Medicaid Provider Spending

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

OPTUMCARE COLORADO MEDICAL GROUP LLC

NPI: 1225669518 · COLORADO SPRINGS, CO 80923 · Pediatrics Physician · NPI assigned 01/27/2020

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

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

$22K
Total Medicaid Paid
492
Total Claims
473
Beneficiaries
10
Codes Billed
2020-02
First Month
2021-01
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (ASSOCIATE DIRECTOR CREDENTIALING)
Parent OrganizationOPTUMCARE COLORADO MEDICAL GROUP LLC
NPI Enumeration Date01/27/2020

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 478 $21K
2021 14 $784.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 170 161 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80 73 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 130 129 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $231.24
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 13 $81.39
90682 14 14 $0.13
90698 13 13 $0.01
90686 30 30 $0.00
90670 15 15 $0.00