MOUNTAIN VISTA PEDIATRICS, INC. SOS Verified
6301 MOUNTAIN VISTA ST SUITE 205, HENDERSON, NV 89014
NPI Number
1538595368
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: MOUNTAIN VISTA PEDIATRICS INC
Entity Number: E0427232013-1
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2013-09-03
Name Match: 95%
Registered Agent
Name: EDMUND FARO
Type: Non-Commercial Registered Agent
Address: 1416 FOOTHILLS MILLS STREET, HENDERSON, NV, 89012
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | EDMUND FARO | 6301 MOUNTAIN VISTA, SUITE 205, HENDERSON, NV, 89014 | Active |
| Secretary | EDMUND FARO | 6301 MOUNTAIN VISTA, SUITE 205, HENDERSON, NV, 89014 | Active |
| Treasurer | EDMUND FARO | 6301 MOUNTAIN VISTA, SUITE 205, HENDERSON, NV, 89014 | Active |
| Director | EDMUND FARO | 6301 MOUNTAIN VISTA, SUITE 205, HENDERSON, NV, 89014 | Active |
Total Medicaid Payments
$1,371,641
+177% vs specialty average
Patients Seen
26,173
Total Claims
28,108
$ Per Patient
$52
Specialty avg: $67
Specialty Rank
#7 of 71
Specialist providers in Nevada
Peer Average
$494,632
Average total for Specialist
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 | $69,877 | |
| 2019 | $144,277 | |
| 2020 | $98,938 | |
| 2021 | $168,517 | |
| 2022 | $322,780 | |
| 2023 | $329,393 | |
| 2024 | $237,861 |
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) | 4,629 | $363,407 | 26.5% | $79 |
| 99213 | Office visit for a simple problem (established patient) | 5,818 | $355,995 | 26.0% | $61 |
| 99392 | Wellness checkup — ages 1-4 | 1,512 | $143,811 | 10.5% | $95 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 3,454 | $139,368 | 10.2% | $40 |
| 99391 | Wellness checkup — infant (under 1 year) | 1,088 | $96,792 | 7.1% | $89 |
| 99393 | Wellness checkup — ages 5-11 | 857 | $78,812 | 5.7% | $92 |
| 90472 | Additional vaccine injection at the same visit | 2,077 | $76,501 | 5.6% | $37 |
| 99394 | Wellness checkup — ages 12-17 | 621 | $63,324 | 4.6% | $102 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 622 | $13,064 | 1.0% | $21 |
| 87880 | Strep throat test (rapid) | 1,461 | $12,299 | 0.9% | $8 |
| 99212 | Office visit for a minor problem (established patient) | 209 | $7,492 | 0.5% | $36 |
| 87804 | Flu test (rapid) | 431 | $5,711 | 0.4% | $13 |
| 99070 | Special medical service | 590 | $5,629 | 0.4% | $10 |
| 94760 | Breathing test or lung function test | 2,158 | $4,289 | 0.3% | $2 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 12 | $1,393 | 0.1% | $116 |
| 87811 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 42 | $990 | 0.1% | $24 |
| 92081 | Eye exam or vision test | 35 | $968 | 0.1% | $28 |
| 92587 | Hearing or speech test or therapy | 45 | $790 | 0.1% | $18 |
| 90471 | Giving a vaccine by injection (shot) | 18 | $391 | 0.0% | $22 |
| 99058 | Special medical service | 15 | $252 | 0.0% | $17 |
| 90671 | Vaccine or immunization | 291 | $222 | 0.0% | $1 |
| 36416 | Finger or heel stick for blood collection | 81 | $139 | 0.0% | $2 |
| 90619 | Vaccine or immunization | 121 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 12 | $0 | 0.0% | $0 |
| S9470 | Nutritional counseling, dietitian visit | 32 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 389 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 200 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 81 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 28 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 75 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 233 | $0 | 0.0% | $0 |
| 90696 | DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio) | 29 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 125 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 454 | $0 | 0.0% | $0 |
| 90710 | MMRV vaccine (measles, mumps, rubella, and chickenpox) | 263 | $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.