MICHAEL TENBY, M.D.
6850 N. DURANGO DR. SUITE 306, LAS VEGAS, NV 89149
NPI Number
1730119827
Practice location · View on Google Maps
Total Medicaid Payments
$131,709
-84% vs specialty average
Patients Seen
2,638
Total Claims
2,941
$ Per Patient
$50
Specialty avg: $37
Specialty Rank
#130 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
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 | $125,196 | |
| 2019 | $578 | |
| 2024 | $5,935 |
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 |
|---|---|---|---|---|---|
| 99391 | Wellness checkup — infant (under 1 year) | 507 | $44,731 | 34.0% | $88 |
| 99213 | Office visit for a simple problem (established patient) | 524 | $29,947 | 22.7% | $57 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 773 | $22,199 | 16.9% | $29 |
| 99392 | Wellness checkup — ages 1-4 | 152 | $14,710 | 11.2% | $97 |
| 99214 | Office visit for a moderate problem (established patient) | 147 | $11,881 | 9.0% | $81 |
| 99393 | Wellness checkup — ages 5-11 | 43 | $4,130 | 3.1% | $96 |
| 99212 | Office visit for a minor problem (established patient) | 88 | $2,880 | 2.2% | $33 |
| 99188 | Other medical service | 51 | $611 | 0.5% | $12 |
| 90472 | Additional vaccine injection at the same visit | 15 | $473 | 0.4% | $32 |
| 36416 | Finger or heel stick for blood collection | 28 | $103 | 0.1% | $4 |
| 90686 | Vaccine or immunization | 129 | $42 | 0.0% | $0 |
| 90461 | Additional vaccine given to a child at the same visit | 165 | $0 | 0.0% | $0 |
| 90681 | Rotavirus vaccine (protects babies from stomach illness) | 15 | $0 | 0.0% | $0 |
| 99173 | Other medical service | 52 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 141 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 26 | $0 | 0.0% | $0 |
| 90648 | Haemophilus influenzae type b (Hib) vaccine (4-dose) | 13 | $0 | 0.0% | $0 |
| 90744 | Hepatitis B vaccine (child dose) | 54 | $0 | 0.0% | $0 |
| 90656 | Vaccine or immunization | 18 | $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.