Physician
Usacs Integrated Acute Care Services of Nevada Bagnoli P C
Usacs Integrated Acute Care Services of Nevada Bagnoli P C was paid $2.58M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.
33Billing provider infoUSACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P C
CARSON CITY, NV 89703
CARSON CITY, NV 89703
33aNPI1063608701assigned 09/17/2007
33bProvider typeHospitalist Physician
28Total paid$2.58M
24GClaims137,834
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Nevada
Rank by total paid#2 of 28
Median peer was paid$50K
This provider vs. median52×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CHASTAIN, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,839 | $388K | |
| 2019 | 11,417 | $367K | |
| 2020 | 33,180 | $486K | |
| 2021 | 52,690 | $555K | |
| 2022 | 17,628 | $319K | |
| 2023 | 9,856 | $396K | |
| 2024incomplete | 2,224 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 40% | 20,244 | 7,473 | $1.04M |
| 99310 | Prolong nursin fac eval 15m | 13% | 14,550 | 6,888 | $342K |
| 99223 | Prolong inpt eval add15 m | 12% | 3,012 | 2,829 | $307K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 11% | 18,539 | 10,220 | $274K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 9.9% | 1,430 | 530 | $256K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 2,770 | 1,199 | $99K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.7% | 1,455 | 1,340 | $95K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.3% | 1,470 | 1,336 | $85K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.6% | 2,753 | 1,550 | $40K |
| 99221 | <1% | 250 | 235 | $14K | |
| 99307 | <1% | 843 | 450 | $9K | |
| 99305 | <1% | 140 | 135 | $5K |
36 more codes
| 99220 | <1% | 39 | $3K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 64 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 101 | $2K |
| 99292 | <1% | 22 | $2K | |
| 99497 | <1% | 165 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 99304 | <1% | 58 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 105 | $471.80 |
| 99318 | <1% | 17 | $322.23 | |
| 99406 | <1% | 72 | $240.92 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 9,980 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 8,824 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 4,385 | $0.00 |
| G9513 | Individual did not have a pdc of 0.8 or greater | 0% | 124 | $0.00 |
| 4040F | 0% | 7,727 | $0.00 | |
| 0518F | 0% | 64 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 2,102 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 5,039 | $0.00 |
| 1124F | 0% | 329 | $0.00 | |
| 3046F | 0% | 336 | $0.00 | |
| 1100F | 0% | 49 | $0.00 | |
| G9990 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 370 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 34 | $0.00 |
| 3288F | 0% | 64 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 263 | $0.00 |
| 1101F | 0% | 7,201 | $0.00 | |
| 1123F | 0% | 8,516 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 3,647 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 5,044 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 4,273 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 415 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 585 | $0.00 |
| G8967 | Fda approved oral anticoagulant is prescribed | 0% | 119 | $0.00 |
| 4086F | 0% | 111 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 77 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCHASTAIN, JENNIFER (PROVIDER ENROLLMENT OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.