Medicaid Provider Spending

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

SURPRISE HEALTH CENTER, PLLC

NPI: 1467563718 · SURPRISE, AZ 85374 · Internal Medicine Physician · NPI assigned 08/31/2006

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

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

$1.20M
Total Medicaid Paid
38,067
Total Claims
30,217
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (REGIONAL MANAGER)
NPI Enumeration Date08/31/2006

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
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 10,082 $240K
2019 5,592 $155K
2020 4,663 $143K
2021 5,957 $230K
2022 5,482 $225K
2023 4,511 $144K
2024 1,780 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,189 5,437 $350K
99336 7,382 6,037 $181K
99232 Subsequent hospital care, per day, moderate complexity 3,418 1,356 $148K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,586 3,198 $142K
99337 1,340 1,041 $54K
11721 4,882 4,296 $54K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,835 698 $38K
99349 938 921 $37K
99223 Prolong inpt eval add15 m 277 252 $29K
11056 1,605 1,434 $29K
99233 Prolong inpt eval add15 m 370 231 $24K
99442 377 362 $19K
11000 2,088 1,730 $14K
99222 Initial hospital care, per day, moderate complexity 143 137 $14K
99335 573 494 $12K
99221 155 150 $11K
99493 205 204 $10K
99348 649 618 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 67 66 $7K
99443 31 29 $3K
99494 59 50 $2K
99347 91 88 $2K
99492 30 29 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
90674 196 167 $1K
99441 48 46 $971.57
90686 73 66 $752.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 40 36 $743.60
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33 31 $621.28
0011A 12 12 $480.80
94760 696 473 $472.78
99334 39 37 $472.17
99484 16 15 $243.09
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 31 29 $175.64
11057 205 145 $154.81
11055 30 27 $94.22
81002 26 24 $65.43
G0008 Administration of influenza virus vaccine 52 48 $32.49
99499 216 144 $0.02
3078F 13 13 $0.00
1159F 25 20 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00