Medicaid Provider Spending

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

OPTUMCARE COLORADO MEDICAL GROUP LLC

NPI: 1407252828 · COLORADO SPRINGS, CO 80907 · General Practice Physician · NPI assigned 11/12/2014

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

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

$8.74M
Total Medicaid Paid
187,108
Total Claims
162,648
Beneficiaries
111
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (REGIONAL MANAGER)
NPI Enumeration Date11/12/2014

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
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 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
2024 12,921 $654K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,198 46,276 $2.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,459 31,267 $2.40M
90460 Immunization administration through 18 years of age via any route, first or only component 14,442 13,653 $598K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,413 4,890 $419K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,596 4,410 $415K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,788 4,316 $356K
J0585 Injection, onabotulinumtoxina, 1 unit 527 367 $218K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,947 1,853 $173K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,377 10,817 $145K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 927 843 $113K
20610 3,054 1,809 $107K
99215 Prolong outpt/office vis 642 563 $77K
77067 Screening mammography, bilateral, including computer-aided detection 659 593 $69K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,808 3,626 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 736 504 $62K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,536 934 $61K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 555 406 $54K
95811 145 123 $54K
71046 Radiologic examination, chest; 2 views 2,563 2,151 $51K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 504 482 $50K
99233 Prolong inpt eval add15 m 1,206 478 $46K
0002A 1,277 1,243 $45K
0001A 1,260 1,226 $41K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose 315 155 $29K
99460 334 321 $26K
64615 331 256 $19K
99232 Subsequent hospital care, per day, moderate complexity 600 285 $19K
95806 127 112 $18K
99238 Hospital discharge day management, 30 minutes or less 354 338 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 579 505 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 458 411 $17K
99223 Prolong inpt eval add15 m 199 154 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple 80 77 $16K
99239 Hospital discharge day management, more than 30 minutes 313 259 $15K
77080 345 332 $14K
73630 1,607 1,115 $13K
73564 1,035 718 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,294 1,059 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 157 122 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination 388 336 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 911 404 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 173 160 $11K
73030 800 652 $10K
76830 Ultrasound, transvaginal 153 144 $9K
A4550 Surgical trays 158 150 $8K
90837 Psychotherapy, 53 minutes with patient 78 71 $6K
45384 66 29 $6K
90791 Psychiatric diagnostic evaluation 137 92 $5K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 43 26 $5K
90686 5,937 5,802 $5K
90674 969 833 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 843 710 $4K
54150 107 97 $4K
90472 Immunization administration, each additional vaccine (list separately) 262 243 $3K
73502 176 145 $3K
96127 235 216 $3K
90670 1,670 1,654 $3K
90461 6,079 5,812 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 42 33 $2K
73130 258 193 $2K
92551 221 194 $2K
72100 89 78 $2K
73110 148 117 $2K
81002 1,208 861 $2K
0003A 43 43 $2K
99383 22 15 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 26 24 $1K
0004A 33 32 $1K
73562 114 91 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $1K
73610 109 84 $1K
74018 71 60 $1K
94010 64 53 $1K
99462 28 25 $1K
94729 48 38 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 92 92 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 67 63 $940.58
94726 31 25 $783.36
76705 Ultrasound, abdominal, real time with image documentation; limited 13 13 $754.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 173 147 $706.50
36415 Collection of venous blood by venipuncture 415 389 $649.96
76536 15 13 $622.92
0071A 15 14 $600.00
95117 48 24 $582.12
87400 30 13 $353.82
90723 547 538 $322.05
94060 16 14 $307.15
93000 41 29 $275.59
85027 46 41 $255.40
72040 13 13 $231.90
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 46 38 $210.26
83036 Hemoglobin; glycosylated (A1C) 16 16 $202.28
86780 13 12 $189.84
90661 187 186 $177.36
80061 Lipid panel 13 12 $134.58
90480 17 16 $120.13
J1010 Injection, methylprednisolone acetate, 1 mg 74 56 $118.12
90680 306 304 $108.45
82247 20 12 $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) 14 12 $45.25
90647 586 579 $31.41
90656 123 120 $0.01
7025F 537 506 $0.00
77063 Screening digital breast tomosynthesis, bilateral 12 12 $0.00
90688 15 15 $0.00
90685 100 99 $0.00
90633 84 84 $0.00
0502F 845 507 $0.00
3078F 18 15 $0.00
90734 26 25 $0.00
91300 26 16 $0.00