Medicaid Provider Spending

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

CENTERS FOR FAMILY MEDICINE GP

NPI: 1467598243 · LOS ALAMITOS, CA 90720 · Hospitalist Physician · NPI assigned 01/29/2007

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

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

$2.39M
Total Medicaid Paid
75,358
Total Claims
63,377
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (ASSOCIATE DIRECTOR)
NPI Enumeration Date01/29/2007

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
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 1,937 $31K
2019 2,887 $115K
2020 5,688 $182K
2021 9,108 $279K
2022 11,230 $328K
2023 28,067 $830K
2024 16,441 $624K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,457 21,311 $1.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,724 15,227 $501K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,165 2,125 $183K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,938 1,862 $119K
99205 Prolong outpt/office vis 1,088 1,038 $108K
99215 Prolong outpt/office vis 998 924 $80K
99232 Subsequent hospital care, per day, moderate complexity 3,871 1,247 $74K
99233 Prolong inpt eval add15 m 3,050 1,097 $51K
59425 934 544 $39K
99223 Prolong inpt eval add15 m 696 675 $30K
99222 Initial hospital care, per day, moderate complexity 353 348 $23K
99239 Hospital discharge day management, more than 30 minutes 799 771 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 176 166 $15K
90750 71 67 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 367 335 $8K
90674 315 313 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,128 1,081 $6K
96156 493 453 $5K
99000 1,398 1,189 $5K
95251 120 119 $4K
99238 Hospital discharge day management, 30 minutes or less 192 190 $3K
95886 24 24 $3K
99443 80 75 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 488 394 $3K
77067 Screening mammography, bilateral, including computer-aided detection 26 26 $3K
99310 Prolong nursin fac eval 15m 474 155 $3K
90686 277 247 $3K
93000 118 113 $2K
93793 237 188 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 135 106 $2K
99442 95 87 $2K
83036 Hemoglobin; glycosylated (A1C) 175 175 $2K
81025 344 306 $1K
0012A 32 32 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 112 98 $1K
H1001 Prenatal care, at-risk enhanced service; antepartum management 20 12 $954.75
90715 29 28 $856.28
90756 52 52 $619.67
G0008 Administration of influenza virus vaccine 272 271 $610.38
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 14 14 $520.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $442.83
90662 102 101 $424.40
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,227 2,066 $130.49
99441 16 16 $125.26
G0444 Annual depression screening, 5 to 15 minutes 67 67 $122.65
90670 13 12 $119.12
96127 26 26 $91.36
81002 168 157 $87.85
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 95 70 $84.33
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 372 242 $44.42
G0009 Administration of pneumococcal vaccine 16 16 $36.73
97750 88 81 $34.84
90694 12 12 $25.78
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,535 1,423 $9.91
97035 67 45 $7.43
82947 70 63 $3.30
1101F 109 96 $0.00
1036F 805 719 $0.00
1031F 948 852 $0.00
97162 452 452 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 210 77 $0.00
1111F 364 334 $0.00
3074F 13 12 $0.00
1170F 51 42 $0.00
36416 222 215 $0.00
1126F 52 45 $0.00
A4215 Needle, sterile, any size, each 12 12 $0.00
1125F 13 13 $0.00
3008F 13 12 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 12 12 $0.00
1034F 23 16 $0.00
97012 220 125 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 24 12 $0.00
3725F 1,679 1,559 $0.00
97164 140 140 $0.00
1159F 414 398 $0.00
1160F 304 291 $0.00
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) 18 18 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $0.00
1158F 23 17 $0.00