Optumcare Colorado Medical Group LLC
Optumcare Colorado Medical Group LLC was paid $22K by Medicaid between Feb 2020 and Jan 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
COLORADO SPRINGS, CO 80923
Next to other Pediatrics Physician providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 478 | $21K | |
| 2021 | 14 | $784.92 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 170 | 161 | $10K |
| 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 | 27% | 80 | 73 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 24% | 130 | 129 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 13 | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 13 | 12 | $231.24 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | 13 | $81.39 |
| 90682 | <1% | 14 | 14 | $0.13 | |
| 90698 | <1% | 13 | 13 | $0.01 | |
| 90686 | 0% | 30 | 30 | $0.00 | |
| 90670 | 0% | 15 | 15 | $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.
Who's on the registration
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.