SOUTHWEST MEDICAL ASSOCIATES, INC
888 S RANCHO DR, LAS VEGAS, NV 89106
NPI Number
1659346005
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$611,844
+35% vs specialty average
Patients Seen
142,058
Total Claims
158,653
$ Per Patient
$4
Specialty avg: $55
Specialty Rank
#61 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 |
|---|---|---|
| 2018 | $79,468 | |
| 2019 | $361,821 | |
| 2020 | $170,556 |
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 |
|---|---|---|---|---|---|
| 99212 | Office visit for a minor problem (established patient) | 4,501 | $266,513 | 43.6% | $59 |
| 99213 | Office visit for a simple problem (established patient) | 44,580 | $118,516 | 19.4% | $3 |
| 59400 | Routine obstetric care — prenatal visits, vaginal delivery, and follow-up | 52 | $41,822 | 6.8% | $804 |
| 99214 | Office visit for a moderate problem (established patient) | 11,799 | $30,360 | 5.0% | $3 |
| 99395 | Wellness checkup — ages 18-39 | 913 | $19,035 | 3.1% | $21 |
| 59025 | Pregnancy, delivery, and maternity care | 1,362 | $17,099 | 2.8% | $13 |
| 76830 | Transvaginal ultrasound of the uterus | 143 | $13,267 | 2.2% | $93 |
| 99203 | New patient office visit — moderate problem | 985 | $12,745 | 2.1% | $13 |
| 76856 | Pelvic ultrasound (complete) | 137 | $11,986 | 2.0% | $87 |
| 76700 | Ultrasound of the abdomen (complete) | 99 | $10,154 | 1.7% | $103 |
| 99204 | New patient office visit — detailed visit for a serious problem | 128 | $7,147 | 1.2% | $56 |
| 76770 | Ultrasound of the abdomen and kidneys (complete) | 63 | $6,897 | 1.1% | $109 |
| 71250 | CT scan of the chest (without contrast dye) | 37 | $6,863 | 1.1% | $185 |
| 99385 | Wellness checkup — new patient, ages 18-39 | 127 | $5,911 | 1.0% | $47 |
| 76536 | Ultrasound of the head and neck soft tissue | 63 | $5,842 | 1.0% | $93 |
| 76705 | Ultrasound of the abdomen (limited) | 54 | $5,173 | 0.8% | $96 |
| 71260 | CT scan of the chest (with contrast dye) | 17 | $3,793 | 0.6% | $223 |
| 99391 | Wellness checkup — infant (under 1 year) | 4,408 | $3,618 | 0.6% | $1 |
| 70450 | CT scan of the head (without contrast dye) | 37 | $3,519 | 0.6% | $95 |
| 70486 | CT scan of the sinuses | 19 | $3,274 | 0.5% | $172 |
| 99202 | New patient office visit — simple problem | 58 | $3,094 | 0.5% | $53 |
| 76805 | Ultrasound of pregnancy (after first trimester) | 90 | $2,914 | 0.5% | $32 |
| 99460 | Newborn baby care — first exam in the hospital | 266 | $2,110 | 0.3% | $8 |
| 99396 | Wellness checkup — ages 40-64 | 134 | $1,726 | 0.3% | $13 |
| 90471 | Giving a vaccine by injection (shot) | 432 | $1,324 | 0.2% | $3 |
| 76870 | Ultrasound of the scrotum | 18 | $1,323 | 0.2% | $74 |
| 99238 | Hospital discharge — doctor manages your release (30 minutes or less) | 286 | $1,201 | 0.2% | $4 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 95 | $918 | 0.2% | $10 |
| 76815 | Limited ultrasound of pregnancy (quick check) | 42 | $746 | 0.1% | $18 |
| 96372 | IV infusion or injection of medication | 129 | $688 | 0.1% | $5 |
| 81003 | Urinalysis — automated test | 8,687 | $511 | 0.1% | $0 |
| 99393 | Wellness checkup — ages 5-11 | 4,828 | $358 | 0.1% | $0 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 8,820 | $238 | 0.0% | $0 |
| 99215 | Office visit for a complex or serious problem (established patient) | 46 | $219 | 0.0% | $5 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 119 | $217 | 0.0% | $2 |
| 99392 | Wellness checkup — ages 1-4 | 5,375 | $209 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 3,619 | $152 | 0.0% | $0 |
| 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 | 1,247 | $81 | 0.0% | $0 |
| 99394 | Wellness checkup — ages 12-17 | 3,391 | $75 | 0.0% | $0 |
| 99001 | Special medical service | 364 | $72 | 0.0% | $0 |
| 99401 | Medical service or procedure | 2,066 | $35 | 0.0% | $0 |
| 99070 | Special medical service | 894 | $18 | 0.0% | $0 |
| 88720 | Special lab analysis | 277 | $17 | 0.0% | $0 |
| 94640 | Breathing test or lung function test | 466 | $16 | 0.0% | $0 |
| 87430 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 56 | $16 | 0.0% | $0 |
| 94664 | Breathing test or lung function test | 427 | $15 | 0.0% | $0 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 843 | $7 | 0.0% | $0 |
| 94760 | Breathing test or lung function test | 6,089 | $6 | 0.0% | $0 |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, up to 0.5 mg | 428 | $2 | 0.0% | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 1 mg | 444 | $0 | 0.0% | $0 |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | 2,797 | $0 | 0.0% | $0 |
| 87591 | Gonorrhea test | 3,678 | $0 | 0.0% | $0 |
| 0502F | Medical service or procedure | 6,812 | $0 | 0.0% | $0 |
| 73502 | X-ray of the hip | 27 | $0 | 0.0% | $0 |
| 87880 | Strep throat test (rapid) | 375 | $0 | 0.0% | $0 |
| A4550 | Surgical trays | 42 | $0 | 0.0% | $0 |
| 59430 | Pregnancy, delivery, and maternity care | 42 | $0 | 0.0% | $0 |
| 73610 | X-ray of the ankle (complete) | 83 | $0 | 0.0% | $0 |
| 90620 | Vaccine or immunization | 13 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 40 | $0 | 0.0% | $0 |
| 74178 | CT scan of the abdomen and pelvis (with and without contrast) | 43 | $0 | 0.0% | $0 |
| 73110 | X-ray of the wrist (complete) | 79 | $0 | 0.0% | $0 |
| 73080 | X-ray of the forearm | 25 | $0 | 0.0% | $0 |
| 72072 | Spine imaging (X-ray, CT, or MRI) | 45 | $0 | 0.0% | $0 |
| 93976 | Blood vessel ultrasound or study | 18 | $0 | 0.0% | $0 |
| 99221 | Hospital admission — first day, simple to moderate problem | 13 | $0 | 0.0% | $0 |
| 73560 | X-ray of the knee (1-2 views) | 16 | $0 | 0.0% | $0 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 388 | $0 | 0.0% | $0 |
| 99173 | Other medical service | 10,748 | $0 | 0.0% | $0 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 470 | $0 | 0.0% | $0 |
| 0501F | Medical service or procedure | 132 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 12 | $0 | 0.0% | $0 |
| 73130 | X-ray of the hand | 107 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 12 | $0 | 0.0% | $0 |
| 90461 | Additional vaccine given to a child at the same visit | 207 | $0 | 0.0% | $0 |
| 73090 | X-ray of the wrist | 13 | $0 | 0.0% | $0 |
| 76882 | Ultrasound of a joint (limited) | 15 | $0 | 0.0% | $0 |
| 99402 | Medical service or procedure | 52 | $0 | 0.0% | $0 |
| 74018 | X-ray of the abdomen (single view) | 65 | $0 | 0.0% | $0 |
| 73565 | Lower extremity imaging (hip, knee, leg, foot) | 13 | $0 | 0.0% | $0 |
| 99384 | Wellness checkup — new patient, ages 12-17 | 14 | $0 | 0.0% | $0 |
| 99000 | Special medical service | 135 | $0 | 0.0% | $0 |
| 99441 | Medical service or procedure | 167 | $0 | 0.0% | $0 |
| 99442 | Medical service or procedure | 13 | $0 | 0.0% | $0 |
| 99222 | Hospital admission — first day, moderate to serious problem | 40 | $0 | 0.0% | $0 |
| 99058 | Special medical service | 335 | $0 | 0.0% | $0 |
| 73562 | X-ray of the knee (3 views) | 18 | $0 | 0.0% | $0 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 1,667 | $0 | 0.0% | $0 |
| A7015 | Aerosol mask, used with medical equipment nebulizer | 464 | $0 | 0.0% | $0 |
| 73564 | Lower extremity imaging (hip, knee, leg, foot) | 120 | $0 | 0.0% | $0 |
| 0503F | Medical service or procedure | 121 | $0 | 0.0% | $0 |
| 71046 | Chest X-ray (two views — front and side) | 408 | $0 | 0.0% | $0 |
| 73630 | X-ray of the foot | 121 | $0 | 0.0% | $0 |
| 77080 | Bone density scan (DEXA scan — checks for osteoporosis) | 19 | $0 | 0.0% | $0 |
| 73521 | Lower extremity imaging (hip, knee, leg, foot) | 21 | $0 | 0.0% | $0 |
| 73552 | X-ray of the thigh (femur) | 12 | $0 | 0.0% | $0 |
| 73590 | X-ray of the lower leg (tibia/fibula) | 18 | $0 | 0.0% | $0 |
| 73030 | X-ray of the shoulder | 80 | $0 | 0.0% | $0 |
| 72040 | Spine imaging (X-ray, CT, or MRI) | 19 | $0 | 0.0% | $0 |
| 92583 | Hearing or speech test or therapy | 1,575 | $0 | 0.0% | $0 |
| 0500F | Medical service or procedure | 41 | $0 | 0.0% | $0 |
| 3044F | Medical service or procedure | 26 | $0 | 0.0% | $0 |
| 81025 | Pregnancy test (urine) | 2,702 | $0 | 0.0% | $0 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 72 | $0 | 0.0% | $0 |
| 77067 | Screening mammogram (breast cancer screening) | 621 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 114 | $0 | 0.0% | $0 |
| 83036 | Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes) | 28 | $0 | 0.0% | $0 |
| 74176 | CT scan of the abdomen and pelvis (without contrast) | 55 | $0 | 0.0% | $0 |
| 59426 | Pregnancy, delivery, and maternity care | 1,706 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 27 | $0 | 0.0% | $0 |
| 74019 | X-ray of the abdomen (two views) | 34 | $0 | 0.0% | $0 |
| 77065 | Breast imaging (mammogram or MRI) | 46 | $0 | 0.0% | $0 |
| 76642 | Ultrasound | 117 | $0 | 0.0% | $0 |
| 72100 | X-ray of the lower spine (lumbar) | 172 | $0 | 0.0% | $0 |
| 76801 | Ultrasound of pregnancy (first trimester) | 34 | $0 | 0.0% | $0 |
| 74177 | CT scan of the abdomen and pelvis (with contrast dye) | 66 | $0 | 0.0% | $0 |
| 93971 | Blood vessel ultrasound or study | 12 | $0 | 0.0% | $0 |
| 1111F | Medical service or procedure | 45 | $0 | 0.0% | $0 |
| 36415 | Drawing blood from a vein (routine blood draw) | 28 | $0 | 0.0% | $0 |
| 59425 | Pregnancy, delivery, and maternity care | 1,242 | $0 | 0.0% | $0 |
| 77066 | Breast imaging (mammogram or MRI) | 62 | $0 | 0.0% | $0 |
| 73140 | Upper extremity imaging (shoulder, arm, hand) | 24 | $0 | 0.0% | $0 |
| 72050 | Spine imaging (X-ray, CT, or MRI) | 70 | $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.