Medicaid Provider Spending

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

SOUTHWEST MEDICAL ASSOCIATES, INC

NPI: 1659346005 · LAS VEGAS, NV 89106 · Internal Medicine Physician · NPI assigned 02/21/2006

Deactivated NPI · This NPI was deactivated on 03/04/2019. Reactivated 03/27/2019.
Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$612K
Total Medicaid Paid
158,653
Total Claims
142,058
Beneficiaries
123
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (REGIONAL MANAGER)
NPI Enumeration Date02/21/2006

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,305 $79K
2019 112,950 $362K
2020 38,398 $171K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,501 4,310 $267K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,580 40,494 $119K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 52 49 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,799 10,587 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 913 891 $19K
59025 Fetal non-stress test 1,362 1,212 $17K
76830 Ultrasound, transvaginal 143 142 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 985 956 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 137 136 $12K
76700 Ultrasound, abdominal, real time with image documentation; complete 99 99 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 128 122 $7K
76770 63 63 $7K
71250 37 37 $7K
99385 127 121 $6K
76536 63 60 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 54 52 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 17 17 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,408 3,574 $4K
70450 Computed tomography, head or brain; without contrast material 37 37 $4K
70486 19 19 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 58 56 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 90 89 $3K
99460 266 253 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 134 133 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 432 388 $1K
76870 18 18 $1K
99238 Hospital discharge day management, 30 minutes or less 286 280 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 95 95 $917.91
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 42 39 $745.95
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 129 120 $687.64
81003 8,687 7,143 $510.72
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,828 4,587 $357.59
90460 Immunization administration through 18 years of age via any route, first or only component 8,820 6,480 $237.62
99215 Prolong outpt/office vis 46 39 $218.80
99381 119 113 $217.44
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,375 5,032 $208.82
90686 3,619 3,286 $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 1,247 1,056 $80.53
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,391 3,175 $75.42
99001 364 358 $72.00
99401 2,066 1,927 $35.08
99070 894 838 $18.00
88720 277 205 $17.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 466 428 $16.39
87430 56 54 $16.36
94664 427 394 $15.43
96110 Developmental screening, with scoring and documentation, per standardized instrument 843 790 $7.40
94760 6,089 5,477 $5.80
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 428 393 $2.35
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 444 409 $0.05
0502F 6,812 5,329 $0.00
99173 10,748 10,199 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,667 1,507 $0.00
59425 1,242 1,076 $0.00
P3001 Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician 2,797 2,749 $0.00
81025 2,702 2,578 $0.00
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 470 431 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 375 367 $0.00
59426 1,706 1,199 $0.00
90633 114 101 $0.00
73610 83 81 $0.00
77066 Tomosynthesis, mammo 62 56 $0.00
90461 207 166 $0.00
90734 40 37 $0.00
72100 172 172 $0.00
99222 Initial hospital care, per day, moderate complexity 40 39 $0.00
74178 43 43 $0.00
74177 Computed tomography, abdomen and pelvis; with contrast material 66 66 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 621 463 $0.00
90715 27 27 $0.00
73080 25 25 $0.00
77080 19 19 $0.00
74176 Computed tomography, abdomen and pelvis; without contrast material 55 55 $0.00
73565 13 13 $0.00
73140 24 24 $0.00
76642 117 117 $0.00
73630 121 120 $0.00
73110 79 77 $0.00
73130 107 106 $0.00
99442 13 12 $0.00
A4550 Surgical trays 42 39 $0.00
76882 15 15 $0.00
73590 18 18 $0.00
72050 70 70 $0.00
73030 80 79 $0.00
71046 Radiologic examination, chest; 2 views 408 405 $0.00
77065 Tomosynthesis, mammo 46 42 $0.00
90670 12 12 $0.00
99221 13 12 $0.00
93976 18 18 $0.00
73562 18 18 $0.00
74018 65 64 $0.00
0501F 132 132 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,678 3,584 $0.00
92583 1,575 1,524 $0.00
3044F 26 26 $0.00
90651 388 329 $0.00
73090 13 13 $0.00
99441 167 139 $0.00
0503F 121 106 $0.00
76801 34 34 $0.00
83036 Hemoglobin; glycosylated (A1C) 28 28 $0.00
73552 12 12 $0.00
99058 335 314 $0.00
0500F 41 35 $0.00
99000 135 126 $0.00
A7015 Aerosol mask, used with dme nebulizer 464 426 $0.00
1111F 45 39 $0.00
99402 52 52 $0.00
99383 72 69 $0.00
73521 21 21 $0.00
72072 45 45 $0.00
59430 42 37 $0.00
73502 27 27 $0.00
36415 Collection of venous blood by venipuncture 28 24 $0.00
72040 19 19 $0.00
73564 120 119 $0.00
73560 16 16 $0.00
74019 34 34 $0.00
99384 14 13 $0.00
90620 13 12 $0.00
93971 12 12 $0.00
90647 12 12 $0.00