Physician
4C Medical Group PLC
4C Medical Group PLC was paid $4.28M by Medicaid between Jan 2018 and Feb 2024, across 64 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider info4C MEDICAL GROUP PLC
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
33aNPI1558654384assigned 05/26/2011
33bProvider typeFamily Medicine Physician
28Total paid$4.28M
24GClaims87,064
24DCodes billed64
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#27 of 442
Median peer was paid$77K
This provider vs. median56×
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.
Entity ProliferationAuthorized official CASTILLO, EMILY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 443 | $26K |
Box 24 · Service lines
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 | 47% | 35,539 | 32,292 | $1.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 17,876 | 16,287 | $764K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 9,958 | 3,823 | $548K |
| 99254 | 4.7% | 1,805 | 1,661 | $199K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.3% | 3,387 | 1,910 | $98K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 1,558 | 1,447 | $94K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.1% | 4,535 | 2,602 | $89K |
| 99223 | Prolong inpt eval add15 m | 2.1% | 808 | 755 | $89K |
| 99310 | Prolong nursin fac eval 15m | 1.8% | 1,353 | 678 | $75K |
| 99493 | 1.7% | 1,155 | 1,089 | $71K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 924 | 896 | $55K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 1,284 | 354 | $48K |
52 more codes
| 99306 | Prolong nursin fac eval 15m | <1% | 577 | $31K |
| 99220 | <1% | 305 | $25K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 231 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 481 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,080 | $14K |
| 99497 | <1% | 199 | $10K | |
| 99401 | <1% | 166 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 263 | $5K |
| 93000 | <1% | 407 | $4K | |
| 99253 | <1% | 68 | $4K | |
| 90674 | <1% | 141 | $2K | |
| 93922 | <1% | 51 | $2K | |
| 76942 | <1% | 71 | $2K | |
| 99492 | <1% | 28 | $2K | |
| 96127 | <1% | 722 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 18 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 19 | $2K |
| 98929 | <1% | 17 | $1K | |
| 99217 | <1% | 28 | $1K | |
| 20611 | <1% | 21 | $1K | |
| 93042 | <1% | 296 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 438 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 78 | $915.98 |
| 90688 | <1% | 65 | $900.09 | |
| 99442 | <1% | 49 | $860.51 | |
| 99316 | <1% | 13 | $707.69 | |
| 99441 | <1% | 33 | $575.67 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $444.09 |
| 90686 | <1% | 35 | $396.17 | |
| 90653 | <1% | 18 | $372.94 | |
| 99494 | <1% | 15 | $353.54 | |
| 80305 | <1% | 28 | $234.17 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 158 | $164.03 |
| 36415 | Collection of venous blood by venipuncture | <1% | 79 | $142.15 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 151 | $127.32 |
| 96160 | <1% | 114 | $88.94 | |
| G0008 | Administration of influenza virus vaccine | <1% | 48 | $15.30 |
| 1101F | 0% | 37 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 1170F | 0% | 27 | $0.00 | |
| 1123F | 0% | 15 | $0.00 | |
| 90694 | 0% | 16 | $0.00 | |
| 3074F | 0% | 33 | $0.00 | |
| 4037F | 0% | 12 | $0.00 | |
| 3008F | 0% | 65 | $0.00 | |
| 1220F | 0% | 13 | $0.00 | |
| 1036F | 0% | 25 | $0.00 | |
| 1160F | 0% | 29 | $0.00 | |
| 3725F | 0% | 19 | $0.00 | |
| 1159F | 0% | 27 | $0.00 | |
| 1158F | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialCASTILLO, EMILY (MEDICAL STAFF MANAGER)
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.