NEVVI Medicare utilization intelligence

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COPPEL MEDICAL ENTERPRISE LLC

PAC 8921140641 Physician group
PHYSICIAN ASSISTANT · LAS VEGAS, NV · hospital-affiliated
Specialty PHYSICIAN ASSISTANT — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in LAS VEGAS, NV · bills Medicare in 1 state (NV)
Scale 20 providers on the CMS registry roster · 42 codes billed (five-year data window) · 8,466 services (all billed codes, CY2024)
Medicare paid $626K · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (702) 476-9999 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 6Advanced-practice 11Other clinicians 0= 17 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 17 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 24 of the group's 42 codes this year, across 1 state (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS
Data year: CY2024 CY2023 CY2022  CY2021  CY2020 

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes)
1871754572 Perel, Leon M.D. Pain Management Las VegasNV
1295268670 Nguyen, Dennis DO Pain Management HendersonNV
1316057573 Coppel, Alain M.D. Interventional Pain Management Las VegasNV
1124462056 Karno, Grant M.D. Pain Management Las VegasNV
1578976965 Kelner, Andrew M.D. Pain Management Las VegasNV
1770740995 Ostler, Joshua PA-C Physician Assistant Las VegasNV
1932557915 Escamis, Lauren APRN Nurse Practitioner Las VegasNV
1376083394 Vergara, Antonette APRN Nurse Practitioner Las VegasNV
1760979819 Zieglmeier, Allison MSN, APRN, FNP-C Nurse Practitioner Las VegasNV
1104804756 Boesiger, James PA-C Physician Assistant Las VegasNV
1790876084 Albo, Pamela PAC Physician Assistant Las VegasNV
1508136375 Boeckle, Leigh PA-C Physician Assistant Las VegasNV
1396737235 Signorino, Shannon PA C Physician Assistant HendersonNV
1609459080 Kennel, Bianca PA-C Physician Assistant North Las VegasNV
1942086640 Nakamura, Alissa Maree Physician Assistant HendersonNV
1306626759 De Guzman, John Joseph · member of 2 groups APRN Nurse Practitioner North Las VegasNV
1871026518 Kang, Heerak · member of 2 groups M.D. Physical Medicine and Rehabilitation Las VegasNV

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.