Banner Health Physicians West LLC
Banner Health Physicians West LLC was paid $233K by Medicaid between Jan 2018 and Jun 2018, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
FALLON, NV 89406
Next to other Multi-Specialty Clinic/Center providers in Nevada
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,267 | $233K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 1,514 | 1,248 | $104K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 1,134 | 1,014 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.0% | 266 | 232 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 178 | 175 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 146 | 146 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 252 | 251 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 106 | 93 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 15 | 13 | $2K |
| 98929 | <1% | 17 | 14 | $1K | |
| 99381 | <1% | 13 | 13 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | 14 | $272.98 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 59 | 54 | $205.22 |
14 more codes
| 90474 | <1% | 12 | $132.12 | |
| 96127 | <1% | 57 | $110.67 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $98.16 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $96.20 |
| 81025 | <1% | 15 | $64.80 | |
| 88720 | <1% | 12 | $34.20 | |
| 90647 | 0% | 49 | $0.00 | |
| 99406 | 0% | 20 | $0.00 | |
| 90723 | 0% | 36 | $0.00 | |
| 90680 | 0% | 18 | $0.00 | |
| 90461 | 0% | 211 | $0.00 | |
| 90670 | 0% | 69 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90633 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.