Physician
Northern Nevada Medical Group, LLC
Northern Nevada Medical Group, LLC was paid $2.60M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoNORTHERN NEVADA MEDICAL GROUP, LLC
SPARKS, NV 89434
SPARKS, NV 89434
33aNPI1972751618assigned 09/06/2008
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$2.60M
24GClaims52,064
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Nevada
Rank by total paid#2 of 6
Median peer was paid$13K
This provider vs. median195×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EVANS, TODD controls 20+ related entities in our dataset. Read more
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 | 7,885 | $200K | |
| 2019 | 9,561 | $436K | |
| 2020 | 7,555 | $403K | |
| 2021 | 10,637 | $616K | |
| 2022 | 6,860 | $408K | |
| 2023 | 6,549 | $391K | |
| 2024incomplete | 3,017 | $146K |
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 | 59% | 25,293 | 21,230 | $1.53M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 8,026 | 5,180 | $288K |
| 99223 | Prolong inpt eval add15 m | 5.6% | 1,242 | 1,107 | $145K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.5% | 965 | 232 | $144K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.7% | 2,117 | 880 | $121K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.2% | 2,601 | 1,267 | $84K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 1,654 | 708 | $65K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 749 | 665 | $48K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 1,567 | 1,332 | $47K |
| 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 | 1.2% | 313 | 260 | $30K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 2,820 | 742 | $30K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,727 | 358 | $22K |
24 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 178 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 100 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 121 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,463 | $6K |
| 93000 | <1% | 288 | $2K | |
| 99221 | <1% | 28 | $2K | |
| 99336 | <1% | 96 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 32 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 17 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 129 | $663.36 |
| 99443 | <1% | 112 | $565.62 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $358.42 |
| 0031A | <1% | 28 | $293.19 | |
| 94060 | <1% | 30 | $256.82 | |
| 94726 | <1% | 30 | $244.32 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $46.34 |
| 90686 | <1% | 12 | $35.66 | |
| 99406 | <1% | 20 | $24.92 | |
| 3078F | 0% | 74 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 17 | $0.00 |
| 3074F | 0% | 91 | $0.00 | |
| 99024 | 0% | 53 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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 officialEVANS, TODD (VP)
| Provider | Location | Paid |
|---|---|---|
| Mcallen Hospitalist Group, PLLC | Edinburg, TX | $7.40M |
| Texomacare | Denison, TX | $5.95M |
| Northwest Texas Wyatt Clinic PLLC | Amarillo, TX | $4.39M |
| Texomacare | Madill, OK | $2.35M |
| Mid Atlantic Medicine LLC | Washington, DC | $1.84M |
| ST. Mary's Physician Associates, LLC | Enid, OK | $1.76M |
| Las Vegas Medical Group LLC | Las Vegas, NV | $1.36M |
| Aiken Professional Association, LLC | Aiken, SC | $1.35M |
| Northwest Urgent Care, PLLC | Amarillo, TX | $1.02M |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| Eastern Pennsylvania Physician Alliance LLC | Clarion, PA | $636K |
| NWTX Physician Network, PLLC | Amarillo, TX | $475K |
| Heart Clinic, PLLC | Mcallen, TX | $385K |
| Laredo Physicians Group | Laredo, TX | $365K |
| Nevada Urgent Care Network LLC | Sparks, NV | $211K |
| Uhs of Desert Springs, INC. | Henderson, NV | $151K |
| Manatee Cardiology Associates, LLC | Bradenton, FL | $23K |
| Wellington Physician Alliances INC | Wellington, FL | $14K |
| Manatee Physician Alliance, LLC | Bradenton, FL | $14K |
| Mary Alice Cowan, MD, PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.