Medicaid Provider Spending

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

NEW WEST PHYSICIANS INC

NPI: 1427010859 · GOLDEN, CO 80401 · Family Medicine Physician · NPI assigned 04/03/2006

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

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

$970K
Total Medicaid Paid
38,163
Total Claims
20,447
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (ASSOCIATE DIRECTOR)
NPI Enumeration Date04/03/2006

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
SOUTHWEST MEDICAL ASSOCIATES, INC LAS VEGAS NV $612K
WARNER FAMILY PRACTICE, PC CHANDLER AZ $207K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 424 $10K
2019 139 $9K
2022 10,360 $157K
2023 24,730 $647K
2024 2,510 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,521 5,097 $434K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,056 4,726 $295K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 957 657 $55K
90460 Immunization administration through 18 years of age via any route, first or only component 3,315 1,786 $49K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 853 502 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 719 433 $37K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,490 830 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 715 480 $8K
92563 354 227 $6K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 975 517 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 123 58 $4K
99174 533 299 $3K
90472 Immunization administration, each additional vaccine (list separately) 199 163 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,463 638 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 120 37 $2K
H0049 Alcohol and/or drug screening 383 220 $2K
87430 150 136 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 16 14 $2K
92551 154 138 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 14 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 76 40 $1K
99215 Prolong outpt/office vis 26 12 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $808.80
90651 170 117 $406.20
90686 1,747 931 $389.24
90734 32 24 $335.60
96127 139 43 $276.41
85018 1,183 500 $188.48
90461 1,635 875 $181.60
36415 Collection of venous blood by venipuncture 71 55 $137.22
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) 12 12 $32.52
36416 1,306 564 $29.80
81003 32 12 $3.50
90670 225 118 $0.02
99000 123 65 $0.00
90619 55 32 $0.00
90680 28 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 137 28 $0.00
90715 44 25 $0.00