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Network AdequacyAdvisory Council
1
Time & Distance Analysis
2
Additional Provider Specialties
Specialty
Metro Micro Rural CEAC
Max Time
(Mins)
Max Distance(Miles)
Max Time
(Mins)
Max Distance(Miles)
Max Time
(Mins)
Max Distance(Miles)
Max Time
(Mins)
Max Distance(Miles)
Primary Care 15 10 30 20 40 30 70 60
Endocrinology 60 40 100 75 110 90 145 130Infectious Diseases 60 40 100 75 110 90 145 130Psychiatrist 45 30 60 45 75 60 110 100Psychologist 45 30 60 45 75 60 110 100Licensed Clinical Social Worker (LCSW)
45 30 60 45 75 60 110 100
Oncology -Medical/Surgical
45 30 60 45 75 60 110 100
Oncology -Radiation/Radiology
60 40 100 75 110 90 145 130
Pediatrics 25 15 30 20 40 30 105 90Rheumatology 60 40 100 75 110 90 145 130Hospitals 45 30 80 60 75 60 110 100Outpatient Dialysis 45 30 80 60 90 75 125 110
2021 Network Adequacy Standards
3
Metro Micro Rural CEAC
Max Time(Mins)
Max Distance(Miles)
Max Time(Mins)
Max Distance(Miles)
Max Time
(Mins)
Max Distance(Miles)
Max Time
(Mins)
Max Distance(Miles)
Category 1: Primary Care 15 10 30 20 40 30 70 60
Category 2: Pediatrics 25 15 30 20 40 30 105 90
Category 3
Psychologist 45 30 60 45 75 60 110 100
Licensed Clinical Social Worker (LCSW)
45 30 60 45 75 60 110 100
Oncology -Medical/Surgical
45 30 60 45 75 60 110 100
Hospitals 45 30 80 60 75 60 110 100
Outpatient Dialysis 45 30 80 60 90 75 125 110
Category 4
Endocrinology 60 40 100 75 110 90 145 130
Infectious Diseases 60 40 100 75 110 90 145 130
Oncology -Radiation/Radiology
60 40 100 75 110 90 145 130
Rheumatology 60 40 100 75 110 90 145 130
Time & Distance Categories
4
Time & Distance Analysis
5
Statewide Data1
SpecialtyMaximum
MilesAverage
MilesMaximum
MinutesAverageMinutes
General Practice (001) 124.00 3.58 135.20 4.80Family Medicine (002) 123.60 1.56 134.80 2.15Internal Medicine (003) 123.60 1.83 134.80 2.43Geriatrics (004) 329.00 12.18 359.70 15.12Primary Care -Physician Assistant (005) 124.00 1.67 135.20 2.26Primary Care -Nurse Practitioner (006) 123.80 1.67 135.00 2.34Allergy and Immunology (007) 160.70 6.60 181.30 8.96Cardiovascular Disease (008) 124.00 3.14 135.20 4.41Chiropractic (010) 123.70 2.79 134.90 3.71Dermatology (011) 124.00 3.79 135.20 5.34Endocrinology (012) 150.00 5.79 163.60 7.681Analysis based on health networks filed for plan year 2020. Data represents average/ maximum time ordistance between a population sample point and a provider location for a given specialty.
Time & Distance Analysis
6
Statewide Data1
SpecialtyMaximum
MilesAverage
MilesMaximum
MinutesAverageMinutes
ENT/Otolaryngology (013) 160.10 6.08 176.70 8.05Gastroenterology (014) 170.90 5.46 186.40 7.23General Surgery (015) 124.00 3.63 135.20 5.02Gynecology (OB/GYN) (016) 138.70 3.24 151.30 4.36Infectious Diseases (017) 333.70 11.79 366.80 14.04Nephrology (018) 137.90 4.61 150.40 6.14Neurology (019) 170.90 5.20 186.40 6.79Neurological Surgery (020) 173.70 6.66 195.40 9.03Medical Oncology & Surgical Oncology (021)
160.10 5.08 174.60 6.66
Radiation Oncology (022) 167.70 6.65 182.90 8.61Ophthalmology (023) 155.60 4.07 169.70 5.251Analysis based on health networks filed for plan year 2020. Data represents average/ maximum time ordistance between a population sample point and a provider location for a given specialty.
Time & Distance Analysis
7
Statewide Data1
SpecialtyMaximum
MilesAverage
MilesMaximum
MinutesAverageMinutes
Orthopedic Surgery (025) 123.60 3.33 134.80 4.44Physical Medicine & Rehabilitation (026) 157.10 3.55 172.40 4.63Plastic Surgery (027) 160.60 4.34 175.50 5.42Podiatry (028) 137.50 3.64 150.00 4.88Psychiatry (029) 123.80 2.72 135.00 3.61Pulmonology (030) 160.10 5.01 174.60 6.59Rheumatology (031) 329.70 12.48 359.60 15.47Urology (033) 161.20 5.87 176.80 7.95Vascular Surgery (034) 226.30 9.19 246.80 11.99Cardiothoracic Surgery (035) 334.60 11.02 366.90 13.30General Acute Care Hospital (040) 123.70 3.40 134.90 4.751Analysis based on health networks filed for plan year 2020. Data represents average/ maximum time ordistance between a population sample point and a provider location for a given specialty.
Time & Distance Analysis
8
Statewide Data1
SpecialtyMaximum
MilesAverage
MilesMaximum
MinutesAverageMinutes
Cardiac Surgery Program (041) 164.60 7.26 185.00 9.48Cardiac Catheterization Services (042) 164.60 7.06 185.00 9.17Critical Care Services -Intensive Care Units (043)
140.10 5.31 152.80 7.30
Outpatient Dialysis (044) 138.70 4.40 151.30 5.93Surgical Services (045) 138.10 3.84 150.60 5.16Skilled Nursing Facilities (046) 124.00 4.02 135.20 5.60Diagnostic Radiology (047) 124.00 3.33 135.20 4.52Mammography (048) 124.00 4.22 135.20 5.79Physical Therapy (049) 123.60 2.25 134.80 3.04Occupational Therapist (050) 123.60 2.95 134.80 3.95Speech Therapy (051) 123.60 3.25 134.80 4.361Analysis based on health networks filed for plan year 2020. Data represents average/ maximum time ordistance between a population sample point and a provider location for a given specialty.
Time & Distance Analysis
9
Statewide Data1
SpecialtyMaximum
MilesAverage
MilesMaximum
MinutesAverageMinutes
Inpatient Psychiatry (052) 172.70 7.30 188.60 9.83Orthotics and Prosthetics (054) 160.60 6.03 187.30 8.01Home Health (055) 123.70 3.92 134.90 5.58Durable Medical Equipment (056) 123.60 4.04 134.80 5.62Ambulatory Health Care Facilities -Infusion Therapy/Oncology/Radiology (057)
124.00 4.00 135.20 5.40
Kidney Transplant Program (064) 467.40 90.98 701.00 142.73Liver Transplant Program (065) 467.40 90.98 701.00 142.73Pancreas Transplant Program (067) 467.40 90.98 0.00Pediatrics -Routine/Primary Care (101) 126.10 2.37 137.50 3.17Licensed Clinical Social Workers (102) 123.80 2.39 135.00 3.19Psychology (103) 156.80 4.36 171.00 5.81
1Analysis based on health networks filed for plan year 2020. Data represents average/ maximum time ordistance between a population sample point and a provider location for a given specialty.
Questions
10
Appendix
11
CMS Network Adequacy Template001 General Practice 018 Nephrology 040 General Acute Care Hospital
057 Ambulatory Health Care Facilities -Infusion Therapy/Oncology/Radiology
002 Family Medicine 019 Neurology 041 Cardiac Surgery Program 061 Heart Transplant Program
003 Internal Medicine 020 Neurological Surgery 042 Cardiac Catheterization Services 062 Heart/Lung Transplant Program
004 Geriatrics021 Medical Oncology & Surgical Oncology
043 Critical Care Services -Intensive Care Units
064 Kidney Transplant Program
005 Primary Care - Physician Assistant
022 Radiation Oncology 044 Outpatient Dialysis 065 Liver Transplant Program
006 Primary Care - Nurse Practitioner
023 Ophthalmology 045 Surgical Services 066 Lung Transplant Program
007 Allergy and Immunology 025 Orthopedic Surgery 046 Skilled Nursing Facilities 067 Pancreas Transplant Program
008 Cardiovascular Disease026 Physical Medicine & Rehabilitation
047 Diagnostic Radiology 000 OTHER
010 Chiropractic 027 Plastic Surgery 048 Mammography101 Pediatrics - Routine/Primary Care
011 Dermatology 028 Podiatry 049 Physical Therapy 102 Licensed Clinical Social Workers
012 Endocrinology 029 Psychiatry 050 Occupational Therapist 103 Psychology
013 ENT/Otolaryngology 030 Pulmonology 051 Speech Therapy Dental - General
014 Gastroenterology 031 Rheumatology 052 Inpatient Psychiatry Dental - Orthodontist
015 General Surgery 033 Urology 054 Orthotics and Prosthetics Dental - Periodontist
016 Gynecology (OB/GYN) 034 Vascular Surgery 055 Home Health Dental – Endodontist
017 Infectious Diseases 035 Cardiothoracic Surgery 056 Durable Medical Equipment Pharmacy
12
13
Geriatrics - 0041
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 329.0 12.2 359.7 15.1
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 10.2 18.3 14.9 11.1 19.9 16.2
Churchill 996 29.1 62.3 49.5 32.6 67.9 54.0Clark 95,059 0.0 81.8 4.2 0.0 103.3 6.7
Douglas 1,762 0.0 30.8 7.2 0.0 33.6 7.8Elko 2,287 205.1 329.0 243.0 223.8 359.7 265.6
Esmeralda 33 114.0 149.0 131.4 124.3 162.5 143.3
Eureka 149 174.3 211.2 192.9 190.1 231.2 210.7
Humboldt 716 112.8 204.5 147.9 126.0 225.0 163.0Lander 236 111.0 172.7 164.4 121.0 188.9 179.9Lincoln 197 68.8 149.5 111.0 80.6 184.2 138.1
Lyon 2,136 16.7 41.6 26.0 18.2 45.3 28.4
Mineral 165 48.8 101.3 66.9 53.2 110.5 72.9Nye 1,529 0.1 198.8 27.2 0.1 216.8 29.8
Pershing 294 75.6 137.4 99.4 84.2 151.5 110.2Storey 318 5.0 20.5 10.6 5.4 23.1 11.5
Washoe 19,320 0.0 156.9 4.1 0.0 174.6 5.3
White Pine 400 176.3 239.3 214.7 202.4 282.8 248.8
14
Allergy and Immunology - 0071
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 160.7 6.6 181.3 9.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 5.1 1.4 0.0 5.5 1.5
Churchill 996 0.2 30.0 4.4 0.2 32.7 4.8Clark 95,059 0.0 75.7 3.7 0.0 90.8 6.1
Douglas 1,762 0.0 26.0 5.6 0.0 28.3 6.1Elko 2,287 0.1 112.4 21.1 0.1 122.6 23.0
Esmeralda 33 103.1 144.8 119.9 112.4 166.4 131.7
Eureka 149 25.4 122.1 61.3 27.7 133.2 66.8
Humboldt 716 74.0 160.1 108.2 80.7 179.7 117.9Lander 236 59.9 104.5 67.8 65.3 114.0 73.9Lincoln 197 63.0 109.4 76.1 68.7 126.7 83.6
Lyon 2,136 0.0 30.3 20.1 0.0 36.2 22.1
Mineral 165 16.1 78.6 43.7 17.5 85.7 47.7Nye 1,529 35.3 160.7 53.3 43.4 175.3 63.2
Pershing 294 45.2 109.7 70.7 49.3 119.6 77.1Storey 318 8.0 24.2 12.9 8.7 31.5 14.8
Washoe 19,320 0.0 158.8 4.9 0.0 181.3 6.8
White Pine 400 113.5 155.2 121.2 125.5 169.3 134.4
15
Cardiovascular Disease - 0081
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 124.0 3.1 135.2 4.4
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.7 1.8 0.0 8.4 2.0
Churchill 996 0.1 15.3 4.2 0.1 16.6 4.5Clark 95,059 0.0 41.2 2.2 0.0 49.4 3.6
Douglas 1,762 0.0 22.5 3.5 0.0 24.5 3.8Elko 2,287 0.0 112.0 20.1 0.0 122.1 21.9
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.5
Eureka 149 21.3 86.2 45.5 23.2 94.0 49.6
Humboldt 716 0.0 103.1 9.5 0.0 112.4 10.3Lander 236 0.1 90.0 7.8 0.1 98.1 8.5Lincoln 197 62.8 106.0 74.7 68.5 117.0 81.6
Lyon 2,136 0.0 25.6 3.5 0.0 27.9 3.7
Mineral 165 0.4 45.7 14.3 0.4 49.8 15.5Nye 1,529 0.0 120.8 16.6 0.0 131.7 18.1
Pershing 294 0.1 39.0 11.1 0.1 42.5 12.1Storey 318 2.8 14.8 7.4 3.0 16.1 8.0
Washoe 19,320 0.0 124.0 3.1 0.0 135.2 3.9
White Pine 400 0.0 61.4 6.5 0.0 66.9 7.3
16
Chiropractic - 0101
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 123.7 2.8 134.9 3.7
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 5.9 1.0 0.0 6.4 1.1
Churchill 996 0.0 17.3 3.5 0.0 18.8 3.7Clark 95,059 0.0 68.0 1.8 0.0 74.1 2.7
Douglas 1,762 0.0 13.1 3.7 0.0 14.2 4.0Elko 2,287 0.0 111.7 18.1 0.0 121.8 19.7
Esmeralda 33 8.6 60.6 43.0 9.3 66.1 46.8
Eureka 149 21.8 91.0 48.7 23.7 99.2 53.0
Humboldt 716 0.1 102.8 9.2 0.1 112.1 9.9Lander 236 0.0 68.0 6.8 0.0 74.1 7.3Lincoln 197 0.0 73.0 24.2 0.0 79.6 26.3
Lyon 2,136 0.0 22.1 8.6 0.0 24.1 9.4
Mineral 165 2.8 57.7 25.8 3.0 62.9 28.1Nye 1,529 0.0 72.0 8.9 0.0 78.5 9.7
Pershing 294 0.2 37.7 10.9 0.2 41.1 11.8Storey 318 5.2 17.2 9.2 5.6 18.7 10.0
Washoe 19,320 0.0 123.7 2.2 0.0 134.9 2.7
White Pine 400 40.3 111.3 76.4 43.9 121.4 84.9
17
Dermatology - 0111
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 124.0 3.8 135.2 5.3
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 5.6 1.8 0.0 6.1 2.0
Churchill 996 0.0 17.6 3.5 0.0 19.2 3.7Clark 95,059 0.0 45.9 2.9 0.0 50.0 4.7
Douglas 1,762 0.0 30.5 5.1 0.0 33.2 5.5Elko 2,287 0.0 111.7 20.5 0.0 121.8 22.3
Esmeralda 33 8.0 51.0 33.9 8.7 55.6 37.0
Eureka 149 0.1 49.5 27.0 0.1 54.0 29.4
Humboldt 716 0.0 103.1 8.4 0.0 112.4 9.1Lander 236 0.0 75.2 7.1 0.0 82.0 7.6Lincoln 197 0.0 73.2 25.1 0.0 79.8 27.3
Lyon 2,136 0.0 39.8 10.9 0.0 43.4 11.8
Mineral 165 0.3 45.5 15.3 0.3 49.6 16.7Nye 1,529 0.0 87.9 15.0 0.0 95.8 16.3
Pershing 294 0.0 32.6 13.5 0.0 35.5 14.7Storey 318 0.1 14.9 5.6 0.1 17.5 6.3
Washoe 19,320 0.0 124.0 3.4 0.0 135.2 4.3
White Pine 400 0.0 61.4 6.0 0.0 66.9 6.7
18
ENT/Otolaryngology - 0131
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 160.1 6.1 176.7 8.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.8 1.7 0.0 7.4 1.8
Churchill 996 0.2 30.0 4.4 0.2 32.7 4.8Clark 95,059 0.0 80.8 3.8 0.0 89.6 5.7
Douglas 1,762 0.0 26.0 5.0 0.0 28.3 5.4Elko 2,287 0.0 112.0 20.2 0.0 122.1 22.0
Esmeralda 33 103.1 144.8 119.9 112.4 166.4 131.7
Eureka 149 23.1 91.8 53.9 25.2 100.1 58.7
Humboldt 716 71.6 160.1 105.6 78.1 176.7 115.2Lander 236 58.3 103.8 66.0 63.6 113.2 72.0Lincoln 197 63.8 109.8 96.2 76.5 127.3 109.4
Lyon 2,136 0.0 30.3 19.8 0.0 36.2 21.9
Mineral 165 16.1 78.6 43.7 17.5 85.7 47.7Nye 1,529 33.3 141.6 50.0 42.8 154.4 60.5
Pershing 294 45.2 108.5 70.2 49.3 118.3 76.6Storey 318 5.7 23.9 11.2 6.2 31.9 13.3
Washoe 19,320 0.0 159.7 3.9 0.0 175.6 5.3
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
19
Gastroenterology - 0141
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 170.9 5.5 186.4 7.2
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.4 2.1 0.0 8.0 2.3
Churchill 996 29.1 60.4 45.8 32.6 65.8 49.9Clark 95,059 0.0 81.4 3.4 0.0 94.6 5.2
Douglas 1,762 0.1 26.0 5.2 0.1 28.3 5.6Elko 2,287 0.0 112.0 21.0 0.0 122.1 22.9
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.4
Eureka 149 21.3 106.5 51.7 23.2 116.1 56.4
Humboldt 716 0.1 103.1 9.4 0.1 112.4 10.2Lander 236 0.1 95.7 8.1 0.1 104.4 8.8Lincoln 197 63.8 146.4 108.4 76.5 171.4 127.6
Lyon 2,136 0.1 31.6 15.4 0.1 34.4 16.9
Mineral 165 0.6 45.9 14.3 0.6 50.0 15.6Nye 1,529 0.1 158.3 20.7 0.1 182.9 22.7
Pershing 294 9.3 79.3 56.7 10.1 87.3 61.9Storey 318 4.3 20.4 8.8 4.6 23.1 9.5
Washoe 19,320 0.0 124.0 4.6 0.0 135.2 5.7
White Pine 400 113.3 170.9 121.3 125.4 186.4 134.4
20
General Surgery – 0151State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 124.0 3.6 135.2 5.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.1 1.7 0.0 6.6 1.8
Churchill 996 0.1 18.1 4.1 0.1 19.7 4.5Clark 95,059 0.0 45.4 2.3 0.0 49.9 3.8
Douglas 1,762 0.0 25.8 3.6 0.0 28.1 3.8Elko 2,287 0.0 112.0 20.6 0.0 122.1 22.4
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.5
Eureka 149 0.0 43.2 19.3 0.0 47.1 21.0
Humboldt 716 0.0 103.2 9.5 0.0 112.5 10.4Lander 236 19.9 75.0 32.7 21.7 81.8 35.6Lincoln 197 62.6 105.9 75.0 68.2 115.5 81.9
Lyon 2,136 0.1 25.6 9.1 0.1 27.9 9.9
Mineral 165 0.6 45.9 14.3 0.6 50.0 15.6Nye 1,529 0.1 115.7 18.0 0.1 126.2 19.6
Pershing 294 9.6 62.6 45.6 10.4 68.2 49.7Storey 318 4.9 18.1 9.7 5.3 19.7 10.5
Washoe 19,320 0.0 124.0 4.0 0.0 135.2 5.3
White Pine 400 0.0 61.4 6.5 0.0 66.9 7.3
21
Gynecology (OB/GYN) - 0161
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 138.7 3.2 151.3 4.4
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.1 1.6 0.0 6.6 1.7
Churchill 996 0.2 18.5 4.3 0.2 20.1 4.6Clark 95,059 0.0 39.2 1.8 0.0 47.0 3.0
Douglas 1,762 0.0 27.9 4.5 0.0 30.4 4.8Elko 2,287 0.0 112.0 20.0 0.0 122.1 21.8
Esmeralda 33 109.2 132.8 119.3 119.1 144.8 130.1
Eureka 149 21.3 86.2 45.5 23.2 94.0 49.6
Humboldt 716 0.1 103.2 9.6 0.1 112.5 10.4Lander 236 0.1 90.3 7.9 0.1 98.5 8.5Lincoln 197 61.0 103.6 74.5 68.4 117.3 81.5
Lyon 2,136 0.0 28.2 9.3 0.0 30.7 10.1
Mineral 165 20.2 85.1 50.2 22.0 92.8 54.7Nye 1,529 0.0 138.7 19.8 0.0 151.3 21.6
Pershing 294 9.6 62.6 45.6 10.4 68.2 49.7Storey 318 5.0 18.9 10.2 5.4 20.6 11.0
Washoe 19,320 0.0 124.0 3.6 0.0 135.2 4.4
White Pine 400 0.0 61.4 6.5 0.0 66.9 7.3
22
Nephrology - 0181
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 137.9 4.6 150.4 6.1
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.5 1.8 0.0 8.1 1.9
Churchill 996 0.1 29.9 4.3 0.1 32.6 4.6Clark 95,059 0.0 43.9 2.7 0.0 50.0 4.3
Douglas 1,762 4.2 41.5 17.0 4.5 45.2 18.5Elko 2,287 0.0 112.0 20.3 0.0 122.1 22.1
Esmeralda 33 110.3 135.6 124.6 120.3 147.9 135.9
Eureka 149 23.8 91.1 53.7 25.9 99.3 58.5
Humboldt 716 0.0 102.8 9.5 0.0 112.1 10.3Lander 236 51.7 103.4 57.3 56.4 112.8 62.5Lincoln 197 62.9 106.0 75.3 68.6 117.3 82.4
Lyon 2,136 4.9 50.8 24.5 5.3 55.4 26.7
Mineral 165 28.5 86.2 58.1 31.0 94.0 63.3Nye 1,529 0.1 137.9 19.8 0.1 150.4 21.5
Pershing 294 9.2 62.2 45.5 10.0 67.8 49.6Storey 318 4.9 21.1 10.5 5.3 23.0 11.4
Washoe 19,320 0.0 123.6 4.8 0.0 134.8 6.0
White Pine 400 0.0 60.9 5.8 0.0 66.4 6.5
23
Neurology – 0191State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 170.9 5.2 186.4 6.8
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.6 1.8 0.0 8.2 1.9
Churchill 996 3.1 38.7 28.6 3.3 42.2 31.2Clark 95,059 0.0 81.7 3.2 0.0 94.4 4.9
Douglas 1,762 0.0 28.9 5.0 0.0 31.5 5.4Elko 2,287 0.0 112.0 20.3 0.0 122.1 22.1
Esmeralda 33 110.8 147.5 129.5 120.8 160.9 141.2
Eureka 149 23.0 121.9 60.2 25.0 132.9 65.6
Humboldt 716 0.1 103.2 9.7 0.1 112.5 10.5Lander 236 51.8 116.4 58.4 56.5 126.9 63.7Lincoln 197 63.8 146.4 108.3 76.5 171.3 127.5
Lyon 2,136 0.1 41.2 13.1 0.1 44.9 14.2
Mineral 165 48.0 99.9 65.3 52.3 108.9 71.2Nye 1,529 0.0 161.4 23.3 0.0 183.1 25.6
Pershing 294 9.6 71.4 52.9 10.4 77.8 57.6Storey 318 4.9 17.2 8.9 5.3 18.7 9.7
Washoe 19,320 0.0 124.0 3.6 0.0 135.2 4.9
White Pine 400 113.3 170.9 121.3 125.4 186.4 134.4
24
Neurological Surgery – 0201State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 173.7 6.7 195.4 9.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 8.5 2.5 0.0 9.2 2.7
Churchill 996 27.7 58.9 49.3 30.2 64.2 53.7Clark 95,059 0.0 45.8 3.9 0.0 50.6 6.3
Douglas 1,762 5.3 42.4 17.8 5.7 46.2 19.4Elko 2,287 0.0 112.0 21.1 0.0 122.1 22.9
Esmeralda 33 133.9 159.6 144.5 146.0 185.0 162.2
Eureka 149 26.0 122.4 61.7 28.3 133.5 67.3
Humboldt 716 0.1 103.2 9.7 0.1 112.5 10.5Lander 236 51.8 128.4 58.8 56.5 140.0 64.1Lincoln 197 62.9 109.3 76.0 68.6 126.7 83.5
Lyon 2,136 6.1 51.8 25.2 6.6 56.5 27.5
Mineral 165 51.2 109.1 76.4 55.8 119.0 83.3Nye 1,529 33.3 173.7 55.7 42.8 195.4 67.1
Pershing 294 9.6 69.1 50.6 10.4 75.3 55.1Storey 318 4.4 20.7 9.4 4.8 23.0 10.2
Washoe 19,320 0.0 124.0 3.9 0.0 135.2 5.2
White Pine 400 113.3 155.2 121.1 125.4 169.3 134.2
25
Ophthalmology – 0231
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 155.6 4.1 169.7 5.2
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.5 1.9 0.0 8.1 2.0
Churchill 996 0.0 17.8 3.7 0.0 19.4 4.0Clark 95,059 0.0 44.4 2.1 0.0 49.9 3.4
Douglas 1,762 0.0 30.3 6.7 0.0 33.0 7.2Elko 2,287 0.0 112.0 20.3 0.0 122.1 22.1
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.4
Eureka 149 23.0 91.8 53.7 25.0 100.1 58.6
Humboldt 716 71.5 154.3 105.6 78.0 168.3 115.2Lander 236 58.1 103.6 66.0 63.3 113.0 71.9Lincoln 197 62.9 103.4 75.2 68.6 112.8 82.2
Lyon 2,136 0.0 25.8 9.0 0.0 28.1 9.8
Mineral 165 0.5 45.8 14.2 0.5 49.9 15.5Nye 1,529 0.0 120.9 16.6 0.0 131.8 18.0
Pershing 294 45.3 108.5 70.2 49.4 118.3 76.5Storey 318 4.3 17.0 9.3 4.6 18.5 10.4
Washoe 19,320 0.0 155.6 3.1 0.0 169.7 4.0
White Pine 400 0.0 61.4 6.5 0.0 66.9 7.3
26
Orthopedic Surgery - 0251
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 123.6 3.3 134.8 4.4
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.1 1.7 0.0 6.6 1.8
Churchill 996 0.0 17.9 3.7 0.0 19.5 4.0Clark 95,059 0.0 43.8 2.1 0.0 49.9 3.4
Douglas 1,762 0.0 25.8 3.4 0.0 28.1 3.6Elko 2,287 0.0 112.0 19.9 0.0 122.1 21.7
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.5
Eureka 149 23.7 91.8 54.1 25.8 100.1 59.0
Humboldt 716 0.0 102.9 9.3 0.0 112.2 10.1Lander 236 51.3 104.1 57.0 55.9 113.5 62.1Lincoln 197 0.1 72.9 25.0 0.1 79.5 27.2
Lyon 2,136 0.0 25.6 8.8 0.0 27.9 9.6
Mineral 165 0.4 45.7 14.3 0.4 49.8 15.5Nye 1,529 0.1 116.6 17.4 0.1 127.2 18.9
Pershing 294 8.8 61.9 45.3 9.6 67.5 49.4Storey 318 4.9 17.1 8.9 5.3 18.6 9.7
Washoe 19,320 0.0 123.6 3.2 0.0 134.8 3.9
White Pine 400 0.0 61.4 6.5 0.0 66.9 7.3
27
Physical Medicine & Rehabilitation - 0261
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 157.1 3.6 172.4 4.6
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.1 1.6 0.0 6.6 1.7
Churchill 996 0.0 18.3 4.1 0.0 19.9 4.5Clark 95,059 0.0 42.9 1.7 0.0 52.8 2.7
Douglas 1,762 0.0 26.0 3.8 0.0 28.3 4.0Elko 2,287 0.0 112.0 20.0 0.0 122.1 21.7
Esmeralda 33 110.9 136.4 124.2 120.9 148.8 135.5
Eureka 149 0.0 43.2 18.9 0.0 47.1 20.5
Humboldt 716 48.7 153.1 81.7 53.1 167.0 89.1Lander 236 19.9 75.0 32.7 21.7 81.8 35.6Lincoln 197 63.4 105.7 75.5 69.3 117.2 82.8
Lyon 2,136 0.0 39.3 12.8 0.0 42.8 13.9
Mineral 165 29.1 86.9 58.7 31.7 94.8 63.9Nye 1,529 0.1 124.5 17.9 0.1 135.8 19.4
Pershing 294 45.2 86.6 63.0 49.3 94.4 68.6Storey 318 4.9 17.2 8.8 5.3 18.7 9.6
Washoe 19,320 0.0 157.1 3.0 0.0 172.4 3.8
White Pine 400 0.0 61.4 6.5 0.0 66.9 7.3
28
Plastic Surgery - 0271
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 160.6 4.3 175.5 5.4
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 4.8 1.4 0.0 5.2 1.5
Churchill 996 0.0 27.7 4.3 0.0 32.8 4.6Clark 95,059 0.0 40.8 1.7 0.0 44.5 2.7
Douglas 1,762 0.0 26.2 5.4 0.0 28.5 5.9Elko 2,287 0.0 112.0 20.3 0.0 122.1 22.1
Esmeralda 33 110.8 136.1 124.6 120.8 148.4 135.9
Eureka 149 23.5 121.8 60.4 25.6 132.8 65.8
Humboldt 716 71.9 160.3 106.0 78.4 175.5 115.6Lander 236 58.6 104.1 66.4 63.9 113.5 72.4Lincoln 197 62.6 109.3 75.7 68.6 119.2 82.8
Lyon 2,136 5.3 38.7 22.4 5.7 42.2 25.1
Mineral 165 28.2 86.8 58.0 30.7 94.6 63.3Nye 1,529 0.2 160.6 22.9 0.2 175.2 25.0
Pershing 294 46.4 108.9 71.2 50.6 118.8 77.6Storey 318 4.2 19.6 9.1 4.5 23.5 10.0
Washoe 19,320 0.0 154.8 2.5 0.0 168.8 3.0
White Pine 400 112.6 155.0 120.4 124.5 169.0 133.4
29
Podiatry - 0281
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 137.5 3.6 150.0 4.9
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 5.7 1.4 0.0 6.2 1.5
Churchill 996 0.0 27.7 3.1 0.0 30.2 3.4Clark 95,059 0.0 68.0 2.1 0.0 74.1 3.3
Douglas 1,762 0.0 24.6 3.8 0.0 26.8 4.1Elko 2,287 0.0 109.8 19.8 0.0 119.7 21.6
Esmeralda 33 110.3 135.7 123.5 120.3 148.0 134.6
Eureka 149 23.9 91.0 53.8 26.0 99.2 58.6
Humboldt 716 0.1 103.2 9.6 0.1 112.5 10.5Lander 236 51.7 103.5 57.3 56.4 112.9 62.5Lincoln 197 0.0 73.2 20.3 0.0 79.8 22.1
Lyon 2,136 6.3 38.4 22.9 6.8 41.8 25.0
Mineral 165 28.5 86.3 58.0 31.0 94.1 63.2Nye 1,529 0.1 137.5 19.3 0.1 150.0 21.0
Pershing 294 9.5 62.5 45.0 10.3 68.1 49.0Storey 318 4.9 20.6 9.3 5.3 23.0 10.1
Washoe 19,320 0.0 124.0 3.7 0.0 135.2 4.7
White Pine 400 0.0 61.4 5.8 0.0 66.9 6.5
30
Pulmonology - 0301
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 160.1 5.0 174.6 6.6
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 5.1 1.5 0.0 5.5 1.6
Churchill 996 0.2 29.8 4.4 0.2 32.5 4.8Clark 95,059 0.0 44.9 2.8 0.0 49.9 4.5
Douglas 1,762 0.2 25.8 6.2 0.2 28.1 6.8Elko 2,287 0.1 112.4 21.0 0.1 122.6 22.8
Esmeralda 33 110.9 136.4 124.4 120.9 148.8 135.6
Eureka 149 26.1 91.9 55.2 28.4 100.2 60.1
Humboldt 716 74.8 160.1 109.0 81.6 174.6 118.9Lander 236 60.4 104.7 68.3 65.8 114.2 74.5Lincoln 197 62.9 106.0 75.3 68.6 117.7 82.4
Lyon 2,136 5.8 39.3 23.1 6.3 42.8 25.2
Mineral 165 29.1 86.9 58.7 31.7 94.8 64.0Nye 1,529 0.1 138.7 20.9 0.1 151.3 22.8
Pershing 294 45.2 110.0 70.8 49.3 120.0 77.2Storey 318 4.9 21.1 9.3 5.3 23.0 10.1
Washoe 19,320 0.0 157.1 3.4 0.0 174.6 4.2
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
31
Urology - 0331
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 161.2 5.9 176.8 7.9
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 9.9 3.8 0.0 10.8 4.1
Churchill 996 0.2 30.0 4.4 0.2 32.7 4.8Clark 95,059 0.0 46.2 3.4 0.0 53.5 5.4
Douglas 1,762 0.0 30.3 6.2 0.0 33.0 6.7Elko 2,287 0.0 112.5 21.0 0.0 122.7 22.9
Esmeralda 33 60.8 116.3 80.4 66.3 126.8 87.6
Eureka 149 26.0 91.8 55.1 28.3 100.1 60.1
Humboldt 716 74.7 161.2 109.0 81.4 176.8 118.9Lander 236 60.3 104.6 68.2 65.7 114.1 74.4Lincoln 197 63.0 109.5 75.6 68.7 119.4 82.4
Lyon 2,136 0.0 31.7 16.2 0.0 36.2 17.7
Mineral 165 0.5 45.8 14.2 0.5 49.9 15.5Nye 1,529 32.2 125.0 47.1 44.7 136.3 61.3
Pershing 294 45.2 110.0 70.8 49.3 120.0 77.2Storey 318 4.3 26.4 10.2 4.6 31.6 11.6
Washoe 19,320 0.0 160.8 5.1 0.0 175.7 6.3
White Pine 400 0.0 61.4 6.5 0.0 66.9 7.3
32
Vascular Surgery - 0341
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 226.3 9.2 246.8 12.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 9.9 3.8 0.0 10.8 4.1
Churchill 996 0.2 18.5 4.3 0.2 20.1 4.6Clark 95,059 0.0 83.5 5.2 0.0 100.2 7.9
Douglas 1,762 0.0 30.8 6.9 0.0 33.6 7.5Elko 2,287 81.6 203.9 120.6 89.0 222.4 131.5
Esmeralda 33 110.9 154.3 132.0 120.9 175.5 146.2
Eureka 149 65.1 145.9 96.9 71.0 159.1 105.7
Humboldt 716 0.1 103.2 9.7 0.1 112.5 10.5Lander 236 51.8 115.0 57.6 56.5 125.4 62.8Lincoln 197 63.8 146.4 108.4 76.5 175.6 130.1
Lyon 2,136 0.1 40.1 13.6 0.1 43.7 14.8
Mineral 165 29.1 86.9 58.7 31.7 94.8 64.0Nye 1,529 33.3 183.2 52.9 45.1 208.2 64.5
Pershing 294 9.6 62.6 45.6 10.4 68.2 49.7Storey 318 5.9 18.5 11.3 6.4 20.5 12.6
Washoe 19,320 0.0 124.0 5.3 0.0 135.2 7.0
White Pine 400 171.6 226.3 196.8 205.9 246.8 219.3
33
Cardiothoracic Surgery - 0351
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 334.6 11.0 366.9 13.3
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 8.5 2.5 0.0 9.2 2.7
Churchill 996 35.1 66.1 52.3 41.7 72.1 57.0Clark 95,059 0.0 68.0 2.7 0.0 74.1 4.4
Douglas 1,762 0.0 30.9 6.8 0.0 33.7 7.4Elko 2,287 210.3 334.6 244.5 229.5 366.9 267.6
Esmeralda 33 114.1 149.0 131.4 124.4 162.5 143.3
Eureka 149 177.5 216.9 197.6 193.6 238.3 216.3
Humboldt 716 118.2 210.4 153.8 135.1 233.7 171.5Lander 236 111.1 178.2 169.8 121.2 195.8 186.7Lincoln 197 62.8 106.4 75.3 68.5 118.1 82.3
Lyon 2,136 6.1 41.6 26.3 6.6 45.3 29.8
Mineral 165 48.8 101.3 66.9 53.2 110.5 72.9Nye 1,529 0.1 195.7 26.5 0.1 213.4 28.9
Pershing 294 81.3 143.3 105.0 92.5 159.8 118.3Storey 318 6.3 26.4 12.1 6.8 31.6 13.7
Washoe 19,320 0.0 160.7 5.5 0.0 183.1 7.4
White Pine 400 134.0 192.2 177.0 146.1 223.5 196.5
34
Cardiac Surgery Program - 0411
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 164.6 7.3 185.0 9.5
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.2 10.2 4.0 0.2 11.1 4.3
Churchill 996 29.9 62.2 49.4 32.6 67.8 53.9Clark 95,059 0.0 82.1 4.1 0.0 94.6 6.2
Douglas 1,762 6.4 43.8 19.1 6.9 47.7 20.8Elko 2,287 0.1 112.4 21.0 0.1 122.6 22.8
Esmeralda 33 135.0 159.6 145.4 147.3 185.0 163.1
Eureka 149 26.1 91.9 55.2 28.4 100.2 60.1
Humboldt 716 74.8 164.6 109.1 81.6 179.5 119.0Lander 236 60.4 131.0 70.4 65.8 142.9 76.8Lincoln 197 63.8 110.6 96.6 76.5 127.2 109.3
Lyon 2,136 5.8 53.0 25.7 6.3 57.8 28.0
Mineral 165 52.3 110.2 77.6 57.0 120.2 84.6Nye 1,529 32.4 156.2 51.6 43.4 170.4 63.0
Pershing 294 77.2 123.7 95.0 84.2 134.9 103.6Storey 318 4.9 21.1 10.9 5.3 23.0 11.8
Washoe 19,320 0.1 160.1 4.9 0.1 174.6 6.4
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
35
Cardiac Catheterization Services - 0421
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 164.6 7.1 185.0 9.2
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.2 10.2 4.0 0.2 11.1 4.3
Churchill 996 29.9 62.2 49.4 32.6 67.8 53.9Clark 95,059 0.0 75.1 4.0 0.0 85.3 6.0
Douglas 1,762 6.4 43.8 19.1 6.9 47.7 20.8Elko 2,287 0.1 112.4 21.0 0.1 122.6 22.8
Esmeralda 33 135.0 159.6 145.4 147.3 185.0 162.1
Eureka 149 26.1 91.9 55.2 28.4 100.2 60.1
Humboldt 716 74.8 164.6 109.1 81.6 179.5 119.0Lander 236 60.4 131.0 70.4 65.8 142.9 76.8Lincoln 197 0.0 77.6 24.9 0.0 89.6 27.2
Lyon 2,136 5.8 53.0 25.7 6.3 57.8 28.0
Mineral 165 52.3 110.2 77.6 57.0 120.2 84.6Nye 1,529 32.4 154.0 51.3 43.4 168.0 62.7
Pershing 294 77.2 123.7 95.0 84.2 134.9 103.6Storey 318 4.9 21.1 10.9 5.3 23.0 11.8
Washoe 19,320 0.1 160.1 4.9 0.1 174.6 6.4
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
36
Surgical Services - 0451
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 138.1 3.8 150.6 5.2
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.1 1.6 0.0 6.6 1.7
Churchill 996 0.2 29.9 4.4 0.2 32.6 4.8Clark 95,059 0.0 68.0 2.4 0.0 74.1 3.7
Douglas 1,762 0.0 9.8 2.9 0.0 10.6 3.1Elko 2,287 0.1 112.0 20.3 0.1 122.1 22.1
Esmeralda 33 109.2 132.9 119.3 119.1 144.9 130.1
Eureka 149 21.3 86.3 45.7 23.2 94.1 49.8
Humboldt 716 0.1 103.2 9.6 0.1 112.5 10.4Lander 236 0.1 90.3 7.9 0.1 98.5 8.5Lincoln 197 0.0 73.0 24.9 0.0 79.6 27.1
Lyon 2,136 5.8 39.3 22.9 6.3 42.8 25.0
Mineral 165 29.1 86.2 49.6 31.7 94.0 54.1Nye 1,529 0.1 138.1 20.9 0.1 150.6 22.7
Pershing 294 9.6 62.6 45.6 10.4 68.2 49.7Storey 318 4.9 21.1 9.3 5.3 23.0 10.1
Washoe 19,320 0.0 124.0 3.7 0.0 135.2 4.9
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
37
Skilled Nursing Facilities - 0461
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 138.1 3.8 150.6 5.2
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.1 1.6 0.0 6.6 1.7
Churchill 996 0.2 29.9 4.4 0.2 32.6 4.8Clark 95,059 0.0 68.0 2.4 0.0 74.1 3.7
Douglas 1,762 0.0 9.8 2.9 0.0 10.6 3.1Elko 2,287 0.1 112.0 20.3 0.1 122.1 22.1
Esmeralda 33 109.2 132.9 119.3 119.1 144.9 130.1
Eureka 149 21.3 86.3 45.7 23.2 94.1 49.8
Humboldt 716 0.1 103.2 9.6 0.1 112.5 10.4Lander 236 0.1 90.3 7.9 0.1 98.5 8.5Lincoln 197 0.0 73.0 24.9 0.0 79.6 27.1
Lyon 2,136 5.8 39.3 22.9 6.3 42.8 25.0
Mineral 165 29.1 86.2 49.6 31.7 94.0 54.1Nye 1,529 0.1 138.1 20.9 0.1 150.6 22.7
Pershing 294 9.6 62.6 45.6 10.4 68.2 49.7Storey 318 4.9 21.1 9.3 5.3 23.0 10.1
Washoe 19,320 0.0 124.0 3.7 0.0 135.2 4.9
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
38
Diagnostic Radiology - 0471
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 124.0 3.3 135.2 4.5
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.4 1.9 0.0 8.0 2.0
Churchill 996 0.2 29.9 4.4 0.2 32.6 4.8Clark 95,059 0.0 68.0 2.4 0.0 74.1 3.7
Douglas 1,762 0.0 9.1 3.5 0.0 9.9 3.7Elko 2,287 0.0 112.0 20.2 0.0 122.1 21.9
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.5
Eureka 149 21.3 86.3 45.5 23.2 94.1 49.6
Humboldt 716 0.1 103.2 9.6 0.1 112.5 10.4Lander 236 0.1 90.3 7.9 0.1 98.5 8.5Lincoln 197 0.0 52.1 11.1 0.0 56.8 12.1
Lyon 2,136 0.0 29.0 14.7 0.0 31.6 16.0
Mineral 165 0.6 45.9 14.3 0.6 50.0 15.5Nye 1,529 0.1 109.7 17.2 0.1 119.6 18.7
Pershing 294 0.2 39.2 11.2 0.2 42.7 12.2Storey 318 2.8 21.1 7.8 3.0 23.0 8.5
Washoe 19,320 0.0 124.0 2.9 0.0 135.2 3.6
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
39
Mammography - 0481
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 124.0 4.2 135.2 5.8
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 8.5 2.5 0.0 9.2 2.7
Churchill 996 0.2 29.8 4.4 0.2 32.5 4.8Clark 95,059 0.0 68.0 3.0 0.0 74.1 4.8
Douglas 1,762 0.0 10.0 3.6 0.0 10.9 3.9Elko 2,287 0.0 102.9 17.6 0.0 112.2 19.2
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.5
Eureka 149 21.3 86.3 45.5 23.2 94.1 49.6
Humboldt 716 0.1 103.2 9.6 0.1 112.5 10.4Lander 236 0.1 90.3 7.9 0.1 98.5 8.5Lincoln 197 0.0 73.0 24.9 0.0 79.6 27.1
Lyon 2,136 0.1 28.9 18.9 0.1 31.5 20.6
Mineral 165 0.6 45.9 14.3 0.6 50.0 15.6Nye 1,529 0.1 116.7 18.8 0.1 127.3 20.5
Pershing 294 0.2 39.2 11.2 0.2 42.7 12.2Storey 318 4.9 21.1 10.6 5.3 23.0 11.5
Washoe 19,320 0.0 124.0 4.5 0.0 135.2 5.9
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
40
Physical Therapy - 0491
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 123.6 2.2 134.8 3.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 5.1 1.1 0.0 5.5 1.1
Churchill 996 0.0 14.7 3.1 0.0 16.0 3.3Clark 95,059 0.0 68.0 1.6 0.0 74.1 2.5
Douglas 1,762 0.0 18.2 2.7 0.0 19.8 2.9Elko 2,287 0.0 110.5 16.1 0.0 120.5 17.5
Esmeralda 33 8.8 60.6 43.1 9.6 66.1 47.0
Eureka 149 0.2 52.1 23.1 0.2 56.8 25.2
Humboldt 716 0.0 102.8 9.1 0.0 112.1 9.8Lander 236 0.1 64.4 6.4 0.1 70.2 7.0Lincoln 197 0.0 52.1 11.1 0.0 56.8 12.1
Lyon 2,136 0.0 12.1 2.6 0.0 13.2 2.8
Mineral 165 0.2 32.7 11.3 0.2 35.6 12.2Nye 1,529 0.0 75.1 9.5 0.0 81.9 10.3
Pershing 294 0.2 37.7 10.9 0.2 41.1 11.8Storey 318 0.4 13.1 4.7 0.4 14.2 5.1
Washoe 19,320 0.0 123.6 2.1 0.0 134.8 2.7
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
41
Occupational Therapist - 0501
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 123.6 2.9 134.8 4.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 5.5 1.4 0.0 6.0 1.4
Churchill 996 0.0 20.6 3.6 0.0 22.4 3.8Clark 95,059 0.0 68.0 1.9 0.0 74.1 2.9
Douglas 1,762 0.0 27.3 3.4 0.0 29.7 3.6Elko 2,287 0.0 112.0 20.0 0.0 122.1 21.8
Esmeralda 33 8.8 60.6 43.1 9.6 66.1 47.0
Eureka 149 21.3 86.3 45.3 23.2 94.1 49.4
Humboldt 716 0.0 102.9 9.3 0.0 112.2 10.1Lander 236 0.1 86.6 7.8 0.1 94.4 8.5Lincoln 197 0.0 73.0 24.9 0.0 79.6 27.1
Lyon 2,136 0.0 25.6 11.0 0.0 27.9 12.0
Mineral 165 0.6 45.9 14.3 0.6 50.0 15.6Nye 1,529 0.0 85.5 13.8 0.0 93.2 15.0
Pershing 294 0.2 38.5 11.1 0.2 42.0 12.0Storey 318 0.0 13.5 6.9 0.0 14.7 7.5
Washoe 19,320 0.0 123.6 3.3 0.0 134.8 4.2
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
42
Speech Therapy - 0511
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 123.6 3.2 134.8 4.4
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.3 1.4 0.0 6.8 1.5
Churchill 996 0.0 28.8 3.6 0.0 31.4 3.8Clark 95,059 0.0 68.0 2.1 0.0 74.1 3.3
Douglas 1,762 0.0 27.3 4.4 0.0 29.7 4.7Elko 2,287 0.0 112.4 20.1 0.0 122.6 21.8
Esmeralda 33 60.8 111.8 80.2 66.3 121.9 87.5
Eureka 149 0.2 54.8 27.8 0.2 59.7 30.3
Humboldt 716 0.0 102.9 9.3 0.0 112.2 10.1Lander 236 0.1 75.0 7.1 0.1 81.8 7.7Lincoln 197 0.0 73.0 24.9 0.0 79.6 27.1
Lyon 2,136 0.0 28.1 14.9 0.0 30.6 16.2
Mineral 165 0.6 45.9 14.3 0.6 50.0 15.6Nye 1,529 0.1 107.8 18.0 0.1 117.6 19.6
Pershing 294 0.2 38.5 11.1 0.2 42.0 12.0Storey 318 3.0 20.9 7.1 3.2 22.8 7.8
Washoe 19,320 0.0 123.6 3.3 0.0 134.8 4.3
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
43
Inpatient Psychiatry - 0521
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 172.7 7.3 188.6 9.8
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.1 7.5 2.2 0.1 8.1 2.3
Churchill 996 0.0 29.1 3.9 0.0 31.7 4.3Clark 95,059 0.0 82.1 4.3 0.0 89.6 6.8
Douglas 1,762 4.2 41.7 17.0 4.5 45.4 18.5Elko 2,287 0.1 110.6 22.0 0.1 120.6 24.0
Esmeralda 33 111.6 155.8 132.9 121.7 180.2 147.6
Eureka 149 25.2 124.2 62.8 27.4 135.4 68.5
Humboldt 716 74.5 160.3 108.3 81.2 174.8 118.1Lander 236 61.2 106.2 68.9 66.7 115.8 75.1Lincoln 197 68.3 149.9 111.3 89.6 177.2 135.3
Lyon 2,136 5.8 51.1 24.5 6.3 55.7 26.7
Mineral 165 28.8 87.6 58.7 31.4 95.5 64.0Nye 1,529 34.7 162.3 53.6 43.4 188.6 67.5
Pershing 294 46.4 110.3 71.6 50.6 120.3 78.1Storey 318 4.9 21.1 10.3 5.3 23.0 11.2
Washoe 19,320 0.0 160.1 4.7 0.0 174.6 5.9
White Pine 400 115.1 172.7 123.2 127.5 188.4 136.5
44
Orthotics and Prosthetics - 0541
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 160.6 6.0 187.3 8.0
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.5 1.7 0.0 8.1 1.8
Churchill 996 34.9 66.2 52.5 41.8 72.2 57.6Clark 95,059 0.0 82.1 3.7 0.0 94.6 5.6
Douglas 1,762 0.2 25.8 6.5 0.2 28.1 7.0Elko 2,287 0.0 112.3 20.2 0.0 122.5 22.0
Esmeralda 33 111.8 145.0 128.1 121.9 158.1 139.7
Eureka 149 21.4 86.3 45.8 23.3 94.1 49.9
Humboldt 716 19.6 147.4 57.5 21.3 160.8 62.6Lander 236 0.0 108.8 8.5 0.0 118.6 9.2Lincoln 197 63.8 110.6 96.6 76.5 123.3 108.9
Lyon 2,136 0.0 39.3 23.4 0.0 43.8 26.8
Mineral 165 46.6 97.6 62.9 50.8 106.4 68.6Nye 1,529 0.1 146.6 21.4 0.1 159.9 23.3
Pershing 294 38.4 89.7 75.5 41.8 102.1 83.5Storey 318 4.1 26.4 11.9 4.4 31.6 13.5
Washoe 19,320 0.0 160.6 5.7 0.0 187.3 7.5
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
45
Home Health - 0551
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 123.7 3.9 134.9 5.6
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.3 1.8 0.0 7.9 1.9
Churchill 996 0.1 17.2 4.0 0.1 18.7 4.4Clark 95,059 0.0 44.0 2.6 0.0 62.1 4.3
Douglas 1,762 0.1 28.7 6.0 0.1 31.3 6.5Elko 2,287 0.0 111.0 20.2 0.0 121.0 22.0
Esmeralda 33 61.2 113.0 80.6 66.7 123.2 87.8
Eureka 149 21.8 84.5 45.4 23.7 92.1 49.4
Humboldt 716 0.0 102.9 9.3 0.0 112.2 10.1Lander 236 0.0 91.1 8.1 0.0 99.3 8.8Lincoln 197 62.9 107.0 75.5 68.6 116.7 82.4
Lyon 2,136 0.0 25.6 8.1 0.0 27.9 8.8
Mineral 165 0.5 44.8 14.0 0.5 48.8 15.2Nye 1,529 0.0 120.7 17.6 0.0 131.6 19.2
Pershing 294 0.1 37.1 19.5 0.1 40.4 21.2Storey 318 4.8 17.4 9.5 5.2 18.9 10.6
Washoe 19,320 0.0 123.7 5.0 0.0 134.9 6.6
White Pine 400 0.1 62.7 6.3 0.1 68.4 7.1
46
Durable Medical Equipment - 0561
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 123.6 4.0 134.8 5.6
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 6.8 1.3 0.0 7.4 1.4
Churchill 996 0.1 18.1 3.8 0.1 19.7 4.1Clark 95,059 0.0 68.6 2.8 0.0 74.8 4.4
Douglas 1,762 0.0 26.0 4.4 0.0 28.3 4.8Elko 2,287 0.0 111.0 20.4 0.0 121.0 22.2
Esmeralda 33 60.9 112.4 80.3 66.4 122.6 87.6
Eureka 149 24.2 91.0 53.8 26.4 99.2 58.6
Humboldt 716 0.0 102.8 9.3 0.0 112.1 10.1Lander 236 51.8 103.7 57.5 56.5 113.1 62.7Lincoln 197 63.5 107.9 76.2 69.2 117.7 83.1
Lyon 2,136 0.0 25.6 6.8 0.0 27.9 7.4
Mineral 165 0.5 45.8 14.2 0.5 49.9 15.5Nye 1,529 0.1 120.9 17.7 0.1 131.8 19.3
Pershing 294 8.4 61.6 45.2 9.1 67.2 49.3Storey 318 4.1 18.1 9.4 4.4 19.7 10.6
Washoe 19,320 0.0 123.6 4.4 0.0 134.8 6.0
White Pine 400 0.0 61.7 5.6 0.0 67.3 6.3
47
Ambulatory Health Care Facilities -Infusion Therapy/Oncology/Radiology - 0571
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 124.0 4.0 135.2 5.4
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 0.0 7.7 2.0 0.0 8.4 2.2
Churchill 996 0.2 29.9 4.4 0.2 32.6 4.8Clark 95,059 0.0 75.1 2.7 0.0 85.2 4.2
Douglas 1,762 0.0 28.5 4.8 0.0 31.0 5.2Elko 2,287 0.0 112.4 20.0 0.0 122.6 21.8
Esmeralda 33 60.8 114.6 80.3 66.3 125.0 87.6
Eureka 149 21.3 86.3 45.5 23.2 94.1 49.6
Humboldt 716 0.1 103.2 9.6 0.1 112.5 10.4Lander 236 0.1 90.3 7.9 0.1 98.5 8.5Lincoln 197 62.9 105.1 75.2 68.6 118.1 82.4
Lyon 2,136 0.1 29.0 14.9 0.1 31.6 16.2
Mineral 165 0.5 45.8 14.2 0.5 49.9 15.5Nye 1,529 0.2 120.9 18.9 0.2 131.8 20.6
Pershing 294 9.6 62.6 45.6 10.4 68.2 49.7Storey 318 2.8 21.1 7.8 3.0 23.0 8.5
Washoe 19,320 0.0 124.0 3.9 0.0 135.2 4.6
White Pine 400 0.1 61.4 6.5 0.1 66.9 7.3
48
Kidney Transplant Program - 0641
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 467.4 91.0 701.0 142.7
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 324.7 333.3 329.2 458.4 470.5 464.7
Churchill 996 298.2 328.8 306.7 420.9 464.1 433.0Clark 95,059 0.0 86.7 10.7 0.0 122.4 18.8
Douglas 1,762 297.7 333.8 320.4 420.2 471.2 452.2Elko 2,287 283.1 410.9 332.3 399.6 580.0 469.1
Esmeralda 33 145.6 201.8 183.0 205.5 284.8 258.3
Eureka 149 223.7 346.2 295.7 315.8 488.7 417.4
Humboldt 716 342.7 451.9 370.3 483.8 637.9 522.7Lander 236 241.6 331.2 323.3 341.0 467.5 456.4Lincoln 197 72.7 153.0 114.8 102.6 216.0 162.1
Lyon 2,136 289.5 331.6 321.1 408.7 468.1 453.2
Mineral 165 226.7 287.6 262.5 320.0 406.0 370.6Nye 1,529 41.6 253.1 70.1 58.7 357.3 99.0
Pershing 294 327.3 366.7 341.6 462.0 517.6 482.2Storey 318 326.4 340.2 334.3 460.8 480.2 472.0
Washoe 19,320 331.7 467.4 347.4 468.2 701.0 566.2
White Pine 400 180.0 242.6 218.3 254.1 367.0 315.5
49
Liver Transplant Program - 0651
State Maximum Miles Average Miles Maximum Minutes Average Minutes
Nevada 467.4 91.0 701.0 142.7
1Analysis based on health networks filed for plan year 2020. Data represents average/maximum time ordistance between a population sample point and a provider location for a given specialty.
County NamePopulation
SampleMinimum
MilesMaximum
MilesAverage
MilesMinimum Minutes
MaximumMinutes
Average Minutes
Carson City 2,196 324.7 333.3 329.2 458.4 470.5 464.7
Churchill 996 298.2 328.8 306.7 420.9 464.1 433.0Clark 95,059 0.0 86.7 10.7 0.0 122.4 18.8
Douglas 1,762 297.7 333.8 320.4 420.2 471.2 452.2Elko 2,287 283.1 410.9 332.3 399.6 580.0 469.1
Esmeralda 33 145.6 201.8 183.0 205.5 284.8 258.3
Eureka 149 223.7 346.2 295.7 315.8 488.7 417.4
Humboldt 716 342.7 451.9 370.3 483.8 637.9 522.7Lander 236 241.6 331.2 323.3 341.0 467.5 456.4Lincoln 197 72.7 153.0 114.8 102.6 216.0 162.1
Lyon 2,136 289.5 331.6 321.1 408.7 468.1 453.2
Mineral 165 226.7 287.6 262.5 320.0 406.0 370.6Nye 1,529 41.6 253.1 70.1 58.7 357.3 99.0
Pershing 294 327.3 366.7 341.6 462.0 517.6 482.2Storey 318 326.4 340.2 334.3 460.8 480.2 472.0
Washoe 19,320 331.7 467.4 347.4 468.2 701.0 566.2
White Pine 400 180.0 242.6 218.3 254.1 367.0 315.5
