New West Physicians INC
New West Physicians INC was paid $970K by Medicaid between Jan 2018 and Jun 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
GOLDEN, CO 80401
Next to other Family Medicine 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 | |
|---|---|---|---|
| 2018 | 424 | $10K | |
| 2019 | 139 | $9K | |
| 2022 | 10,360 | $157K | |
| 2023 | 24,730 | $647K | |
| 2024incomplete | 2,510 | $147K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 10,521 | 5,097 | $434K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 8,056 | 4,726 | $295K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 957 | 657 | $55K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 3,315 | 1,786 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 853 | 502 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 719 | 433 | $37K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,490 | 830 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 715 | 480 | $8K |
| 92563 | <1% | 354 | 227 | $6K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 975 | 517 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 123 | 58 | $4K |
| 99174 | <1% | 533 | 299 | $3K |
27 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 199 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,463 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 120 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 383 | $2K |
| 87430 | <1% | 150 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 16 | $2K |
| 92551 | <1% | 154 | $2K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 14 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $808.80 |
| 90651 | <1% | 170 | $406.20 | |
| 90686 | <1% | 1,747 | $389.24 | |
| 90734 | <1% | 32 | $335.60 | |
| 96127 | <1% | 139 | $276.41 | |
| 85018 | <1% | 1,183 | $188.48 | |
| 90461 | <1% | 1,635 | $181.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 71 | $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) | <1% | 12 | $32.52 |
| 36416 | <1% | 1,306 | $29.80 | |
| 81003 | <1% | 32 | $3.50 | |
| 90670 | <1% | 225 | $0.02 | |
| 99000 | 0% | 123 | $0.00 | |
| 90619 | 0% | 55 | $0.00 | |
| 90680 | 0% | 28 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 137 | $0.00 |
| 90715 | 0% | 44 | $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 |
| 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.