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PUEBLO MEDICAL IMAGING, LLC SOS Verified

Radiology, Diagnostic Radiology · LAS VEGAS, NV

5495 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89118

NPI Number
1952353591
Street View of 5495 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89118

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: PUEBLO MEDICAL IMAGING, LLC
Entity Number: LLC2346-2002
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2002-03-01
Status Changed: 2011-06-03
Name Match: 95%
Registered Agent
Name: INCORP SERVICES, INC.*
Type: Commercial Registered Agent
Address: 9107 West Russell Road Suite 100, Las Vegas, NV, 89148
Officers / Principals
TitleNameAddressStatus
ManagerMICAH NIELSEN5495 S Rainbow Blvd Ste 203, Las Vegas, NVActive
Campaign Contributions
$8,100Total Contributed
3Candidates Supported
Corporate Matches
Pueblo Medical ImagingProbable Match
$1,100 across 3 contributions
CandidateOfficePartyTotalCount
Joseph LombardoGovernorRepublican Party$1,0002
Ted MoodyClark County SheriffDemocratic Party$1001
Pueblo Medical ImagingProbable Match
$4,500 across 3 contributions
CandidateOfficePartyTotalCount
Steve SisolakGovernorDemocratic Party$4,5003
Pueblo Medical ImagingProbable Match
$2,500 across 1 contribution
CandidateOfficePartyTotalCount
Joseph LombardoGovernorRepublican Party$2,5001
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
$458,480
-23% vs specialty average
Patients Seen
5,347
Total Claims
5,554
$ Per Patient
$86
Specialty avg: $33
Specialty Rank
#12 of 167
Radiology, Diagnostic Radiology providers in Nevada
Peer Average
$597,734
Average total for Radiology, Diagnostic Radiology
Claims per Patient
1.0
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$14,815
2019$56,383
2020$34,776
2021$74,011
2022$77,492
2023$97,069
2024$103,933

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
77067Screening mammogram (breast cancer screening)2,924$319,898
69.8%
$109
77063Breast imaging (mammogram or MRI)2,157$107,114
23.4%
$50
76700Ultrasound of the abdomen (complete)81$8,513
1.9%
$105
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)106$5,694
1.2%
$54
72148MRI of the lower spine (without contrast)39$4,923
1.1%
$126
76642Ultrasound51$4,439
1.0%
$87
77066Breast imaging (mammogram or MRI)21$3,475
0.8%
$165
71046Chest X-ray (two views — front and side)163$3,203
0.7%
$20
76536Ultrasound of the head and neck soft tissue12$1,220
0.3%
$102

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.