MARIA PILAR FAYLONA, M.D. PC
4212 W CHARLESTON BLVD, LAS VEGAS, NV 89102
NPI Number
1609035567
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$686,275
+118% vs specialty average
Patients Seen
12,484
Total Claims
16,632
$ Per Patient
$55
Specialty avg: $54
Specialty Rank
#42 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family 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 | $51,550 | |
| 2019 | $92,398 | |
| 2020 | $100,968 | |
| 2021 | $139,440 | |
| 2022 | $132,129 | |
| 2023 | $110,913 | |
| 2024 | $58,875 |
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) | 11,725 | $635,803 | 92.6% | $54 |
| 99350 | Home visit follow-up — unstable condition | 513 | $16,294 | 2.4% | $32 |
| 99213 | Office visit for a simple problem (established patient) | 397 | $15,776 | 2.3% | $40 |
| 99335 | Medical service or procedure | 167 | $8,870 | 1.3% | $53 |
| 99204 | New patient office visit — detailed visit for a serious problem | 21 | $2,125 | 0.3% | $101 |
| G2012 | Brief communication technology-based service, for example. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services | 907 | $1,923 | 0.3% | $2 |
| 99395 | Wellness checkup — ages 18-39 | 20 | $1,498 | 0.2% | $75 |
| 99396 | Wellness checkup — ages 40-64 | 12 | $1,213 | 0.2% | $101 |
| 96372 | IV infusion or injection of medication | 227 | $1,050 | 0.2% | $5 |
| 90688 | Vaccine or immunization | 301 | $695 | 0.1% | $2 |
| 90674 | Flu vaccine — standard injection | 108 | $442 | 0.1% | $4 |
| 90471 | Giving a vaccine by injection (shot) | 44 | $302 | 0.0% | $7 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present) | 27 | $261 | 0.0% | $10 |
| J3301 | Injection of triamcinolone (steroid for inflammation or joint pain) | 16 | $23 | 0.0% | $1 |
| 3074F | Medical service or procedure | 137 | $0 | 0.0% | $0 |
| 3079F | Medical service or procedure | 16 | $0 | 0.0% | $0 |
| 3008F | Medical service or procedure | 1,849 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 40 | $0 | 0.0% | $0 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 14 | $0 | 0.0% | $0 |
| 3078F | Medical service or procedure | 91 | $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.