Physician
Michael C. Tenby, M.D., LTD
Michael C. Tenby, M.D., LTD was paid $1.71M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoMICHAEL C. TENBY, M.D., LTD
LAS VEGAS, NV 89149
LAS VEGAS, NV 89149
33aNPI1578599890assigned 06/26/2006
33bProvider typePediatrics Physician
28Total paid$1.71M
24GClaims41,648
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Nevada
Rank by total paid#35 of 267
Median peer was paid$116K
This provider vs. median15×
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 | 163 | $5K | |
| 2019 | 6,642 | $254K | |
| 2020 | 4,893 | $189K | |
| 2021 | 7,682 | $307K | |
| 2022 | 7,775 | $333K | |
| 2023 | 7,565 | $321K | |
| 2024incomplete | 6,928 | $297K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 9,241 | 8,395 | $520K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 24% | 5,387 | 4,432 | $413K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 2,888 | 2,733 | $245K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 10,156 | 6,077 | $193K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.4% | 1,753 | 1,572 | $75K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.2% | 2,073 | 1,794 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 554 | 508 | $47K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.4% | 1,662 | 1,437 | $41K |
| 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 | 2.3% | 508 | 441 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 755 | 705 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 125 | 123 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 460 | 327 | $5K |
36 more codes
| 90671 | <1% | 355 | $5K | |
| 90461 | <1% | 270 | $3K | |
| 0072A | <1% | 60 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 95 | $2K |
| 99381 | <1% | 17 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 194 | $1K |
| 0071A | <1% | 42 | $1K | |
| 99188 | <1% | 108 | $1K | |
| 54150 | <1% | 13 | $1K | |
| 83655 | <1% | 170 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $671.27 |
| 85018 | <1% | 329 | $410.26 | |
| 36416 | <1% | 97 | $299.40 | |
| 87280 | <1% | 35 | $130.88 | |
| 99177 | <1% | 13 | $109.18 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $98.16 |
| 90686 | <1% | 1,505 | $42.39 | |
| 90651 | <1% | 35 | $4.00 | |
| 90619 | <1% | 33 | $2.00 | |
| 91307 | <1% | 152 | $1.27 | |
| 91308 | <1% | 18 | $0.06 | |
| 90656 | 0% | 183 | $0.00 | |
| 90698 | 0% | 177 | $0.00 | |
| 90744 | 0% | 192 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 64450 | 0% | 13 | $0.00 | |
| 90648 | 0% | 121 | $0.00 | |
| 90670 | 0% | 733 | $0.00 | |
| 90633 | 0% | 329 | $0.00 | |
| 99173 | 0% | 474 | $0.00 | |
| 90681 | 0% | 73 | $0.00 | |
| 90710 | 0% | 100 | $0.00 | |
| 90672 | 0% | 12 | $0.00 | |
| 99072 | 0% | 40 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 91300 | 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 officialTENBY, MICHAEL (PRESIDENT)