Emerald Medical Center LLC

Emerald Medical Center LLC was paid $2.49M by Medicaid between Sep 2020 and Aug 2024, across 29 billing codes. Its largest line is 90876, — 69% of everything it billed.

33Billing provider infoEMERALD MEDICAL CENTER LLC
LAS VEGAS, NV 89121

33aNPI1679169767assigned 12/14/2020

33bProvider typeAdult Health Nurse Practitioner

28Total paid$2.49M

24GClaims47,559

24DCodes billed29

24AFirst – last monthSep 2020 – Aug 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Nevada

Rank by total paid#1 of 24

Median peer was paid$11K

This provider vs. median219×

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
2020	132	$105.48
2021	10,490	$548K
2022	12,667	$686K
2023	16,806	$844K
2024incomplete	7,464	$409K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90876		69%	25,336	3,677	$1.71M
99308	Subsequent nursing facility care, per day, straightforward	10%	5,865	1,871	$249K
99309	Subsequent nursing facility care, per day, low to moderate complexity	5.2%	2,815	1,009	$128K
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	4.9%	3,061	2,170	$123K
99307		3.3%	3,014	1,173	$83K
99336		2.0%	741	162	$50K
99349		1.3%	547	155	$33K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	1.1%	448	300	$28K
99487	Ccm add 20min	<1%	867	819	$14K
99350	Prolong home eval add 15m	<1%	1,047	833	$13K
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%	138	133	$10K
90792	Psychiatric diagnostic evaluation with medical services	<1%	150	141	$9K

17 more codes

99484		<1%	984	$6K
99337		<1%	107	$5K
99497		<1%	231	$4K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	182	$4K
99458		<1%	350	$3K
99213	Doctor's office visit, returning patient (routine)	<1%	141	$3K
99457		<1%	374	$2K
90791	Psychiatric diagnostic evaluation	<1%	34	$2K
99305		<1%	30	$2K
99498		<1%	120	$2K
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	<1%	208	$1K
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	<1%	91	$603.13
90901		<1%	150	$432.32
G0444	Annual depression screening, 5 to 15 minutes	<1%	128	$349.82
99454		<1%	47	$247.37
99354		<1%	14	$245.63
99490	Ccm add 20min	<1%	339	$110.52

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 officialSONICO, EMERALD (OWNER)