Optum Medical Group Rhodes P C
Optum Medical Group Rhodes P C was paid $4.43M by Medicaid between Jan 2018 and Nov 2024, across 85 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoOPTUM MEDICAL GROUP RHODES P C
LAS VEGAS, NV 89106
LAS VEGAS, NV 89106
33aNPI1063458594assigned 06/22/2006
33bProvider typeSpecialist
28Total paid$4.43M
24GClaims104,161
24DCodes billed85
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Nevada
Rank by total paid#2 of 98
Median peer was paid$76K
This provider vs. median58×
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 CASTILLO, EMILY 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 | 6,430 | $106K | |
| 2019 | 21,027 | $554K | |
| 2020 | 18,646 | $891K | |
| 2021 | 23,111 | $1.04M | |
| 2022 | 15,499 | $805K | |
| 2023 | 12,525 | $689K | |
| 2024incomplete | 6,923 | $345K |
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 | 24% | 17,572 | 14,534 | $1.09M |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 20% | 4,236 | 4,094 | $867K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 16,412 | 14,173 | $567K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.6% | 5,794 | 5,427 | $293K |
| J2505 | Injection, pegfilgrastim, 6 mg | 6.1% | 58 | 43 | $269K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.9% | 3,337 | 1,074 | $218K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 2.9% | 1,703 | 1,017 | $128K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.7% | 778 | 639 | $120K |
| 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 | 2.3% | 1,577 | 1,493 | $102K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 1.7% | 154 | 144 | $77K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.6% | 216 | 194 | $71K |
| 95117 | 1.4% | 7,795 | 3,641 | $62K |
73 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 819 | $57K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 3,510 | $52K |
| 96367 | <1% | 1,508 | $41K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 1,357 | $37K |
| 01936 | <1% | 488 | $34K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 889 | $32K |
| 00731 | <1% | 342 | $32K | |
| 01992 | <1% | 364 | $31K | |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | <1% | 62 | $22K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,545 | $21K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 446 | $20K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,148 | $19K |
| 00813 | <1% | 172 | $18K | |
| 99254 | <1% | 168 | $15K | |
| 99221 | <1% | 281 | $14K | |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 146 | $13K |
| 94060 | <1% | 287 | $11K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 405 | $10K |
| 96523 | <1% | 566 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 699 | $9K |
| 51798 | <1% | 2,161 | $9K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 73 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 379 | $6K |
| 00811 | <1% | 69 | $6K | |
| 81002 | <1% | 16,252 | $5K | |
| 73030 | <1% | 186 | $4K | |
| 99201 | <1% | 109 | $4K | |
| 94010 | <1% | 128 | $3K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 224 | $3K |
| 20610 | <1% | 71 | $3K | |
| 01938 | <1% | 40 | $3K | |
| 77427 | <1% | 38 | $3K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 41 | $2K |
| 81025 | <1% | 335 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,306 | $2K |
| 76942 | <1% | 69 | $2K | |
| 73564 | <1% | 27 | $1K | |
| 77336 | <1% | 38 | $1K | |
| 59025 | Fetal non-stress test | <1% | 51 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 56 | $1K |
| 64488 | <1% | 12 | $932.85 | |
| 73565 | <1% | 30 | $890.67 | |
| 73610 | <1% | 30 | $694.40 | |
| 52000 | <1% | 13 | $650.92 | |
| 94729 | <1% | 31 | $599.71 | |
| 94726 | <1% | 28 | $597.45 | |
| 73560 | <1% | 17 | $407.64 | |
| 99385 | <1% | 42 | $387.19 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | $357.58 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $187.53 |
| 96402 | <1% | 12 | $176.09 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 17 | $153.17 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $151.11 |
| 90686 | <1% | 15 | $90.90 | |
| 94375 | <1% | 15 | $77.67 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 332 | $58.41 |
| 36415 | Collection of venous blood by venipuncture | <1% | 118 | $44.52 |
| 99443 | <1% | 62 | $43.16 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 16 | $20.93 |
| A4217 | Sterile water/saline, 500 ml | <1% | 27 | $2.66 |
| G9644 | Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure | 0% | 20 | $0.00 |
| 0502F | 0% | 792 | $0.00 | |
| G9771 | At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time | 0% | 283 | $0.00 |
| G9655 | A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used | 0% | 316 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 317 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 88 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 99024 | 0% | 810 | $0.00 | |
| G9775 | Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively | 0% | 89 | $0.00 |
| 6030F | 0% | 20 | $0.00 | |
| 99386 | 0% | 14 | $0.00 | |
| 99441 | 0% | 17 | $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 officialCASTILLO, EMILY (ASSOCIATE DIRECTOR CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Optumcare New Mexico LLC | Albuquerque, NM | $23.64M |
| Southwest Medical Associates, INC | Las Vegas, NV | $15.80M |
| Optumcare Colorado Medical Group LLC | Colorado Springs, CO | $8.74M |
| The Corvallis Clinic P C | Corvallis, OR | $8.06M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $6.70M |
| Sierra Home Medical Products INC | Las Vegas, NV | $6.20M |
| Southwest Medical Associates INC. | Las Vegas, NV | $5.20M |
| Family Health Care Services, INC | Las Vegas, NV | $4.39M |
| 4C Medical Group PLC | Scottsdale, AZ | $4.28M |
| Greater Phoenix Collaborative Care PC | Phoenix, AZ | $3.18M |
| Beaver Medical Group P C | Redlands, CA | $2.88M |
| Sierra Home Medical Products, INC | Las Vegas, NV | $2.40M |
| Centers for Family Medicine GP | Los Alamitos, CA | $2.39M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $1.77M |
| Family Home Hospice, INC. | Las Vegas, NV | $1.42M |
| Surprise Health Center, PLLC | Surprise, AZ | $1.20M |
| Doc Martins INC a C C | Flagstaff, AZ | $1.08M |
| New West Physicians INC | Golden, CO | $970K |
| Southwest Medical Associates, INC | Las Vegas, NV | $612K |
| Warner Family Practice, PC | Chandler, AZ | $207K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.