Physician
NPI deactivated
Southwest Medical Associates, INC
Southwest Medical Associates, INC was paid $612K by Medicaid between Jan 2018 and Sep 2020, across 123 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 44% of everything it billed.
33Billing provider infoSOUTHWEST MEDICAL ASSOCIATES, INC
LAS VEGAS, NV 89106
LAS VEGAS, NV 89106
33aNPI1659346005assigned 02/21/2006
33bProvider typeInternal Medicine Physician
28Total paid$612K
24GClaims158,653
24DCodes billed123
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Internal Medicine Physician providers in Nevada
Rank by total paid#53 of 465
Median peer was paid$35K
This provider vs. median17×
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 | 7,305 | $79K | |
| 2019 | 112,950 | $362K | |
| 2020 | 38,398 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 44% | 4,501 | 4,310 | $267K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 44,580 | 40,494 | $119K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 6.8% | 52 | 49 | $42K |
| 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 | 5.0% | 11,799 | 10,587 | $30K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 913 | 891 | $19K |
| 59025 | Fetal non-stress test | 2.8% | 1,362 | 1,212 | $17K |
| 76830 | Ultrasound, transvaginal | 2.2% | 143 | 142 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 985 | 956 | $13K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2.0% | 137 | 136 | $12K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.7% | 99 | 99 | $10K |
| 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 | 1.2% | 128 | 122 | $7K |
| 76770 | 1.1% | 63 | 63 | $7K |
111 more codes
| 71250 | 1.1% | 37 | $7K | |
| 99385 | <1% | 127 | $6K | |
| 76536 | <1% | 63 | $6K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 54 | $5K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 17 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,408 | $4K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 37 | $4K |
| 70486 | <1% | 19 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 58 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 90 | $3K |
| 99460 | <1% | 266 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 134 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 432 | $1K |
| 76870 | <1% | 18 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 286 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 95 | $917.91 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 42 | $745.95 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 129 | $687.64 |
| 81003 | <1% | 8,687 | $510.72 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,828 | $357.59 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 8,820 | $237.62 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $218.80 |
| 99381 | <1% | 119 | $217.44 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,375 | $208.82 |
| 90686 | <1% | 3,619 | $152.15 | |
| 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 | <1% | 1,247 | $80.53 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,391 | $75.42 |
| 99001 | <1% | 364 | $72.00 | |
| 99401 | <1% | 2,066 | $35.08 | |
| 99070 | <1% | 894 | $18.00 | |
| 88720 | <1% | 277 | $17.10 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 466 | $16.39 |
| 87430 | <1% | 56 | $16.36 | |
| 94664 | <1% | 427 | $15.43 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 843 | $7.40 |
| 94760 | <1% | 6,089 | $5.80 | |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | <1% | 428 | $2.35 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 444 | $0.05 |
| 0502F | 0% | 6,812 | $0.00 | |
| 99173 | 0% | 10,748 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,667 | $0.00 |
| 59425 | 0% | 1,242 | $0.00 | |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | 0% | 2,797 | $0.00 |
| 81025 | 0% | 2,702 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 470 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 375 | $0.00 |
| 59426 | 0% | 1,706 | $0.00 | |
| 90633 | 0% | 114 | $0.00 | |
| 73610 | 0% | 83 | $0.00 | |
| 77066 | Tomosynthesis, mammo | 0% | 62 | $0.00 |
| 90461 | 0% | 207 | $0.00 | |
| 90734 | 0% | 40 | $0.00 | |
| 72100 | 0% | 172 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 40 | $0.00 |
| 74178 | 0% | 43 | $0.00 | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 0% | 66 | $0.00 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 621 | $0.00 |
| 90715 | 0% | 27 | $0.00 | |
| 73080 | 0% | 25 | $0.00 | |
| 77080 | 0% | 19 | $0.00 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 0% | 55 | $0.00 |
| 73565 | 0% | 13 | $0.00 | |
| 73140 | 0% | 24 | $0.00 | |
| 76642 | 0% | 117 | $0.00 | |
| 73630 | 0% | 121 | $0.00 | |
| 73110 | 0% | 79 | $0.00 | |
| 73130 | 0% | 107 | $0.00 | |
| 99442 | 0% | 13 | $0.00 | |
| A4550 | Surgical trays | 0% | 42 | $0.00 |
| 76882 | 0% | 15 | $0.00 | |
| 73590 | 0% | 18 | $0.00 | |
| 72050 | 0% | 70 | $0.00 | |
| 73030 | 0% | 80 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 408 | $0.00 |
| 77065 | Tomosynthesis, mammo | 0% | 46 | $0.00 |
| 90670 | 0% | 12 | $0.00 | |
| 99221 | 0% | 13 | $0.00 | |
| 93976 | 0% | 18 | $0.00 | |
| 73562 | 0% | 18 | $0.00 | |
| 74018 | 0% | 65 | $0.00 | |
| 0501F | 0% | 132 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 3,678 | $0.00 |
| 92583 | 0% | 1,575 | $0.00 | |
| 3044F | 0% | 26 | $0.00 | |
| 90651 | 0% | 388 | $0.00 | |
| 73090 | 0% | 13 | $0.00 | |
| 99441 | 0% | 167 | $0.00 | |
| 0503F | 0% | 121 | $0.00 | |
| 76801 | 0% | 34 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 28 | $0.00 |
| 73552 | 0% | 12 | $0.00 | |
| 99058 | 0% | 335 | $0.00 | |
| 0500F | 0% | 41 | $0.00 | |
| 99000 | 0% | 135 | $0.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 464 | $0.00 |
| 1111F | 0% | 45 | $0.00 | |
| 99402 | 0% | 52 | $0.00 | |
| 99383 | 0% | 72 | $0.00 | |
| 73521 | 0% | 21 | $0.00 | |
| 72072 | 0% | 45 | $0.00 | |
| 59430 | 0% | 42 | $0.00 | |
| 73502 | 0% | 27 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 28 | $0.00 |
| 72040 | 0% | 19 | $0.00 | |
| 73564 | 0% | 120 | $0.00 | |
| 73560 | 0% | 16 | $0.00 | |
| 74019 | 0% | 34 | $0.00 | |
| 99384 | 0% | 14 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 93971 | 0% | 12 | $0.00 | |
| 90647 | 0% | 12 | $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 (REGIONAL 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 |
| 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 |
| 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 |
| 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.