Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPTUMCARE COLORADO MEDICAL GROUP, LLC

NPI: 1013548395 · MONUMENT, CO 80132 · Pediatrics Physician · NPI assigned 01/27/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COHEN, DAVID controls 13+ related entities in our dataset. Read more

$8K
Total Medicaid Paid
293
Total Claims
278
Beneficiaries
8
Codes Billed
2020-02
First Month
2020-12
Last Month

Provider Details

Authorized OfficialCOHEN, DAVID (MEDICAL DIRECTOR)
NPI Enumeration Date01/27/2020

Related Entities

Other providers sharing the same authorized official: COHEN, DAVID

ProviderCityStateTotal Paid
COMMUNITIES FOR PEOPLE, INC BOSTON MA $3.88M
M2 MEDICAL COMMUNITY PRACTICE, P.C. BROOKLYN NY $253K
DOC WAYNE YOUTH SERVICES, INC. BOSTON MA $108K
SOUTHWEST ONCOLOGY CENTERS-YUMA LLC YUMA AZ $35K
DAVID J COHEN MD PLLC PHOENIX AZ $23K
DAVID COHEN DPM, PA BALTIMORE MD $14K
OPTUMCARE COLORADO MEDICAL GROUP, LLC COLORADO SPRINGS CO $14K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $6K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $3K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $2K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $2K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $2K
EYE CONSULTANTS PS SPOKANE WA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 293 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50 49 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 93 87 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 15 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20 17 $327.59
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $71.67
90682 19 16 $0.13
90686 71 70 $0.00