Managed care
Molina Healthcare of Nevada, INC
Molina Healthcare of Nevada, INC was paid $3.40 by Medicaid between Jul 2022 and Feb 2023, across 12 billing codes. Its largest line is 99345, Prolong home eval add 15m — 72% of everything it billed.
33Billing provider infoMOLINA HEALTHCARE OF NEVADA, INC
LAS VEGAS, NV 89113
LAS VEGAS, NV 89113
33aNPI1932871316assigned 10/04/2021
33bProvider typeHealth Maintenance Organization
28Total paid$3.40
24GClaims2,770
24DCodes billed12
24AFirst – last monthJul 2022 – Feb 2023
Compared with peers
Next to other Health Maintenance Organization providers in Nevada
Rank by total paid#8 of 8
Median peer was paid$242K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 2,425 | $3.06 | |
| 2023 | 345 | $0.34 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99345 | Prolong home eval add 15m | 72% | 300 | 300 | $2.46 |
| 1126F | 8.2% | 160 | 160 | $0.28 | |
| 1159F | 7.4% | 447 | 447 | $0.25 | |
| 96127 | 5.0% | 388 | 387 | $0.17 | |
| 1125F | 3.8% | 114 | 114 | $0.13 | |
| 99384 | 2.6% | 14 | 14 | $0.09 | |
| 1160F | <1% | 448 | 447 | $0.01 | |
| 3016F | <1% | 65 | 65 | $0.01 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 448 | 447 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 101 | 101 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 259 | 257 | $0.00 |
| 4010F | 0% | 26 | 26 | $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 officialEASTERDAY, MICHAEL (CEO)