Etli, Dominic

Etli, Dominic was paid $18K by Medicaid between Jan 2018 and Dec 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.

33Billing provider infoETLI, DOMINIC
LAS VEGAS, NV 89110

33aNPI1962934885assigned 03/30/2017

33bProvider typePrimary Care Nurse Practitioner

28Total paid$18K

24GClaims907

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Primary Care Nurse Practitioner providers in Nevada

Rank by total paid#26 of 37

Median peer was paid$41K

This provider vs. median0.4×

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	907	$18K

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	97%	475	350	$17K
G0444	Annual depression screening, 5 to 15 minutes	3.1%	145	80	$555.13
3078F		0%	74	68	$0.00
3079F		0%	40	36	$0.00
3074F		0%	173	152	$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.