CARSON MEDICAL GROUP PROFESSIONAL CORPORATION
1946 OLD HOT SPRINGS RD, CARSON CITY, NV 89706
NPI Number
1780694620
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$6,068,248
+1830% vs specialty average
Patients Seen
114,954
Total Claims
132,807
$ Per Patient
$53
Specialty avg: $54
Specialty Rank
#4 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family Medicine
Claims per Patient
1.2
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 | $1,438,478 | |
| 2019 | $1,129,165 | |
| 2020 | $782,360 | |
| 2021 | $850,849 | |
| 2022 | $775,780 | |
| 2023 | $780,078 | |
| 2024 | $311,538 |
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) | 36,798 | $1,983,381 | 32.7% | $54 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 26,194 | $1,408,778 | 23.2% | $54 |
| 99391 | Wellness checkup — infant (under 1 year) | 10,525 | $892,324 | 14.7% | $85 |
| 99392 | Wellness checkup — ages 1-4 | 9,250 | $838,145 | 13.8% | $91 |
| 90461 | Additional vaccine given to a child at the same visit | 8,060 | $289,691 | 4.8% | $36 |
| 99393 | Wellness checkup — ages 5-11 | 2,657 | $241,431 | 4.0% | $91 |
| 99214 | Office visit for a moderate problem (established patient) | 2,061 | $141,297 | 2.3% | $69 |
| 99174 | Other medical service | 3,790 | $100,195 | 1.7% | $26 |
| 99394 | Wellness checkup — ages 12-17 | 805 | $77,933 | 1.3% | $97 |
| 59025 | Pregnancy, delivery, and maternity care | 978 | $25,200 | 0.4% | $26 |
| 99212 | Office visit for a minor problem (established patient) | 557 | $19,209 | 0.3% | $34 |
| 87804 | Flu test (rapid) | 1,557 | $10,868 | 0.2% | $7 |
| 99243 | Office consultation — moderate problem | 68 | $7,986 | 0.1% | $117 |
| 99188 | Other medical service | 734 | $7,368 | 0.1% | $10 |
| 87880 | Strep throat test (rapid) | 796 | $5,717 | 0.1% | $7 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 836 | $5,535 | 0.1% | $7 |
| 99238 | Hospital discharge — doctor manages your release (30 minutes or less) | 46 | $2,826 | 0.0% | $61 |
| 96161 | Medical service or procedure | 618 | $1,963 | 0.0% | $3 |
| 90686 | Vaccine or immunization | 5,798 | $1,565 | 0.0% | $0 |
| 90474 | Additional oral or nasal vaccine at the same visit | 200 | $1,321 | 0.0% | $7 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 322 | $1,308 | 0.0% | $4 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 13 | $1,298 | 0.0% | $100 |
| 99242 | Office consultation — simple problem | 15 | $1,260 | 0.0% | $84 |
| 87635 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 52 | $748 | 0.0% | $14 |
| 87807 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 41 | $327 | 0.0% | $8 |
| 92551 | Hearing or speech test or therapy | 27 | $232 | 0.0% | $9 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 5,969 | $226 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 979 | $68 | 0.0% | $0 |
| 81002 | Urinalysis — quick dipstick test | 25 | $35 | 0.0% | $1 |
| J1100 | Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems) | 12 | $10 | 0.0% | $1 |
| 90671 | Vaccine or immunization | 395 | $0 | 0.0% | $0 |
| 90696 | DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio) | 24 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 2,687 | $0 | 0.0% | $0 |
| 90744 | Hepatitis B vaccine (child dose) | 1,120 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 129 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 12 | $0 | 0.0% | $0 |
| 90710 | MMRV vaccine (measles, mumps, rubella, and chickenpox) | 815 | $0 | 0.0% | $0 |
| 90685 | Vaccine or immunization | 2,052 | $0 | 0.0% | $0 |
| 90619 | Vaccine or immunization | 14 | $0 | 0.0% | $0 |
| 90688 | Vaccine or immunization | 77 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 80 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 44 | $0 | 0.0% | $0 |
| 90656 | Vaccine or immunization | 297 | $0 | 0.0% | $0 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 273 | $0 | 0.0% | $0 |
| 91307 | Medical service or procedure | 62 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 4,943 | $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.