NP / PA
Good Samaritan Family Practice
Good Samaritan Family Practice was paid $216K by Medicaid between Jan 2018 and Jun 2024, across 36 billing codes. Its largest line is 99349, — 23% of everything it billed.
33Billing provider infoGOOD SAMARITAN FAMILY PRACTICE
LAS VEGAS, NV 89141
LAS VEGAS, NV 89141
33aNPI1366802159assigned 03/07/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$216K
24GClaims17,234
24DCodes billed36
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Nevada
Rank by total paid#28 of 220
Median peer was paid$8K
This provider vs. median27×
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.
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 | 437 | $4K | |
| 2019 | 2,961 | $33K | |
| 2020 | 6,075 | $81K | |
| 2021 | 4,390 | $85K | |
| 2022 | 1,892 | $12K | |
| 2023 | 1,394 | $1K | |
| 2024incomplete | 85 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 23% | 2,780 | 2,451 | $51K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 21% | 2,093 | 1,601 | $45K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 21% | 2,452 | 2,399 | $45K |
| 99091 | 7.9% | 1,740 | 1,698 | $17K | |
| 99344 | 5.7% | 303 | 294 | $12K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 4.4% | 1,060 | 1,023 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 702 | 579 | $9K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 2.6% | 610 | 600 | $6K |
| 99497 | 2.1% | 351 | 336 | $4K | |
| 99496 | 1.8% | 129 | 121 | $4K | |
| 99336 | 1.2% | 59 | 57 | $3K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 149 | 140 | $2K |
24 more codes
| 99487 | Ccm add 20min | <1% | 69 | $1K |
| 99490 | Ccm add 20min | <1% | 965 | $1K |
| 99335 | <1% | 49 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $967.10 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 118 | $728.37 |
| 99454 | <1% | 67 | $663.20 | |
| 99489 | Ccm add 20min | <1% | 69 | $657.72 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 70 | $636.57 |
| 99457 | <1% | 69 | $614.09 | |
| 99439 | <1% | 888 | $585.83 | |
| 99458 | <1% | 79 | $398.79 | |
| 99343 | <1% | 15 | $330.89 | |
| 99354 | <1% | 15 | $293.15 | |
| 99453 | <1% | 31 | $60.80 | |
| 99348 | 0% | 126 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,452 | $0.00 |
| G9458 | Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | 0% | 209 | $0.00 |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 247 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| 1111F | 0% | 113 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 31 | $0.00 |
| 1123F | 0% | 30 | $0.00 | |
| 99350 | Prolong home eval add 15m | 0% | 23 | $0.00 |
| 99406 | 0% | 12 | $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 officialKIDIAVAYI, STANLEY (NURSE PRACTICTIONER)