Medicaid Provider Spending

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

OPTUM MEDICAL GROUP RHODES P C

NPI: 1063458594 · LAS VEGAS, NV 89106 · Specialist · NPI assigned 06/22/2006

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

Authorized official CASTILLO, EMILY controls 20+ related entities in our dataset. Read more

$4.43M
Total Medicaid Paid
104,161
Total Claims
82,698
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (ASSOCIATE DIRECTOR CREDENTIALING)
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: CASTILLO, EMILY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 6,923 $345K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,572 14,534 $1.09M
00170 Anesthesia for intraoral procedures, including biopsy 4,236 4,094 $867K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,412 14,173 $567K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,794 5,427 $293K
J2505 Injection, pegfilgrastim, 6 mg 58 43 $269K
99232 Subsequent hospital care, per day, moderate complexity 3,337 1,074 $218K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,703 1,017 $128K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 778 639 $120K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,577 1,493 $102K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 154 144 $77K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 216 194 $71K
95117 7,795 3,641 $62K
99222 Initial hospital care, per day, moderate complexity 819 669 $57K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,510 2,268 $52K
96367 1,508 824 $41K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1,357 1,257 $37K
01936 488 379 $34K
99215 Prolong outpt/office vis 889 579 $32K
00731 342 302 $32K
01992 364 308 $31K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 62 37 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,545 3,591 $21K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 446 254 $20K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,148 1,064 $19K
00813 172 156 $18K
99254 168 141 $15K
99221 281 243 $14K
J2469 Injection, palonosetron hcl, 25 mcg 146 97 $13K
94060 287 265 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 405 139 $10K
96523 566 449 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 699 665 $9K
51798 2,161 2,082 $9K
99233 Prolong inpt eval add15 m 73 25 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 379 366 $6K
00811 69 56 $6K
81002 16,252 15,380 $5K
73030 186 155 $4K
99201 109 104 $4K
94010 128 123 $3K
96375 Therapeutic injection; each additional sequential IV push 224 131 $3K
20610 71 52 $3K
01938 40 32 $3K
77427 38 12 $3K
J1756 Injection, iron sucrose, 1 mg 41 26 $2K
81025 335 301 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,306 682 $2K
76942 69 63 $2K
73564 27 27 $1K
77336 38 12 $1K
59025 Fetal non-stress test 51 43 $1K
99223 Prolong inpt eval add15 m 13 12 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 56 54 $1K
64488 12 12 $932.85
73565 30 26 $890.67
73610 30 24 $694.40
52000 13 12 $650.92
94729 31 28 $599.71
94726 28 25 $597.45
73560 17 13 $407.64
99385 42 37 $387.19
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21 21 $357.58
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 31 27 $187.53
96402 12 12 $176.09
J1040 Injection, methylprednisolone acetate, 80 mg 17 12 $153.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14 13 $151.11
90686 15 15 $90.90
94375 15 14 $77.67
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 332 185 $58.41
36415 Collection of venous blood by venipuncture 118 89 $44.52
99443 62 48 $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 16 13 $20.93
A4217 Sterile water/saline, 500 ml 27 27 $2.66
G9644 Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure 20 13 $0.00
0502F 792 645 $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 283 191 $0.00
G9655 A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used 316 209 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 317 210 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 88 72 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $0.00
99024 810 702 $0.00
G9775 Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively 89 50 $0.00
6030F 20 16 $0.00
99386 14 14 $0.00
99441 17 13 $0.00