Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vertex Medicus, LLC

Vertex Medicus, LLC was paid $844K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 45% of everything it billed.

33Billing provider infoVERTEX MEDICUS, LLC
NORTH LAS VEGAS, NV 89030
33aNPI1407087471assigned 08/07/2009
33bProvider typeSpecialist
28Total paid$844K
24GClaims15,315
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in Nevada

Rank by total paid#13 of 98
Median peer was paid$76K
This provider vs. median11×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,218$103K
20191,984$110K
20202,398$149K
20212,567$148K
20222,947$161K
20232,708$149K
2024incomplete493$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 45% 10,054 2,531 $382K
99223 Prolong inpt eval add15 m 36% 2,557 2,336 $300K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 18% 2,593 2,123 $149K
99255 <1% 50 41 $7K
99254 <1% 61 54 $6K

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 officialAGUILAR, NANCY (OFFICE MANAGER)