1,557 | 0.5% | $104 |
| 99212 | Office visit for a minor problem (established patient) | 54 | $1,239 | 0.4% | $23 |
| 99401 | Medical service or procedure | 12 | $421 | 0.1% | $35 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 80 | $357 | 0.1% | $4 |
| G0444 | Annual depression screening | 64 | $263 | 0.1% | $4 |
| 36415 | Drawing blood from a vein (routine blood draw) | 104 | $149 | 0.0% | $1 |
| 99497 | Medical service or procedure | 19 | $33 | 0.0% | $2 |
| 1159F | Medical service or procedure | 93 | $0 | 0.0% | $0 |
| 3077F | Medical service or procedure | 30 | $0 | 0.0% | $0 |
| 99000 | Special medical service | 35 | $0 | 0.0% | $0 |
| 3080F | Medical service or procedure | 30 | $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.