Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician NPI deactivated

Southwest Medical Associates, INC

Southwest Medical Associates, INC was paid $15.80M by Medicaid between Jan 2018 and Nov 2024, across 161 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoSOUTHWEST MEDICAL ASSOCIATES, INC
LAS VEGAS, NV 89106
33aNPI1679663447assigned 10/13/2006
28Total paid$15.80M
24GClaims458,948
24DCodes billed161
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Nevada

Rank by total paid#1 of 150
Median peer was paid$20K
This provider vs. median780×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201830,688$866K
201988,857$2.50M
202068,688$2.26M
202193,451$3.21M
202268,363$2.64M
202376,983$2.98M
2024incomplete31,918$1.35M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 18% 67,687 64,835 $2.87M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 62,807 59,731 $1.76M
77067 Screening mammography, bilateral, including computer-aided detection 9.0% 25,746 24,392 $1.42M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.6% 5,152 4,893 $725K
74178 3.7% 2,829 2,689 $590K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.6% 5,317 5,119 $572K
76700 Ultrasound, abdominal, real time with image documentation; complete 3.1% 4,937 4,762 $496K
76830 Ultrasound, transvaginal 3.0% 8,192 7,905 $472K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.8% 8,049 7,768 $448K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.6% 4,095 3,892 $405K
71046 Radiologic examination, chest; 2 views 2.1% 27,110 25,757 $333K
76536 2.0% 5,665 5,348 $321K
149 more codes
76642 1.9% 7,860 $306K
77066 Tomosynthesis, mammo 1.9% 4,259 $301K
76770 1.9% 3,978 $300K
71250 1.4% 3,147 $226K
99204 Doctor's office visit, new patient (more involved) 1.4% 2,618 $224K
99203 Doctor's office visit, new patient (routine) 1.3% 3,088 $207K
70486 1.2% 2,226 $188K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.1% 3,166 $181K
70450 Computed tomography, head or brain; without contrast material 1.0% 3,192 $164K
77065 Tomosynthesis, mammo 1.0% 2,896 $161K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,314 $151K
72100 <1% 9,431 $146K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,744 $131K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,961 $129K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,537 $129K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,240 $124K
73630 <1% 8,507 $123K
73564 <1% 7,221 $122K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,311 $116K
76801 <1% 2,482 $102K
99215 Doctor's office visit, returning patient (complex) <1% 1,621 $91K
93970 <1% 1,373 $88K
73130 <1% 5,701 $87K
73610 <1% 4,925 $85K
73030 <1% 5,898 $78K
71270 <1% 588 $77K
72050 <1% 3,979 $77K
93971 <1% 1,729 $72K
74019 <1% 4,125 $68K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 615 $63K
73110 <1% 3,506 $61K
93975 <1% 301 $58K
99205 Prolong outpt/office vis <1% 488 $57K
76870 <1% 1,237 $55K
A4550 Surgical trays <1% 8,251 $52K
74018 <1% 3,674 $51K
93976 <1% 569 $50K
77080 <1% 1,973 $48K
73562 <1% 2,404 $44K
72072 <1% 2,550 $43K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,231 $39K
73502 <1% 2,602 $39K
99245 <1% 278 $37K
72040 <1% 1,706 $35K
93356 <1% 2,924 $31K
93000 <1% 3,630 $30K
76882 <1% 1,830 $28K
70491 <1% 256 $27K
73080 <1% 1,586 $25K
73521 <1% 1,687 $23K
73140 <1% 1,397 $23K
99152 <1% 965 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 276 $16K
74022 <1% 713 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,093 $11K
80048 Basic metabolic panel (calcium, ionized) <1% 2,809 $10K
87430 <1% 1,211 $10K
99070 <1% 11,584 $9K
81003 <1% 8,101 $8K
73590 <1% 634 $8K
99243 <1% 314 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 66 $7K
71100 <1% 555 $6K
19083 <1% 57 $6K
73560 <1% 423 $6K
93224 <1% 141 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 348 $5K
11721 <1% 343 $5K
72082 <1% 156 $4K
93268 <1% 39 $4K
64483 <1% 56 $4K
94760 <1% 3,011 $4K
93015 <1% 122 $3K
73660 <1% 201 $3K
74246 <1% 38 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 51 $3K
73090 <1% 151 $2K
71275 Computed tomographic angiography, chest, with contrast material <1% 12 $2K
93880 <1% 53 $2K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 2,986 $2K
81025 <1% 1,422 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 111 $2K
73100 <1% 70 $2K
36415 Collection of venous blood by venipuncture <1% 2,804 $1K
98960 <1% 210 $1K
95251 <1% 136 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 80 $1K
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard <1% 2,618 $1K
72220 <1% 93 $1K
95860 <1% 28 $1K
73552 <1% 57 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 554 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 25 $943.44
A4209 Syringe with needle, sterile 5 cc or greater, each <1% 2,820 $889.80
73565 <1% 128 $864.80
72110 <1% 27 $727.26
73620 <1% 54 $648.24
A4215 Needle, sterile, any size, each <1% 3,290 $643.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 393 $622.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 32 $550.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 44 $495.21
73060 <1% 13 $362.35
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 35 $295.08
90686 <1% 63 $227.30
71045 Radiologic examination, chest; single view <1% 12 $161.65
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 36 $156.08
73600 <1% 12 $148.27
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 178 $135.84
72081 <1% 17 $131.60
73650 <1% 12 $125.96
77062 <1% 1,343 $65.94
77061 <1% 835 $60.30
74170 <1% 15 $54.18
99401 <1% 35 $50.00
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 83 $49.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 12 $48.00
85379 <1% 12 $41.72
84484 <1% 12 $40.28
A9999 Miscellaneous dme supply or accessory, not otherwise specified <1% 39 $36.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 40 $20.74
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 37 $10.26
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 33 $4.68
A4649 Surgical supply; miscellaneous 0% 5,862 $0.00
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 2,373 $0.00
99001 0% 800 $0.00
99238 Hospital discharge day management, 30 minutes or less 0% 13 $0.00
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 0% 444 $0.00
0502F 0% 373 $0.00
59425 0% 126 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 62 $0.00
A6251 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 48 $0.00
99173 0% 72 $0.00
59426 0% 172 $0.00
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 0% 453 $0.00
97803 0% 27 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 17 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 19 $0.00
99024 0% 227 $0.00
1111F 0% 822 $0.00
97802 0% 933 $0.00
59430 0% 37 $0.00
0503F 0% 37 $0.00
A9150 Non-prescription drugs 0% 84 $0.00
0500F 0% 23 $0.00
2033F 0% 48 $0.00
36000 0% 13 $0.00
99441 0% 24 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 31 $0.00
0501F 0% 31 $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)
Same official

Other billing entities under CASTILLO, EMILY

Full network →
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Optum Medical Group Rhodes P CLas Vegas, NV$4.43M
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Greater Phoenix Collaborative Care PCPhoenix, AZ$3.18M
Beaver Medical Group P CRedlands, CA$2.88M
Sierra Home Medical Products, INCLas Vegas, NV$2.40M
Centers for Family Medicine GPLos Alamitos, CA$2.39M
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Family Home Hospice, INC.Las Vegas, NV$1.42M
Surprise Health Center, PLLCSurprise, AZ$1.20M
Doc Martins INC a C CFlagstaff, AZ$1.08M
New West Physicians INCGolden, CO$970K
Southwest Medical Associates, INCLas Vegas, NV$612K
Warner Family Practice, PCChandler, AZ$207K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.