ST RAFAEL MEDICINE LLC
3340 TOPAZ ST, LAS VEGAS, NV 89121
NPI Number
1972215325
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$901,062
-63% vs specialty average
Patients Seen
4,353
Total Claims
27,049
$ Per Patient
$207
Specialty avg: $313
Specialty Rank
#22 of 62
Clinic/Center providers in Nevada
Peer Average
$2,426,494
Average total for Clinic/Center
Claims per Patient
6.2
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 |
|---|---|---|
| 2022 | $6,206 | |
| 2023 | $894,856 |
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 |
|---|---|---|---|---|---|
| 97112 | Neuromuscular re-education — retraining muscles and movement patterns | 5,191 | $281,818 | 31.3% | $54 |
| 97032 | Physical therapy, occupational therapy, or rehabilitation | 5,192 | $160,889 | 17.9% | $31 |
| 98960 | Medical service or procedure | 2,405 | $111,425 | 12.4% | $46 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 5,184 | $94,200 | 10.5% | $18 |
| 97016 | Physical therapy, occupational therapy, or rehabilitation | 5,187 | $82,226 | 9.1% | $16 |
| Q3014 | Telehealth originating site facility fee | 2,403 | $54,608 | 6.1% | $23 |
| 95816 | Brain wave test (EEG) or nerve test | 146 | $37,582 | 4.2% | $257 |
| 95004 | Allergy testing or treatment | 91 | $31,212 | 3.5% | $343 |
| 99215 | Office visit for a complex or serious problem (established patient) | 91 | $10,578 | 1.2% | $116 |
| 92652 | Hearing or speech test or therapy | 147 | $9,520 | 1.1% | $65 |
| 95044 | Allergy testing or treatment | 31 | $8,345 | 0.9% | $269 |
| H2011 | Crisis intervention — emergency help during a mental health crisis (per 15 minutes) | 252 | $6,570 | 0.7% | $26 |
| 96137 | Psychological testing — additional 30 minutes | 146 | $4,499 | 0.5% | $31 |
| 96132 | Neuropsychological testing — evaluation by a psychologist (first hour) | 146 | $4,200 | 0.5% | $29 |
| 96136 | Psychological testing — administered by a psychologist (first 30 min) | 146 | $3,389 | 0.4% | $23 |
| 95957 | Brain wave test (EEG) or nerve test | 145 | $0 | 0.0% | $0 |
| 95930 | Brain wave test (EEG) or nerve test | 146 | $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.