SAFE HARBOR MEDICAL, INC. SOS Verified
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128
NPI Number
1821290115
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SAFE HARBOR MEDICAL, INC.
Entity Number: E14610052021-1
Entity Type: Domestic Nonprofit Corporation
Entity Status: Active
Formation Date: 2021-05-13
Status Changed: 2021-05-17
Name Match: 95%
Registered Agent
Name: TINA ALICEA
Type: Non-Commercial Registered Agent
Address: 2901 N Tenaya Way, Ste 100, Las Vegas, NV, 89128
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Director | Tina Alicea | 2901 N Tenaya Way, STE 100, LAS VEGAS, NV | Active |
| President | RUTH ROY | 2901 N Tenaya Way, STE 100, Las Vegas, NV | Active |
| Treasurer | JACK COHEN | 2901 N Tenaya Way, STE 100, Las Vegas, NV | Active |
| Secretary | ONO ONO | 2901 N Tenaya Way, STE 100, Las Vegas, NV | Active |
Campaign Contributions
$90Total Contributed
Officer / Individual Matches
COHEN, JACQUELINEPossible Match
Matched via officer: JACK COHEN (Treasurer)
$90 across 2 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
$297,778
-5% vs specialty average
Patients Seen
13,512
Total Claims
17,108
$ Per Patient
$22
Specialty avg: $54
Specialty Rank
#64 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family Medicine
Claims per Patient
1.3
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 | $8,063 | |
| 2019 | $11,989 | |
| 2020 | $17,264 | |
| 2021 | $25,585 | |
| 2022 | $51,569 | |
| 2023 | $52,236 | |
| 2024 | $131,072 |
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 |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 2,591 | $149,269 | 50.1% | $58 |
| 99213 | Office visit for a simple problem (established patient) | 2,906 | $116,951 | 39.3% | $40 |
| 99204 | New patient office visit — detailed visit for a serious problem | 150 | $15,774 | 5.3% | $105 |
| 99215 | Office visit for a complex or serious problem (established patient) | 77 | $4,162 | 1.4% | $54 |
| 99396 | Wellness checkup — ages 40-64 | 62 | $3,824 | 1.3% | $62 |
| 95816 | Brain wave test (EEG) or nerve test | 15 | $2,692 | 0.9% | $179 |
| 95957 | Brain wave test (EEG) or nerve test | 15 | $1,480 | 0.5% | $99 |
| 99395 | Wellness checkup — ages 18-39 | 23 | $1,216 | 0.4% | $53 |
| 99406 | Medical service or procedure | 67 | $550 | 0.2% | $8 |
| 96372 | IV infusion or injection of medication | 17 | $456 | 0.2% | $27 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 117 | $310 | 0.1% | $3 |
| 92653 | Hearing or speech test or therapy | 15 | $204 | 0.1% | $14 |
| 98960 | Medical service or procedure | 22 | $166 | 0.1% | $8 |
| 92650 | Hearing or speech test or therapy | 15 | $156 | 0.1% | $10 |
| 96132 | Neuropsychological testing — evaluation by a psychologist (first hour) | 15 | $102 | 0.0% | $7 |
| 93040 | Heart monitoring test (ECG/EKG) | 15 | $97 | 0.0% | $6 |
| 95930 | Brain wave test (EEG) or nerve test | 15 | $91 | 0.0% | $6 |
| 96136 | Psychological testing — administered by a psychologist (first 30 min) | 15 | $77 | 0.0% | $5 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique | 193 | $75 | 0.0% | $0 |
| 96137 | Psychological testing — additional 30 minutes | 15 | $69 | 0.0% | $5 |
| 89220 | Other lab test | 263 | $37 | 0.0% | $0 |
| 3044F | Medical service or procedure | 112 | $20 | 0.0% | $0 |
| 99000 | Special medical service | 271 | $0 | 0.0% | $0 |
| 1126F | Medical service or procedure | 252 | $0 | 0.0% | $0 |
| 3080F | Medical service or procedure | 323 | $0 | 0.0% | $0 |
| 3077F | Medical service or procedure | 279 | $0 | 0.0% | $0 |
| 3075F | Medical service or procedure | 52 | $0 | 0.0% | $0 |
| 1125F | Medical service or procedure | 289 | $0 | 0.0% | $0 |
| 3078F | Medical service or procedure | 465 | $0 | 0.0% | $0 |
| 1159F | Medical service or procedure | 3,441 | $0 | 0.0% | $0 |
| 3079F | Medical service or procedure | 470 | $0 | 0.0% | $0 |
| 1220F | Medical service or procedure | 381 | $0 | 0.0% | $0 |
| 3074F | Medical service or procedure | 825 | $0 | 0.0% | $0 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc | 114 | $0 | 0.0% | $0 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 191 | $0 | 0.0% | $0 |
| 1160F | Medical service or procedure | 3,020 | $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.