MARY KIEPERT, MD. LTD SOS Verified
2810 S JONES BLVD SUITE #1, LAS VEGAS, NV 89146
NPI Number
1730510447
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: MARY KIEPERT, M.D., LTD.
Entity Number: C28681-2004
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2004-10-21
Status Changed: 2011-11-17
Name Match: 100%
Registered Agent
Name: MARY KIEPERT, M.D.
Type: Non-Commercial Registered Agent
Address: 2810 S JONES BLVD, STE 1, LAS VEGAS, NV, 89146
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | MARY KIEPERT MD | 2810 S JONES BLVD, Suite 1, Las Vegas, NV | Active |
| Treasurer | MARY KIEPERT MD | 2810 S JONES BLVD, Suite 1, Las Vegas, NV | Active |
| Secretary | JOHN KIM | 2810 S JONES BLVD, Suite 1, Las Vegas, NV | Active |
| Director | JOHN KIM | 2810 S JONES BLVD, Suite 1, Las Vegas, NV | Active |
Campaign Contributions
$230Total Contributed
Officer / Individual Matches
KIM, JOHN JONGSUK MR.Probable Match
Matched via officer: JOHN KIM (Secretary)
$230 across 9 contributions
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$2,294,591
+180% vs specialty average
Patients Seen
68,983
Total Claims
74,281
$ Per Patient
$33
Specialty avg: $37
Specialty Rank
#30 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 | $13,096 | |
| 2019 | $367,357 | |
| 2020 | $317,723 | |
| 2021 | $506,502 | |
| 2022 | $443,152 | |
| 2023 | $381,037 | |
| 2024 | $265,724 |
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) | 9,671 | $597,620 | 26.0% | $62 |
| 99214 | Office visit for a moderate problem (established patient) | 4,210 | $381,923 | 16.6% | $91 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 5,802 | $167,048 | 7.3% | $29 |
| 99394 | Wellness checkup — ages 12-17 | 1,433 | $142,592 | 6.2% | $100 |
| 99070 | Special medical service | 2,709 | $128,852 | 5.6% | $48 |
| 99393 | Wellness checkup — ages 5-11 | 1,386 | $127,676 | 5.6% | $92 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4,143 | $110,283 | 4.8% | $27 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 2,147 | $109,020 | 4.8% | $51 |
| 99392 | Wellness checkup — ages 1-4 | 927 | $82,950 | 3.6% | $89 |
| 87811 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 1,627 | $47,381 | 2.1% | $29 |
| 99401 | Medical service or procedure | 1,652 | $41,126 | 1.8% | $25 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 853 | $39,866 | 1.7% | $47 |
| 99391 | Wellness checkup — infant (under 1 year) | 397 | $32,329 | 1.4% | $81 |
| 87999 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 2,365 | $31,513 | 1.4% | $13 |
| 99188 | Other medical service | 2,342 | $27,074 | 1.2% | $12 |
| 87880 | Strep throat test (rapid) | 3,030 | $26,063 | 1.1% | $9 |
| 87804 | Flu test (rapid) | 1,413 | $22,876 | 1.0% | $16 |
| 99212 | Office visit for a minor problem (established patient) | 615 | $22,240 | 1.0% | $36 |
| 92587 | Hearing or speech test or therapy | 1,482 | $20,326 | 0.9% | $14 |
| 90471 | Giving a vaccine by injection (shot) | 895 | $18,763 | 0.8% | $21 |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening | 809 | $18,060 | 0.8% | $22 |
| 90461 | Additional vaccine given to a child at the same visit | 449 | $14,311 | 0.6% | $32 |
| 92015 | Eye exam or vision test | 827 | $14,193 | 0.6% | $17 |
| 87426 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 351 | $11,164 | 0.5% | $32 |
| 99177 | Other medical service | 833 | $11,017 | 0.5% | $13 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 2,336 | $10,658 | 0.5% | $5 |
| 92567 | Hearing or speech test or therapy | 779 | $8,170 | 0.4% | $10 |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21 | 355 | $7,709 | 0.3% | $22 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 326 | $4,364 | 0.2% | $13 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 408 | $3,558 | 0.2% | $9 |
| 36416 | Finger or heel stick for blood collection | 804 | $2,430 | 0.1% | $3 |
| 94760 | Breathing test or lung function test | 1,648 | $2,020 | 0.1% | $1 |
| 0072A | Medical service or procedure | 38 | $1,501 | 0.1% | $40 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 13 | $1,416 | 0.1% | $109 |
| 90688 | Vaccine or immunization | 733 | $1,297 | 0.1% | $2 |
| 0071A | Medical service or procedure | 38 | $1,119 | 0.0% | $29 |
| 90472 | Additional vaccine injection at the same visit | 57 | $821 | 0.0% | $14 |
| 85018 | Blood cell or clotting test | 422 | $615 | 0.0% | $1 |
| 90480 | Vaccine or immunization | 13 | $542 | 0.0% | $42 |
| 83655 | Blood chemistry test (checking specific substances in your blood) | 61 | $440 | 0.0% | $7 |
| 87301 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 58 | $374 | 0.0% | $6 |
| 90473 | Giving a vaccine by mouth or nose | 12 | $267 | 0.0% | $22 |
| 99058 | Special medical service | 13 | $256 | 0.0% | $20 |
| D0145 | Oral evaluation for a patient under 3 years old | 108 | $226 | 0.0% | $2 |
| 96161 | Medical service or procedure | 116 | $184 | 0.0% | $2 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 55 | $133 | 0.0% | $2 |
| 81002 | Urinalysis — quick dipstick test | 52 | $101 | 0.0% | $2 |
| 99174 | Other medical service | 25 | $88 | 0.0% | $4 |
| D0120 | Regular dental checkup and exam | 76 | $33 | 0.0% | $0 |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | 52 | $0 | 0.0% | $0 |
| 90671 | Vaccine or immunization | 47 | $0 | 0.0% | $0 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 137 | $0 | 0.0% | $0 |
| 90620 | Vaccine or immunization | 14 | $0 | 0.0% | $0 |
| 91300 | Medical service or procedure | 12 | $0 | 0.0% | $0 |
| 99051 | Special medical service | 58 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 12 | $0 | 0.0% | $0 |
| 99441 | Medical service or procedure | 17 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 15 | $0 | 0.0% | $0 |
| 90656 | Vaccine or immunization | 162 | $0 | 0.0% | $0 |
| 97802 | Medical service or procedure | 484 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 2,064 | $0 | 0.0% | $0 |
| 3011F | Medical service or procedure | 57 | $0 | 0.0% | $0 |
| 99072 | Special medical service | 2,826 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 13 | $0 | 0.0% | $0 |
| 90621 | Vaccine or immunization | 18 | $0 | 0.0% | $0 |
| 90700 | Vaccine or immunization | 61 | $0 | 0.0% | $0 |
| 90685 | Vaccine or immunization | 14 | $0 | 0.0% | $0 |
| S9470 | Nutritional counseling, dietitian visit | 991 | $0 | 0.0% | $0 |
| S9451 | Exercise classes, non-physician provider, per session | 1,780 | $0 | 0.0% | $0 |
| 91307 | Medical service or procedure | 79 | $0 | 0.0% | $0 |
| 99000 | Special medical service | 3,098 | $0 | 0.0% | $0 |
| 99173 | Other medical service | 710 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 94 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 43 | $0 | 0.0% | $0 |
| 90713 | Polio vaccine | 37 | $0 | 0.0% | $0 |
| 90672 | Flu vaccine — nasal spray | 94 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 39 | $0 | 0.0% | $0 |
| 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... | 198 | $0 | 0.0% | $0 |
| A4928 | Surgical mask, per 20 | 71 | $0 | 0.0% | $0 |
| S0516 | Safety eyeglass frames | 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.