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.
LAS VEGAS, NV 89106
Next to other Diagnostic Radiology Physician providers in Nevada
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 30,688 | $866K | |
| 2019 | 88,857 | $2.50M | |
| 2020 | 68,688 | $2.26M | |
| 2021 | 93,451 | $3.21M | |
| 2022 | 68,363 | $2.64M | |
| 2023 | 76,983 | $2.98M | |
| 2024incomplete | 31,918 | $1.35M |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Optumcare New Mexico LLC | Albuquerque, NM | $23.64M |
| 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 |
| 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.