Physician
Albion Medical Group of Nevada, PC
Albion Medical Group of Nevada, PC was paid $268K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoALBION MEDICAL GROUP OF NEVADA, PC
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
33aNPI1578840724assigned 11/15/2011
33bProvider typeInternal Medicine Physician
28Total paid$268K
24GClaims7,293
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Nevada
Rank by total paid#95 of 465
Median peer was paid$35K
This provider vs. median7.7×
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 | 550 | $13K | |
| 2019 | 3,139 | $126K | |
| 2020 | 2,163 | $86K | |
| 2021 | 461 | $14K | |
| 2022 | 135 | $6K | |
| 2023 | 56 | $3K | |
| 2024incomplete | 789 | $21K |
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 | 69% | 4,693 | 3,681 | $186K |
| 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% | 1,059 | 835 | $56K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.9% | 110 | 94 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 213 | 193 | $8K |
| 90670 | 1.3% | 55 | 32 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 232 | 169 | $3K |
| 90756 | <1% | 122 | 85 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 14 | $1K |
| 90688 | <1% | 110 | 69 | $700.33 | |
| 99442 | <1% | 60 | 50 | $358.80 | |
| 0012A | <1% | 66 | 58 | $283.08 | |
| 0031A | <1% | 95 | 89 | $181.98 |
7 more codes
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 officialALBION, TIMOTHY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Carelon Medical Partners of North Carolina PC | Raleigh, NC | $398K |
| Carelon Medical Partners of Arizona PC | Des Moines, IA | $7K |
| Carelon Medical Partners, PC | Nashville, TN | $5K |
| Carelon Medical Partners of Texas PA | Houston, TX | $139.76 |
| Carelon Medical Partners of Arizona, P.C. | Tucson, AZ | $0.00 |
| Albion Medical Partners of California, PC | Pasadena, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.