DAVID VANSOMPHONE MD LTD SOS Verified
5375 S FORT APACHE RD SUITE 101, LAS VEGAS, NV 89148
NPI Number
1750598165
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: BOUNGKHONG DAVID VANSOMPHONE, M.D., LTD.
Entity Number: C21143-2004
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2004-08-06
Status Changed: 2013-06-17
Name Match: 85%
Registered Agent
Name: AARON TVETER
Type: Commercial Registered Agent
Address: 3041 W HORIZON RIDGE PKWY STE 170, HENDERSON, NV, 89052
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | BOUNGKHONG DAVID VANSOMPHONE | PO BOX 35984, Las Vegas, NV | Active |
| Secretary | BOUNGKHONG DAVID VANSOMPHONE | PO BOX 35984, Las Vegas, NV | Active |
| Treasurer | BOUNGKHONG DAVID VANSOMPHONE | PO BOX 35984, Las Vegas, NV | Active |
| Director | BOUNGKHONG DAVID VANSOMPHONE | PO BOX 35984, Las Vegas, NV | Active |
Total Medicaid Payments
$152,106
-66% vs specialty average
Patients Seen
2,673
Total Claims
4,741
$ Per Patient
$57
Specialty avg: $55
Specialty Rank
#136 of 446
Internal Medicine providers in Nevada
Peer Average
$452,600
Average total for Internal Medicine
Claims per Patient
1.8
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 | $33,083 | |
| 2019 | $4,574 | |
| 2020 | $15,818 | |
| 2021 | $24,461 | |
| 2022 | $28,851 | |
| 2023 | $26,517 | |
| 2024 | $18,802 |
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 |
|---|---|---|---|---|---|
| 99233 | Hospital care — daily check by your doctor (complex update) | 3,003 | $77,569 | 51.0% | $26 |
| 99223 | Hospital admission — first day, complex or serious problem | 858 | $42,683 | 28.1% | $50 |
| 99239 | Hospital discharge — doctor manages your release (more than 30 minutes) | 725 | $22,202 | 14.6% | $31 |
| 99291 | Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes) | 155 | $9,651 | 6.3% | $62 |
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.