Medicaid Provider Spending

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

OPTUMCARE COLORADO MEDICAL GROUP, LLC

NPI: 1548891815 · COLORADO SPRINGS, CO 80920 · Pediatrics Physician · NPI assigned 01/27/2020

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

Authorized official COHEN, DAVID controls 13+ related entities in our dataset. Read more

$14K
Total Medicaid Paid
317
Total Claims
305
Beneficiaries
7
Codes Billed
2020-02
First Month
2021-01
Last Month

Provider Details

Authorized OfficialCOHEN, DAVID (MEDICAL DIRECTOR)
NPI Enumeration Date01/27/2020

Related Entities

Other providers sharing the same authorized official: COHEN, DAVID

ProviderCityStateTotal Paid
COMMUNITIES FOR PEOPLE, INC BOSTON MA $3.88M
M2 MEDICAL COMMUNITY PRACTICE, P.C. BROOKLYN NY $253K
DOC WAYNE YOUTH SERVICES, INC. BOSTON MA $108K
SOUTHWEST ONCOLOGY CENTERS-YUMA LLC YUMA AZ $35K
DAVID J COHEN MD PLLC PHOENIX AZ $23K
DAVID COHEN DPM, PA BALTIMORE MD $14K
OPTUMCARE COLORADO MEDICAL GROUP, LLC MONUMENT CO $8K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $6K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $3K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $2K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $2K
OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO $2K
EYE CONSULTANTS PS SPOKANE WA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 304 $14K
2021 13 $138.32

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113 106 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83 81 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 26 26 $809.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 18 $327.59
92551 13 13 $138.32
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 12 $108.09
90686 49 49 $17.97