BAMBOO FAMILY CLINIC LLC SOS Verified
98 E LAKE MEAD PKWY STE 307, HENDERSON, NV 89015
NPI Number
1881196012
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: BAMBOO FAMILY CLINIC LLC
Entity Number: E0200322017-3
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2017-04-26
Name Match: 95%
Registered Agent
Name: SHIRLEY HOLDEMAN
Type: Non-Commercial Registered Agent
Address: 3737 PECOS-MCLEOD STE 104, LAS VEGAS, NV, 89121
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | SHIRLEY HOLDEMAN | 98 E LAKE MEAD PKWY STE 307, HENDERSON, NV, 89015 | Active |
| Manager | Michael Flynn | 98 East Lake Mead Parkway, Henderson, NV | Active |
Campaign Contributions
$208Total Contributed
Officer / Individual Matches
FLYNN, MICHAELPossible Match
Matched via officer: Michael Flynn (Manager)
$208 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
$260,485
-68% vs specialty average
Patients Seen
7,274
Total Claims
9,349
$ Per Patient
$36
Specialty avg: $37
Specialty Rank
#90 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
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 | $5,748 | |
| 2019 | $13,298 | |
| 2020 | $10,674 | |
| 2021 | $11,623 | |
| 2022 | $31,802 | |
| 2023 | $89,590 | |
| 2024 | $97,751 |
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) | 4,023 | $153,521 | 58.9% | $38 |
| 99214 | Office visit for a moderate problem (established patient) | 681 | $40,869 | 15.7% | $60 |
| 99203 | New patient office visit — moderate problem | 858 | $36,012 | 13.8% | $42 |
| 99385 | Wellness checkup — new patient, ages 18-39 | 72 | $5,038 | 1.9% | $70 |
| 90833 | Individual therapy session added to a regular doctor visit (30 minutes) | 149 | $4,566 | 1.8% | $31 |
| 96372 | IV infusion or injection of medication | 302 | $4,367 | 1.7% | $14 |
| 90832 | Individual therapy session (30 minutes) | 48 | $2,621 | 1.0% | $55 |
| 99212 | Office visit for a minor problem (established patient) | 137 | $2,423 | 0.9% | $18 |
| 90785 | Medical service or procedure | 244 | $2,067 | 0.8% | $8 |
| 36415 | Drawing blood from a vein (routine blood draw) | 1,036 | $1,908 | 0.7% | $2 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 172 | $1,408 | 0.5% | $8 |
| 99386 | Wellness checkup — new patient, ages 40-64 | 15 | $1,396 | 0.5% | $93 |
| 90471 | Giving a vaccine by injection (shot) | 48 | $727 | 0.3% | $15 |
| 99202 | New patient office visit — simple problem | 13 | $630 | 0.2% | $48 |
| 87426 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 31 | $454 | 0.2% | $15 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 130 | $408 | 0.2% | $3 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 27 | $378 | 0.1% | $14 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 14 | $334 | 0.1% | $24 |
| 83037 | Blood chemistry test (checking specific substances in your blood) | 64 | $269 | 0.1% | $4 |
| 94760 | Breathing test or lung function test | 679 | $219 | 0.1% | $0 |
| 80061 | Cholesterol and lipid panel blood test | 80 | $213 | 0.1% | $3 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 73 | $162 | 0.1% | $2 |
| 80053 | Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes) | 59 | $139 | 0.1% | $2 |
| 81000 | Urinalysis (urine test) | 128 | $98 | 0.0% | $1 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 17 | $98 | 0.0% | $6 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 156 | $85 | 0.0% | $1 |
| 81002 | Urinalysis — quick dipstick test | 49 | $60 | 0.0% | $1 |
| 81003 | Urinalysis — automated test | 16 | $16 | 0.0% | $1 |
| 87811 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 28 | $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.