NP / PA
Tahoe Fracture & Orthopedic Medical Clinic, INC.
Tahoe Fracture & Orthopedic Medical Clinic, INC. was paid $391K by Medicaid between Jan 2018 and Dec 2021, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoTAHOE FRACTURE & ORTHOPEDIC MEDICAL CLINIC, INC.
CARSON CITY, NV 89705
CARSON CITY, NV 89705
33aNPI1750372140assigned 11/03/2005
33bProvider typeNurse Practitioner
28Total paid$391K
24GClaims11,146
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Nurse Practitioner providers in Nevada
Rank by total paid#13 of 146
Median peer was paid$10K
This provider vs. median40×
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 | 2,855 | $98K | |
| 2019 | 3,065 | $100K | |
| 2020 | 2,754 | $103K | |
| 2021 | 2,472 | $90K |
Box 24 · Service lines
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 | 48% | 5,176 | 4,151 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 2,731 | 2,155 | $115K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 665 | 580 | $42K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 2.8% | 188 | 171 | $11K |
| 99243 | 2.5% | 107 | 86 | $10K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.2% | 954 | 593 | $8K |
| 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 | 1.4% | 48 | 40 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 189 | 151 | $5K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 295 | 148 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 106 | 27 | $2K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 56 | 24 | $843.64 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 49 | 12 | $644.58 |
6 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 officialCUMMINGS, JEFFREY (PHYSICIAN/PARTNER)