SUMMERLIN HOSPITAL MEDICAL CENTER L L C
657 TOWN CENTER DR, LAS VEGAS, NV 89144
NPI Number
1831189638
SOS Verification: Pending Review
Entity Name: SUMMERLIN HOSPITAL MEDICAL CENTER LLC
Entity Number: LLC335-1998
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 1998-01-22
Multiple SOS Matches
Total Medicaid Payments
$30,260,160
+62% vs specialty average
Patients Seen
1,004,486
Total Claims
1,395,340
$ Per Patient
$30
Specialty avg: $28
Specialty Rank
#9 of 36
General Acute Care Hospital providers in Nevada
Peer Average
$18,690,951
Average total for General Acute Care Hospital
Claims per Patient
1.4
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 | $1,254,635 | |
| 2019 | $4,900,615 | |
| 2020 | $4,146,763 | |
| 2021 | $5,022,526 | |
| 2022 | $5,047,614 | |
| 2023 | $5,393,035 | |
| 2024 | $4,494,972 |
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 |
|---|---|---|---|---|---|
| 99285 | Emergency room visit for a severe or life-threatening problem | 45,863 | $5,184,778 | 17.1% | $113 |
| G0378 | Hospital observation services — being watched and monitored in the hospital (per hour) | 21,566 | $2,514,282 | 8.3% | $117 |
| 99284 | Emergency room visit for a serious problem | 26,491 | $2,393,093 | 7.9% | $90 |
| 74177 | CT scan of the abdomen and pelvis (with contrast dye) | 9,194 | $2,127,828 | 7.0% | $231 |
| 99283 | Emergency room visit for a moderate problem | 34,651 | $1,874,833 | 6.2% | $54 |
| 97530 | Therapeutic activities — exercises and tasks to improve daily function | 32,024 | $859,321 | 2.8% | $27 |
| 70450 | CT scan of the head (without contrast dye) | 9,156 | $802,823 | 2.7% | $88 |
| 54161 | Male reproductive system surgery | 2,140 | $794,255 | 2.6% | $371 |
| 71275 | CT angiography of the chest (looking at blood vessels) | 2,971 | $714,584 | 2.4% | $241 |
| 74176 | CT scan of the abdomen and pelvis (without contrast) | 3,944 | $646,617 | 2.1% | $164 |
| 96374 | IV push — giving medicine quickly through an IV (single injection) | 33,892 | $535,794 | 1.8% | $16 |
| 97110 | Physical therapy exercises to build strength, flexibility, or range of motion | 23,278 | $488,621 | 1.6% | $21 |
| 43239 | Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample) | 2,368 | $481,412 | 1.6% | $203 |
| 96375 | IV push — additional medication through an IV | 28,354 | $479,105 | 1.6% | $17 |
| 92507 | Speech therapy session — treatment for speech, language, or swallowing problems | 14,360 | $458,015 | 1.5% | $32 |
| 96361 | IV infusion — additional hour | 25,024 | $448,414 | 1.5% | $18 |
| 99282 | Emergency room visit for a minor problem | 9,892 | $355,818 | 1.2% | $36 |
| 59025 | Pregnancy, delivery, and maternity care | 10,115 | $342,324 | 1.1% | $34 |
| 54300 | Male reproductive system surgery | 401 | $331,429 | 1.1% | $827 |
| 80307 | Drug test — checking urine or blood for multiple types of drugs | 13,481 | $297,086 | 1.0% | $22 |
| 96360 | IV infusion — giving fluids through an IV (first hour) | 9,079 | $286,712 | 0.9% | $32 |
| 78452 | Nuclear medicine imaging (using small amounts of radioactive material) | 582 | $225,377 | 0.7% | $387 |
| 80053 | Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes) | 48,971 | $220,654 | 0.7% | $5 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 70,447 | $212,411 | 0.7% | $3 |
| 96376 | IV infusion or injection of medication | 14,944 | $210,182 | 0.7% | $14 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 15,430 | $208,911 | 0.7% | $14 |
| 96365 | IV infusion of medication — giving medicine through an IV (first hour) | 6,946 | $197,644 | 0.7% | $28 |
| 93306 | Heart ultrasound (echocardiogram) | 1,771 | $190,579 | 0.6% | $108 |
| 96372 | IV infusion or injection of medication | 14,601 | $188,487 | 0.6% | $13 |
| 70553 | MRI of the brain (with and without contrast dye) | 967 | $181,693 | 0.6% | $188 |
| 72125 | Spine imaging (X-ray, CT, or MRI) | 2,186 | $180,862 | 0.6% | $83 |
| 76856 | Pelvic ultrasound (complete) | 2,831 | $169,763 | 0.6% | $60 |
| 71046 | Chest X-ray (two views — front and side) | 13,513 | $168,738 | 0.6% | $12 |
| 76705 | Ultrasound of the abdomen (limited) | 3,071 | $157,401 | 0.5% | $51 |
| 93005 | Heart monitoring test (ECG/EKG) | 34,022 | $151,286 | 0.5% | $4 |
| 14040 | Skin flap surgery — moving skin to cover a wound | 821 | $147,862 | 0.5% | $180 |
| 87636 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 2,023 | $135,727 | 0.4% | $67 |
| 99214 | Office visit for a moderate problem (established patient) | 2,564 | $131,335 | 0.4% | $51 |
| P9040 | Red blood cells, leukocytes reduced, irradiated, each unit | 1,681 | $128,849 | 0.4% | $77 |
| 45380 | Colonoscopy with biopsy (tissue sample) | 582 | $126,396 | 0.4% | $217 |
| 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 | 3,567 | $123,343 | 0.4% | $35 |
| 71045 | Chest X-ray (single view) | 20,496 | $123,332 | 0.4% | $6 |
| 36415 | Drawing blood from a vein (routine blood draw) | 89,447 | $120,161 | 0.4% | $1 |
| 76830 | Transvaginal ultrasound of the uterus | 1,710 | $118,679 | 0.4% | $69 |
| 76801 | Ultrasound of pregnancy (first trimester) | 2,023 | $117,944 | 0.4% | $58 |
| 84484 | Troponin test (checks for heart damage or heart attack) | 28,256 | $117,086 | 0.4% | $4 |
| 99204 | New patient office visit — detailed visit for a serious problem | 1,219 | $107,810 | 0.4% | $88 |
| 84702 | Blood chemistry test (checking specific substances in your blood) | 18,706 | $105,094 | 0.3% | $6 |
| 0450 | Anesthesia for a medical procedure | 2,035 | $100,814 | 0.3% | $50 |
| 97161 | Physical therapy evaluation — simple problem | 3,846 | $97,110 | 0.3% | $25 |
| 76805 | Ultrasound of pregnancy (after first trimester) | 1,117 | $92,186 | 0.3% | $83 |
| 70551 | MRI of the brain (without contrast dye) | 539 | $89,068 | 0.3% | $165 |
| 0241U | Medical service or procedure | 6,156 | $87,213 | 0.3% | $14 |
| 96366 | IV infusion or injection of medication | 2,379 | $86,960 | 0.3% | $37 |
| 70496 | Head and brain imaging (X-ray, CT, or MRI) | 254 | $83,599 | 0.3% | $329 |
| 72131 | CT scan of the lower spine (without contrast) | 612 | $81,013 | 0.3% | $132 |
| 80048 | Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes) | 26,677 | $77,719 | 0.3% | $3 |
| 36430 | Blood transfusion | 3,343 | $71,993 | 0.2% | $22 |
| 97112 | Neuromuscular re-education — retraining muscles and movement patterns | 6,207 | $70,232 | 0.2% | $11 |
| 76817 | Transvaginal ultrasound of pregnancy | 1,346 | $68,063 | 0.2% | $51 |
| 93971 | Blood vessel ultrasound or study | 1,397 | $65,541 | 0.2% | $47 |
| 99213 | Office visit for a simple problem (established patient) | 2,457 | $64,663 | 0.2% | $26 |
| 87502 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 1,749 | $63,971 | 0.2% | $37 |
| 70498 | Head and brain imaging (X-ray, CT, or MRI) | 286 | $63,583 | 0.2% | $222 |
| 87651 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 3,513 | $63,575 | 0.2% | $18 |
| 97165 | Occupational therapy evaluation — simple problem | 2,565 | $62,498 | 0.2% | $24 |
| 54360 | Male reproductive system surgery | 106 | $59,422 | 0.2% | $561 |
| 93970 | Blood vessel ultrasound or study | 741 | $58,863 | 0.2% | $79 |
| 99281 | Emergency room visit for a very minor problem | 2,396 | $55,949 | 0.2% | $23 |
| J2785 | Injection, regadenoson, 0.1 mg | 490 | $55,820 | 0.2% | $114 |
| 83880 | Blood chemistry test (checking specific substances in your blood) | 4,975 | $54,192 | 0.2% | $11 |
| 83690 | Blood chemistry test (checking specific substances in your blood) | 18,675 | $52,628 | 0.2% | $3 |
| 97535 | Self-care training — learning to do daily activities like dressing, cooking, or bathing | 4,449 | $51,809 | 0.2% | $12 |
| J2270 | Injection of morphine (strong pain medicine) | 21,185 | $47,370 | 0.2% | $2 |
| 94640 | Breathing test or lung function test | 4,432 | $46,720 | 0.2% | $11 |
| 74018 | X-ray of the abdomen (single view) | 3,864 | $46,187 | 0.2% | $12 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 615 | $44,612 | 0.1% | $73 |
| 99203 | New patient office visit — moderate problem | 743 | $41,874 | 0.1% | $56 |
| 87040 | Blood culture — test to see if bacteria are growing in your blood | 8,694 | $41,797 | 0.1% | $5 |
| 87086 | Urine culture — checking for a urinary tract infection | 12,494 | $41,100 | 0.1% | $3 |
| P9016 | Red blood cells, leukocytes reduced, each unit | 482 | $40,154 | 0.1% | $83 |
| 86902 | Blood typing or transfusion medicine test | 1,067 | $39,949 | 0.1% | $37 |
| 87635 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 1,964 | $39,752 | 0.1% | $20 |
| 83605 | Blood chemistry test (checking specific substances in your blood) | 9,493 | $37,671 | 0.1% | $4 |
| 94644 | Breathing test or lung function test | 1,245 | $35,193 | 0.1% | $28 |
| 92526 | Treatment for swallowing problems | 803 | $33,043 | 0.1% | $41 |
| 81001 | Urinalysis — checking your pee for infections or health problems (with microscope) | 24,763 | $33,029 | 0.1% | $1 |
| 54304 | Male reproductive system surgery | 38 | $32,812 | 0.1% | $863 |
| 85730 | Partial thromboplastin time (PTT) — blood clotting test | 17,781 | $31,814 | 0.1% | $2 |
| 73564 | Lower extremity imaging (hip, knee, leg, foot) | 1,423 | $28,612 | 0.1% | $20 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 31,634 | $25,901 | 0.1% | $1 |
| 83735 | Blood chemistry test (checking specific substances in your blood) | 12,085 | $25,285 | 0.1% | $2 |
| 81025 | Pregnancy test (urine) | 11,908 | $24,956 | 0.1% | $2 |
| A9585 | Injection, gadobutrol, 0.1 ml | 1,827 | $24,898 | 0.1% | $14 |
| 85610 | Prothrombin time (PT) — blood clotting test | 21,761 | $24,554 | 0.1% | $1 |
| 85379 | Blood cell or clotting test | 5,320 | $22,453 | 0.1% | $4 |
| 87641 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 3,881 | $21,895 | 0.1% | $6 |
| 73630 | X-ray of the foot | 1,336 | $21,726 | 0.1% | $16 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 420 | $21,666 | 0.1% | $52 |
| 11042 | Wound cleaning — removing dead tissue from a wound | 363 | $21,399 | 0.1% | $59 |
| J0696 | Injection of ceftriaxone (antibiotic, usually given for serious infections) | 5,908 | $20,941 | 0.1% | $4 |
| 73610 | X-ray of the ankle (complete) | 1,137 | $20,637 | 0.1% | $18 |
| 84112 | Blood chemistry test (checking specific substances in your blood) | 1,538 | $20,469 | 0.1% | $13 |
| J1170 | Injection, hydromorphone, up to 4 mg | 9,939 | $19,867 | 0.1% | $2 |
| 76700 | Ultrasound of the abdomen (complete) | 255 | $18,678 | 0.1% | $73 |
| 97602 | Physical therapy, occupational therapy, or rehabilitation | 1,080 | $18,374 | 0.1% | $17 |
| G0463 | Hospital outpatient clinic visit | 1,393 | $18,272 | 0.1% | $13 |
| 58662 | Female reproductive system surgery | 13 | $17,580 | 0.1% | $1,352 |
| 84145 | Blood chemistry test (checking specific substances in your blood) | 1,563 | $17,245 | 0.1% | $11 |
| 87186 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 4,753 | $16,461 | 0.1% | $3 |
| 84443 | Thyroid function test (TSH) | 3,361 | $16,162 | 0.1% | $5 |
| 86923 | Blood typing or transfusion medicine test | 2,912 | $15,902 | 0.1% | $5 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 10,840 | $15,443 | 0.1% | $1 |
| 70486 | CT scan of the sinuses | 138 | $15,401 | 0.1% | $112 |
| 73130 | X-ray of the hand | 850 | $14,779 | 0.0% | $17 |
| 86140 | Immune system or allergy test | 6,570 | $14,517 | 0.0% | $2 |
| J3370 | Injection, vancomycin hcl, 500 mg | 1,790 | $13,780 | 0.0% | $8 |
| 87491 | Chlamydia test | 837 | $13,259 | 0.0% | $16 |
| 80076 | Liver function blood test panel | 4,020 | $13,117 | 0.0% | $3 |
| 87591 | Gonorrhea test | 821 | $12,941 | 0.0% | $16 |
| 70491 | Head and brain imaging (X-ray, CT, or MRI) | 73 | $12,504 | 0.0% | $171 |
| J1100 | Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems) | 15,324 | $12,238 | 0.0% | $1 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 10,863 | $12,186 | 0.0% | $1 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 1,552 | $12,164 | 0.0% | $8 |
| 94664 | Breathing test or lung function test | 1,382 | $12,091 | 0.0% | $9 |
| 76775 | Ultrasound | 433 | $11,815 | 0.0% | $27 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 3,250 | $11,790 | 0.0% | $4 |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | 1,902 | $11,445 | 0.0% | $6 |
| 73030 | X-ray of the shoulder | 838 | $11,256 | 0.0% | $13 |
| 85027 | Complete blood count — automated | 9,777 | $11,095 | 0.0% | $1 |
| 76815 | Limited ultrasound of pregnancy (quick check) | 217 | $11,032 | 0.0% | $51 |
| 87507 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 272 | $10,636 | 0.0% | $39 |
| 81003 | Urinalysis — automated test | 12,429 | $10,229 | 0.0% | $1 |
| 82962 | Blood chemistry test (checking specific substances in your blood) | 15,196 | $10,070 | 0.0% | $1 |
| J0780 | Injection, prochlorperazine, up to 10 mg | 1,496 | $9,888 | 0.0% | $7 |
| 86850 | Blood type and antibody screening | 8,693 | $9,785 | 0.0% | $1 |
| 93017 | Heart monitoring test (ECG/EKG) | 582 | $9,660 | 0.0% | $17 |
| 99202 | New patient office visit — simple problem | 253 | $9,459 | 0.0% | $37 |
| 82731 | Blood chemistry test (checking specific substances in your blood) | 430 | $9,434 | 0.0% | $22 |
| 82803 | Blood chemistry test (checking specific substances in your blood) | 1,483 | $9,258 | 0.0% | $6 |
| 80061 | Cholesterol and lipid panel blood test | 2,417 | $9,234 | 0.0% | $4 |
| 0202U | Medical service or procedure | 61 | $9,106 | 0.0% | $149 |
| 99212 | Office visit for a minor problem (established patient) | 900 | $8,960 | 0.0% | $10 |
| 82550 | Blood chemistry test (checking specific substances in your blood) | 3,512 | $8,853 | 0.0% | $3 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 3,382 | $8,611 | 0.0% | $3 |
| J2704 | Injection of propofol (anesthesia for procedures) | 13,842 | $8,553 | 0.0% | $1 |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 53 | $8,496 | 0.0% | $160 |
| 86901 | Blood typing — Rh (determines if you're Rh positive or negative) | 10,052 | $8,430 | 0.0% | $1 |
| 86900 | Blood typing — ABO (determines your blood group) | 9,734 | $8,011 | 0.0% | $1 |
| 73110 | X-ray of the wrist (complete) | 398 | $7,906 | 0.0% | $20 |
| 87077 | Culture test — checking for specific bacteria | 1,934 | $7,711 | 0.0% | $4 |
| 87631 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 2,440 | $7,628 | 0.0% | $3 |
| J1644 | Injection, heparin sodium, per 1000 units | 5,378 | $7,511 | 0.0% | $1 |
| 83036 | Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes) | 2,660 | $7,059 | 0.0% | $3 |
| J0360 | Injection, hydralazine hcl, up to 20 mg | 1,835 | $7,008 | 0.0% | $4 |
| 81002 | Urinalysis — quick dipstick test | 5,656 | $6,994 | 0.0% | $1 |
| C1769 | Guide wire | 2,161 | $6,137 | 0.0% | $3 |
| 82805 | Blood chemistry test (checking specific substances in your blood) | 476 | $5,526 | 0.0% | $12 |
| 12011 | Wound repair — stitching a cut or laceration (simple or layered) | 118 | $5,382 | 0.0% | $46 |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 1,282 | $5,353 | 0.0% | $4 |
| 72100 | X-ray of the lower spine (lumbar) | 377 | $5,314 | 0.0% | $14 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 8,509 | $5,281 | 0.0% | $1 |
| 73090 | X-ray of the wrist | 336 | $5,264 | 0.0% | $16 |
| 80074 | Blood test panel (checking multiple things at once) | 482 | $5,204 | 0.0% | $11 |
| 96367 | IV infusion or injection of medication | 353 | $4,958 | 0.0% | $14 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 1,666 | $4,845 | 0.0% | $3 |
| 90471 | Giving a vaccine by injection (shot) | 460 | $4,823 | 0.0% | $10 |
| 99152 | Medical service or procedure | 796 | $4,795 | 0.0% | $6 |
| 87070 | Culture test — checking a sample for bacteria | 1,763 | $4,365 | 0.0% | $2 |
| 73590 | X-ray of the lower leg (tibia/fibula) | 306 | $4,269 | 0.0% | $14 |
| 82728 | Blood chemistry test (checking specific substances in your blood) | 1,393 | $4,254 | 0.0% | $3 |
| 74022 | Abdomen imaging (X-ray, CT, or MRI) | 194 | $4,090 | 0.0% | $21 |
| 84439 | Blood chemistry test (checking specific substances in your blood) | 1,440 | $4,065 | 0.0% | $3 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 5,993 | $4,009 | 0.0% | $1 |
| J2001 | Injection of lidocaine (numbing medicine) | 6,353 | $3,952 | 0.0% | $1 |
| J1650 | Injection, enoxaparin sodium, 10 mg | 1,415 | $3,942 | 0.0% | $3 |
| 73080 | X-ray of the forearm | 231 | $3,907 | 0.0% | $17 |
| 99291 | Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes) | 36 | $3,896 | 0.0% | $108 |
| J3010 | Injection of fentanyl (strong pain medicine) | 12,477 | $3,711 | 0.0% | $0 |
| 87798 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 216 | $3,568 | 0.0% | $17 |
| 93880 | Blood vessel ultrasound or study | 47 | $3,469 | 0.0% | $74 |
| 58571 | Female reproductive system surgery | 33 | $3,171 | 0.0% | $96 |
| 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 | 1,659 | $3,110 | 0.0% | $2 |
| J0690 | Injection, cefazolin sodium, 500 mg | 7,132 | $3,099 | 0.0% | $0 |
| 84100 | Phosphorus blood test | 2,207 | $3,041 | 0.0% | $1 |
| C9113 | Injection, pantoprazole sodium, per vial | 1,887 | $2,985 | 0.0% | $2 |
| 85046 | Blood cell or clotting test | 2,039 | $2,931 | 0.0% | $1 |
| 86644 | Immune system or allergy test | 489 | $2,886 | 0.0% | $6 |
| 87205 | Gram stain — quick test to identify type of bacteria | 2,221 | $2,827 | 0.0% | $1 |
| 82570 | Blood chemistry test (checking specific substances in your blood) | 1,057 | $2,629 | 0.0% | $2 |
| J2060 | Injection, lorazepam, 2 mg | 4,846 | $2,612 | 0.0% | $1 |
| 84550 | Blood chemistry test (checking specific substances in your blood) | 1,239 | $2,579 | 0.0% | $2 |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 37 | $2,534 | 0.0% | $68 |
| 71260 | CT scan of the chest (with contrast dye) | 16 | $2,507 | 0.0% | $157 |
| 88305 | Tissue examination under a microscope (surgical pathology) | 1,418 | $2,493 | 0.0% | $2 |
| 87210 | Wet mount — checking a sample under a microscope | 1,117 | $2,133 | 0.0% | $2 |
| 76818 | Ultrasound | 30 | $2,114 | 0.0% | $70 |
| 83615 | Blood chemistry test (checking specific substances in your blood) | 811 | $1,964 | 0.0% | $2 |
| 76870 | Ultrasound of the scrotum | 66 | $1,926 | 0.0% | $29 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 913 | $1,920 | 0.0% | $2 |
| 80069 | Kidney function blood test panel | 993 | $1,913 | 0.0% | $2 |
| 84132 | Potassium blood test | 1,547 | $1,854 | 0.0% | $1 |
| 85652 | Blood cell or clotting test | 1,630 | $1,819 | 0.0% | $1 |
| 0250 | Anesthesia for a medical procedure | 63 | $1,760 | 0.0% | $28 |
| 84156 | Blood chemistry test (checking specific substances in your blood) | 1,007 | $1,750 | 0.0% | $2 |
| 87661 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 94 | $1,744 | 0.0% | $19 |
| 87276 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 469 | $1,706 | 0.0% | $4 |
| 87486 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 114 | $1,677 | 0.0% | $15 |
| 87581 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 114 | $1,677 | 0.0% | $15 |
| 87275 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 470 | $1,661 | 0.0% | $4 |
| J3490 | Unclassified drug injection | 133 | $1,556 | 0.0% | $12 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 12 | $1,442 | 0.0% | $120 |
| 82330 | Blood chemistry test (checking specific substances in your blood) | 267 | $1,380 | 0.0% | $5 |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 14 | $1,332 | 0.0% | $95 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 799 | $1,287 | 0.0% | $2 |
| C1781 | Mesh (implantable) | 44 | $1,286 | 0.0% | $29 |
| 86780 | Immune system or allergy test | 279 | $1,240 | 0.0% | $4 |
| J2250 | Injection of midazolam (sedation medicine for procedures) | 7,881 | $1,237 | 0.0% | $0 |
| C1751 | Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) | 21 | $1,224 | 0.0% | $58 |
| 12001 | Wound repair — stitching a cut or laceration (simple or layered) | 30 | $1,125 | 0.0% | $38 |
| 73502 | X-ray of the hip | 57 | $1,109 | 0.0% | $19 |
| J1630 | Injection, haloperidol, up to 5 mg | 711 | $1,093 | 0.0% | $2 |
| 74230 | Abdomen imaging (X-ray, CT, or MRI) | 12 | $1,091 | 0.0% | $91 |
| 29125 | Casting, splinting, or strapping for a broken bone or injury | 28 | $910 | 0.0% | $32 |
| 82140 | Blood chemistry test (checking specific substances in your blood) | 213 | $909 | 0.0% | $4 |
| J2795 | Injection of ropivacaine (numbing medicine for nerve blocks) | 679 | $838 | 0.0% | $1 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 132 | $826 | 0.0% | $6 |
| 87420 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 170 | $768 | 0.0% | $5 |
| 82565 | Creatinine blood test (checks how well your kidneys are working) | 558 | $755 | 0.0% | $1 |
| J1940 | Injection, furosemide, up to 20 mg | 235 | $740 | 0.0% | $3 |
| J0456 | Injection, azithromycin, 500 mg | 311 | $711 | 0.0% | $2 |
| 85660 | Blood cell or clotting test | 732 | $684 | 0.0% | $1 |
| 87081 | Culture test — checking for a specific organism | 470 | $636 | 0.0% | $1 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 417 | $627 | 0.0% | $2 |
| 82010 | Blood chemistry test (checking specific substances in your blood) | 224 | $620 | 0.0% | $3 |
| G0008 | Administration of influenza virus vaccine | 109 | $609 | 0.0% | $6 |
| J3480 | Injection, potassium chloride, per 2 meq | 489 | $595 | 0.0% | $1 |
| 85018 | Blood cell or clotting test | 869 | $581 | 0.0% | $1 |
| J1790 | Injection, droperidol, up to 5 mg | 141 | $564 | 0.0% | $4 |
| 85014 | Blood cell or clotting test | 806 | $554 | 0.0% | $1 |
| J3486 | Injection, ziprasidone mesylate, 10 mg | 15 | $534 | 0.0% | $36 |
| 88307 | Tissue examination under a microscope (surgical pathology) | 74 | $532 | 0.0% | $7 |
| 83021 | Blood chemistry test (checking specific substances in your blood) | 92 | $508 | 0.0% | $6 |
| 87389 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 86 | $479 | 0.0% | $6 |
| 87430 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 145 | $474 | 0.0% | $3 |
| 83550 | Iron binding capacity test | 250 | $465 | 0.0% | $2 |
| 90686 | Vaccine or immunization | 108 | $451 | 0.0% | $4 |
| J3105 | Injection, terbutaline sulfate, up to 1 mg | 201 | $431 | 0.0% | $2 |
| 72040 | Spine imaging (X-ray, CT, or MRI) | 40 | $420 | 0.0% | $11 |
| 92610 | Swallowing evaluation | 12 | $388 | 0.0% | $32 |
| 83540 | Iron blood test | 247 | $368 | 0.0% | $1 |
| 84295 | Blood chemistry test (checking specific substances in your blood) | 246 | $359 | 0.0% | $1 |
| 83020 | Blood chemistry test (checking specific substances in your blood) | 225 | $357 | 0.0% | $2 |
| 88312 | Tissue examination under a microscope (surgical pathology) | 261 | $290 | 0.0% | $1 |
| 97116 | Gait training — learning or re-learning how to walk | 76 | $276 | 0.0% | $4 |
| 82947 | Blood sugar (glucose) test | 215 | $269 | 0.0% | $1 |
| J0692 | Injection, cefepime hydrochloride, 500 mg | 84 | $258 | 0.0% | $3 |
| J2470 | Injection, pantoprazole sodium, 40 mg | 114 | $213 | 0.0% | $2 |
| J3360 | Injection, diazepam, up to 5 mg | 18 | $206 | 0.0% | $11 |
| 72072 | Spine imaging (X-ray, CT, or MRI) | 24 | $201 | 0.0% | $8 |
| J1171 | Injection, hydromorphone, 0.1 mg | 178 | $188 | 0.0% | $1 |
| 71101 | Chest imaging (X-ray, CT, or MRI) | 12 | $183 | 0.0% | $15 |
| 94645 | Breathing test or lung function test | 14 | $157 | 0.0% | $11 |
| J0295 | Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm | 26 | $89 | 0.0% | $3 |
| J1953 | Injection, levetiracetam, 10 mg | 12 | $82 | 0.0% | $7 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 139 | $81 | 0.0% | $1 |
| 82248 | Blood chemistry test (checking specific substances in your blood) | 33 | $79 | 0.0% | $2 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 990 | $71 | 0.0% | $0 |
| 85007 | Blood cell or clotting test | 110 | $66 | 0.0% | $1 |
| J1836 | Injection, metronidazole, 10 mg | 97 | $66 | 0.0% | $1 |
| 99153 | Medical service or procedure | 114 | $54 | 0.0% | $0 |
| 82607 | Blood chemistry test (checking specific substances in your blood) | 20 | $53 | 0.0% | $3 |
| A9270 | Non-covered item or service | 14,640 | $51 | 0.0% | $0 |
| J8540 | Dexamethasone, oral, 0.25 mg | 42 | $44 | 0.0% | $1 |
| J0736 | Injection, clindamycin phosphate, 300 mg | 35 | $38 | 0.0% | $1 |
| J0461 | Injection, atropine sulfate, 0.01 mg | 67 | $18 | 0.0% | $0 |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | 16 | $15 | 0.0% | $1 |
| 84520 | Blood chemistry test (checking specific substances in your blood) | 24 | $14 | 0.0% | $1 |
| J1920 | Injection, labetalol hydrochloride, 5 mg | 15 | $5 | 0.0% | $0 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 179 | $4 | 0.0% | $0 |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | 902 | $0 | 0.0% | $0 |
| 87633 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 113 | $0 | 0.0% | $0 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 322 | $0 | 0.0% | $0 |
| G8989 | Self care functional limitation, discharge status, at discharge from therapy or to end reporting | 52 | $0 | 0.0% | $0 |
| 97537 | Physical therapy, occupational therapy, or rehabilitation | 76 | $0 | 0.0% | $0 |
| G8980 | Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting | 191 | $0 | 0.0% | $0 |
| 0353U | Medical service or procedure | 202 | $0 | 0.0% | $0 |
| C1729 | Catheter, drainage | 218 | $0 | 0.0% | $0 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 303 | $0 | 0.0% | $0 |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 132 | $0 | 0.0% | $0 |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | 123 | $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.