PINNACLE MEDICAL GROUP HICKS PC SOS Verified
5975 S LOS ALTOS PKWY, SPARKS, NV 89436
NPI Number
1548869381
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Pinnacle Medical Group (Hicks) P.C.
Entity Number: E11136012020-5
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2020-12-21
Status Changed: 2020-12-21
Name Match: 95%
Registered Agent
Name: NUTILE LAW
Type: Commercial Registered Agent
Address: 7395 S PECOS BLVD STE 103, LAS VEGAS, NV, 89120
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | Rajendra Bansal, MD | 605 S Beach Road, Tequesta, FL | Active |
| Secretary | Rajendra Bansal, MD | 605 S Beach Road, Tequesta, FL | Active |
| Treasurer | Rajendra Bansal, MD | 605 S Beach Road, Tequesta, FL | Active |
| Director | Rajendra Bansal, MD | 605 S Beach Road, Tequesta, FL | Active |
Total Medicaid Payments
$147,486
-53% vs specialty average
Patients Seen
10,611
Total Claims
12,192
$ Per Patient
$14
Specialty avg: $54
Specialty Rank
#97 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family 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 |
|---|---|---|
| 2021 | $13,268 | |
| 2022 | $52,798 | |
| 2023 | $61,404 | |
| 2024 | $20,017 |
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) | 2,470 | $135,921 | 92.2% | $55 |
| 99204 | New patient office visit — detailed visit for a serious problem | 56 | $5,672 | 3.8% | $101 |
| 99213 | Office visit for a simple problem (established patient) | 121 | $4,728 | 3.2% | $39 |
| 3074F | Medical service or procedure | 785 | $1,000 | 0.7% | $1 |
| 3078F | Medical service or procedure | 294 | $50 | 0.0% | $0 |
| 3079F | Medical service or procedure | 67 | $50 | 0.0% | $1 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 16 | $42 | 0.0% | $3 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care se... | 25 | $23 | 0.0% | $1 |
| 1160F | Medical service or procedure | 3,538 | $0 | 0.0% | $0 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 21 | $0 | 0.0% | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 39 | $0 | 0.0% | $0 |
| 1159F | Medical service or procedure | 3,574 | $0 | 0.0% | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 43 | $0 | 0.0% | $0 |
| 3016F | Medical service or procedure | 1,004 | $0 | 0.0% | $0 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 35 | $0 | 0.0% | $0 |
| 1220F | Medical service or procedure | 104 | $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.