Medicaid Provider Spending

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

OPTUMCARE NEW MEXICO LLC

NPI: 1124053210 · ALBUQUERQUE, NM 87106 · Family Medicine Physician · NPI assigned 07/11/2006

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

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

$23.64M
Total Medicaid Paid
410,561
Total Claims
395,834
Beneficiaries
193
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (ASSOCIATE DIRECTOR)
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: CASTILLO, EMILY

ProviderCityStateTotal Paid
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
OPTUM MEDICAL GROUP RHODES P C LAS VEGAS NV $4.43M
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 76,238 $3.95M
2019 79,575 $4.43M
2020 48,968 $2.63M
2021 61,832 $3.33M
2022 60,407 $3.48M
2023 58,732 $3.67M
2024 24,809 $2.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 78,783 74,572 $6.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58,195 55,148 $4.04M
90460 Immunization administration through 18 years of age via any route, first or only component 33,006 32,739 $1.72M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,372 13,306 $1.54M
90461 17,117 16,996 $1.46M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,113 12,061 $1.40M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,057 10,292 $1.25M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,084 8,043 $928K
99173 19,780 19,682 $759K
96110 Developmental screening, with scoring and documentation, per standardized instrument 24,487 24,307 $428K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 149 135 $269K
77067 Screening mammography, bilateral, including computer-aided detection 2,159 1,953 $205K
99215 Prolong outpt/office vis 2,170 2,051 $199K
J0585 Injection, onabotulinumtoxina, 1 unit 259 243 $182K
90677 573 565 $169K
20610 3,316 2,591 $136K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,396 1,363 $119K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,037 5,006 $115K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,399 2,337 $109K
62323 1,026 984 $107K
99177 3,097 3,087 $106K
95913 521 493 $94K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,791 1,768 $82K
76000 2,530 2,249 $79K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,228 1,190 $69K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 497 464 $69K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,838 3,795 $67K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 469 456 $61K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 628 596 $55K
95886 545 516 $53K
77063 Screening digital breast tomosynthesis, bilateral 1,855 1,652 $53K
92551 4,295 4,253 $51K
J0178 Injection, aflibercept, 1 mg 96 76 $50K
73564 2,153 1,957 $48K
99188 2,541 2,525 $48K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 418 411 $41K
96127 6,782 6,732 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,890 1,603 $38K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 673 665 $35K
76830 Ultrasound, transvaginal 622 614 $33K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,110 873 $30K
90674 1,093 1,083 $26K
99381 143 137 $26K
71046 Radiologic examination, chest; 2 views 1,636 1,506 $24K
73630 1,267 1,134 $24K
67028 Intravitreal injection of a pharmacologic agent 615 470 $23K
76942 781 747 $23K
76700 Ultrasound, abdominal, real time with image documentation; complete 358 354 $23K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 216 209 $23K
73030 1,593 1,453 $22K
76705 Ultrasound, abdominal, real time with image documentation; limited 465 453 $22K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 365 358 $21K
20550 400 372 $21K
64615 249 244 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 270 261 $17K
J1040 Injection, methylprednisolone acetate, 80 mg 2,241 2,162 $16K
90756 624 622 $16K
73221 124 117 $15K
92134 883 775 $15K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,319 1,223 $14K
31231 100 95 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 723 687 $14K
99383 68 68 $13K
0012A 366 362 $13K
73130 739 650 $13K
73610 729 658 $13K
73110 720 641 $12K
90671 43 43 $12K
64493 81 79 $12K
90619 88 87 $12K
73502 537 523 $10K
62321 88 77 $10K
72141 96 93 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 529 500 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 160 159 $9K
97802 190 188 $9K
93000 1,132 1,088 $8K
J1030 Injection, methylprednisolone acetate, 40 mg 1,118 1,069 $8K
76536 196 193 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 51 50 $7K
81025 935 897 $7K
72110 286 281 $7K
76642 116 113 $7K
93970 58 56 $7K
99441 299 276 $7K
90734 1,990 1,977 $7K
94060 261 242 $6K
93793 894 592 $6K
90651 2,998 2,970 $6K
97803 211 193 $6K
20553 171 161 $6K
90698 6,428 6,381 $6K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 30 28 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 127 115 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $6K
93971 65 63 $5K
99384 26 26 $5K
99051 572 560 $4K
94729 188 173 $4K
64494 62 60 $4K
92557 176 171 $4K
0011A 208 206 $4K
71250 68 64 $4K
99201 99 95 $4K
96161 774 723 $4K
73080 210 187 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 39 $3K
90473 144 143 $3K
99205 Prolong outpt/office vis 16 16 $3K
94726 127 123 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 84 83 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $3K
72050 148 145 $3K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 23 12 $3K
98966 309 203 $3K
74018 153 118 $3K
92567 278 269 $3K
77080 108 105 $2K
99443 38 34 $2K
72120 110 108 $2K
90472 Immunization administration, each additional vaccine (list separately) 28 28 $2K
90710 430 426 $2K
87807 126 124 $2K
10060 53 50 $2K
20552 46 45 $2K
J2785 Injection, regadenoson, 0.1 mg 17 16 $2K
90686 11,087 11,036 $2K
73562 79 69 $2K
90680 3,279 3,241 $2K
70551 Magnetic resonance imaging, brain; without contrast material 14 13 $2K
72100 95 92 $2K
77066 Tomosynthesis, mammo 12 12 $2K
0111A 35 35 $1K
99442 27 26 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 158 153 $1K
85610 327 233 $1K
90633 2,734 2,722 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 75 60 $1K
92015 Determination of refractive state 212 206 $1K
73140 79 72 $1K
99232 Subsequent hospital care, per day, moderate complexity 30 27 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 53 52 $1K
90661 41 40 $1K
99221 13 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 47 27 $1K
90620 115 115 $973.82
77071 47 43 $971.38
90474 34 34 $832.82
90696 404 400 $621.61
90744 1,392 1,377 $620.45
D1206 Topical application of fluoride varnish 42 42 $603.00
90715 644 633 $526.45
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 33 30 $331.02
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 14 13 $309.89
G0008 Administration of influenza virus vaccine 29 29 $295.23
17000 13 12 $290.73
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 37 37 $255.48
76857 14 13 $254.59
90670 6,432 6,386 $220.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg 610 592 $217.82
90707 176 176 $169.25
73560 12 12 $159.11
72040 12 12 $145.09
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 63 56 $107.83
J3411 Injection, thiamine hcl, 100 mg 29 25 $101.80
90716 176 176 $100.56
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 254 242 $71.05
94760 371 359 $69.18
J1885 Injection, ketorolac tromethamine, per 15 mg 38 37 $55.19
81003 16 13 $20.91
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 18 14 $0.77
91301 121 121 $0.58
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 53 50 $0.15
91311 65 65 $0.14
90672 361 360 $0.01
3078F 989 918 $0.00
1160F 752 689 $0.00
90685 834 832 $0.00
90621 88 88 $0.00
1159F 630 582 $0.00
3077F 47 46 $0.00
90648 66 66 $0.00
3079F 420 400 $0.00
3074F 368 352 $0.00
3073F 888 823 $0.00
1125F 421 382 $0.00
3008F 249 243 $0.00
1126F 457 427 $0.00
3075F 98 97 $0.00
90723 134 134 $0.00
3080F 44 44 $0.00
90656 19 19 $0.00
90647 28 28 $0.00