DAVID JULIAN, M.D.
445 HOLCOMB RANCH LN, RENO, NV 89511
NPI Number
1770525628
Practice location · View on Google Maps
Total Medicaid Payments
$192,332
-58% vs specialty average
Patients Seen
3,217
Total Claims
18,215
$ Per Patient
$60
Specialty avg: $55
Specialty Rank
#123 of 446
Internal Medicine providers in Nevada
Peer Average
$452,600
Average total for Internal Medicine
Claims per Patient
5.7
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 | $28,127 | |
| 2019 | $13,384 | |
| 2020 | $44,339 | |
| 2021 | $39,139 | |
| 2022 | $34,230 | |
| 2023 | $18,934 | |
| 2024 | $14,179 |
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 |
|---|---|---|---|---|---|
| 99308 | Nursing facility visit — simple problem | 13,325 | $137,237 | 71.4% | $10 |
| 99309 | Nursing facility visit — moderate problem | 4,651 | $49,687 | 25.8% | $11 |
| 99310 | Nursing facility visit — complex problem | 160 | $3,596 | 1.9% | $22 |
| 99306 | Nursing facility admission — complex first day care | 79 | $1,812 | 0.9% | $23 |
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.