Medicaid Provider Spending

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

4C MEDICAL GROUP PLC

NPI: 1558654384 · SCOTTSDALE, AZ 85258 · Family Medicine Physician · NPI assigned 05/26/2011

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

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

$4.28M
Total Medicaid Paid
87,064
Total Claims
69,974
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (MEDICAL STAFF MANAGER)
NPI Enumeration Date05/26/2011

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
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
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 7,818 $420K
2019 13,464 $653K
2020 15,378 $745K
2021 20,199 $978K
2022 17,133 $839K
2023 12,629 $615K
2024 443 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 35,539 32,292 $1.99M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,876 16,287 $764K
99233 Prolong inpt eval add15 m 9,958 3,823 $548K
99254 1,805 1,661 $199K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,387 1,910 $98K
99239 Hospital discharge day management, more than 30 minutes 1,558 1,447 $94K
99308 Subsequent nursing facility care, per day, straightforward 4,535 2,602 $89K
99223 Prolong inpt eval add15 m 808 755 $89K
99310 Prolong nursin fac eval 15m 1,353 678 $75K
99493 1,155 1,089 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 924 896 $55K
99232 Subsequent hospital care, per day, moderate complexity 1,284 354 $48K
99306 Prolong nursin fac eval 15m 577 502 $31K
99220 305 274 $25K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 231 228 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 481 451 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,080 1,010 $14K
99497 199 188 $10K
99401 166 165 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 263 244 $5K
93000 407 402 $4K
99253 68 57 $4K
90674 141 123 $2K
93922 51 51 $2K
76942 71 54 $2K
99492 28 28 $2K
96127 722 673 $2K
99215 Prolong outpt/office vis 18 16 $2K
90791 Psychiatric diagnostic evaluation 19 18 $2K
98929 17 12 $1K
99217 28 26 $1K
20611 21 16 $1K
93042 296 118 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 438 405 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 78 70 $915.98
90688 65 56 $900.09
99442 49 46 $860.51
99316 13 12 $707.69
99441 33 25 $575.67
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 13 $444.09
90686 35 20 $396.17
90653 18 14 $372.94
99494 15 14 $353.54
80305 28 26 $234.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 158 145 $164.03
36415 Collection of venous blood by venipuncture 79 76 $142.15
J1885 Injection, ketorolac tromethamine, per 15 mg 151 143 $127.32
96160 114 97 $88.94
G0008 Administration of influenza virus vaccine 48 48 $15.30
1101F 37 27 $0.00
3079F 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
1170F 27 26 $0.00
1123F 15 15 $0.00
90694 16 16 $0.00
3074F 33 25 $0.00
4037F 12 12 $0.00
3008F 65 54 $0.00
1220F 13 12 $0.00
1036F 25 24 $0.00
1160F 29 27 $0.00
3725F 19 14 $0.00
1159F 27 25 $0.00
1158F 14 13 $0.00