Physician
Optumcare Colorado Medical Group LLC
Optumcare Colorado Medical Group LLC was paid $8.74M by Medicaid between Jan 2018 and Nov 2024, across 111 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoOPTUMCARE COLORADO MEDICAL GROUP LLC
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
33aNPI1407252828assigned 11/12/2014
33bProvider typeGeneral Practice Physician
28Total paid$8.74M
24GClaims187,108
24DCodes billed111
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Colorado
Rank by total paid#2 of 30
Median peer was paid$153K
This provider vs. median57×
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 | 36,840 | $1.72M | |
| 2019 | 33,942 | $1.64M | |
| 2020 | 19,662 | $819K | |
| 2021 | 30,066 | $1.36M | |
| 2022 | 24,597 | $1.24M | |
| 2023 | 29,080 | $1.31M | |
| 2024incomplete | 12,921 | $654K |
Box 24 · Service lines
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 | 31% | 53,198 | 46,276 | $2.70M |
| 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% | 37,459 | 31,267 | $2.40M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.8% | 14,442 | 13,653 | $598K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 5,413 | 4,890 | $419K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 4,596 | 4,410 | $415K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 4,788 | 4,316 | $356K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.5% | 527 | 367 | $218K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 1,947 | 1,853 | $173K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 11,377 | 10,817 | $145K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.3% | 927 | 843 | $113K |
| 20610 | 1.2% | 3,054 | 1,809 | $107K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 642 | 563 | $77K |
99 more codes
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 659 | $69K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,808 | $69K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 736 | $62K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,536 | $61K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 555 | $54K |
| 95811 | <1% | 145 | $54K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,563 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 504 | $50K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,206 | $46K |
| 0002A | <1% | 1,277 | $45K | |
| 0001A | <1% | 1,260 | $41K | |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | <1% | 315 | $29K |
| 99460 | <1% | 334 | $26K | |
| 64615 | <1% | 331 | $19K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 600 | $19K |
| 95806 | <1% | 127 | $18K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 354 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 579 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 458 | $17K |
| 99223 | Prolong inpt eval add15 m | <1% | 199 | $17K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 80 | $16K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 313 | $15K |
| 77080 | <1% | 345 | $14K | |
| 73630 | <1% | 1,607 | $13K | |
| 73564 | <1% | 1,035 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,294 | $13K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 157 | $12K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 388 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 911 | $11K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 173 | $11K |
| 73030 | <1% | 800 | $10K | |
| 76830 | Ultrasound, transvaginal | <1% | 153 | $9K |
| A4550 | Surgical trays | <1% | 158 | $8K |
| 90837 | Psychotherapy session, about an hour | <1% | 78 | $6K |
| 45384 | <1% | 66 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 137 | $5K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 43 | $5K |
| 90686 | <1% | 5,937 | $5K | |
| 90674 | <1% | 969 | $4K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 843 | $4K |
| 54150 | <1% | 107 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 262 | $3K |
| 73502 | <1% | 176 | $3K | |
| 96127 | <1% | 235 | $3K | |
| 90670 | <1% | 1,670 | $3K | |
| 90461 | <1% | 6,079 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 42 | $2K |
| 73130 | <1% | 258 | $2K | |
| 92551 | <1% | 221 | $2K | |
| 72100 | <1% | 89 | $2K | |
| 73110 | <1% | 148 | $2K | |
| 81002 | <1% | 1,208 | $2K | |
| 0003A | <1% | 43 | $2K | |
| 99383 | <1% | 22 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $1K |
| 0004A | <1% | 33 | $1K | |
| 73562 | <1% | 114 | $1K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $1K |
| 73610 | <1% | 109 | $1K | |
| 74018 | <1% | 71 | $1K | |
| 94010 | <1% | 64 | $1K | |
| 99462 | <1% | 28 | $1K | |
| 94729 | <1% | 48 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 92 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 67 | $940.58 |
| 94726 | <1% | 31 | $783.36 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $754.60 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 173 | $706.50 |
| 36415 | Collection of venous blood by venipuncture | <1% | 415 | $649.96 |
| 76536 | <1% | 15 | $622.92 | |
| 0071A | <1% | 15 | $600.00 | |
| 95117 | <1% | 48 | $582.12 | |
| 87400 | <1% | 30 | $353.82 | |
| 90723 | <1% | 547 | $322.05 | |
| 94060 | <1% | 16 | $307.15 | |
| 93000 | <1% | 41 | $275.59 | |
| 85027 | <1% | 46 | $255.40 | |
| 72040 | <1% | 13 | $231.90 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 46 | $210.26 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $202.28 |
| 86780 | <1% | 13 | $189.84 | |
| 90661 | <1% | 187 | $177.36 | |
| 80061 | Lipid panel | <1% | 13 | $134.58 |
| 90480 | <1% | 17 | $120.13 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 74 | $118.12 |
| 90680 | <1% | 306 | $108.45 | |
| 82247 | <1% | 20 | $51.33 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 14 | $45.25 |
| 90647 | <1% | 586 | $31.41 | |
| 90656 | <1% | 123 | $0.01 | |
| 7025F | 0% | 537 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 12 | $0.00 |
| 90688 | 0% | 15 | $0.00 | |
| 90685 | 0% | 100 | $0.00 | |
| 90633 | 0% | 84 | $0.00 | |
| 0502F | 0% | 845 | $0.00 | |
| 3078F | 0% | 18 | $0.00 | |
| 90734 | 0% | 26 | $0.00 | |
| 91300 | 0% | 26 | $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 (REGIONAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Optumcare New Mexico LLC | Albuquerque, NM | $23.64M |
| Southwest Medical Associates, INC | Las Vegas, NV | $15.80M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.