ALBION MEDICAL GROUP OF NEVADA, PC
7151 CASCADE VALLEY CT STE 101, LAS VEGAS, NV 89128
NPI Number
1578840724
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$268,321
-41% vs specialty average
Patients Seen
5,800
Total Claims
7,293
$ Per Patient
$46
Specialty avg: $55
Specialty Rank
#101 of 446
Internal Medicine providers in Nevada
Peer Average
$452,600
Average total for Internal Medicine
Claims per Patient
1.3
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 | $12,525 | |
| 2019 | $125,521 | |
| 2020 | $86,493 | |
| 2021 | $13,742 | |
| 2022 | $6,160 | |
| 2023 | $3,050 | |
| 2024 | $20,829 |
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) | 4,693 | $185,656 | 69.2% | $40 |
| 99214 | Office visit for a moderate problem (established patient) | 1,059 | $56,485 | 21.1% | $53 |
| 99396 | Wellness checkup — ages 40-64 | 110 | $7,840 | 2.9% | $71 |
| 99212 | Office visit for a minor problem (established patient) | 213 | $7,518 | 2.8% | $35 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 55 | $3,496 | 1.3% | $64 |
| 90471 | Giving a vaccine by injection (shot) | 232 | $3,074 | 1.1% | $13 |
| 90756 | Vaccine or immunization | 122 | $1,540 | 0.6% | $13 |
| 99395 | Wellness checkup — ages 18-39 | 14 | $1,001 | 0.4% | $72 |
| 90688 | Vaccine or immunization | 110 | $700 | 0.3% | $6 |
| 99442 | Medical service or procedure | 60 | $359 | 0.1% | $6 |
| 0012A | Medical service or procedure | 66 | $283 | 0.1% | $4 |
| 0011A | Medical service or procedure | 55 | $182 | 0.1% | $3 |
| 0031A | Medical service or procedure | 95 | $182 | 0.1% | $2 |
| 99441 | Medical service or procedure | 16 | $5 | 0.0% | $0 |
| 99385 | Wellness checkup — new patient, ages 18-39 | 19 | $0 | 0.0% | $0 |
| 3078F | Medical service or procedure | 51 | $0 | 0.0% | $0 |
| 1111F | Medical service or procedure | 63 | $0 | 0.0% | $0 |
| 3079F | Medical service or procedure | 87 | $0 | 0.0% | $0 |
| 3074F | Medical service or procedure | 173 | $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.