Medicaid Provider Spending

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

DOC MARTINS INC A C C

NPI: 1699724039 · FLAGSTAFF, AZ 86001 · Internal Medicine Physician · NPI assigned 05/10/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$1.08M
Total Medicaid Paid
24,005
Total Claims
21,544
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (REGIONAL MANAGER)
NPI Enumeration Date05/10/2006

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
NEW WEST PHYSICIANS INC GOLDEN CO $970K
SOUTHWEST MEDICAL ASSOCIATES, INC LAS VEGAS NV $612K
WARNER FAMILY PRACTICE, PC CHANDLER AZ $207K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,415 $133K
2019 3,486 $131K
2020 4,441 $143K
2021 5,627 $239K
2022 2,596 $184K
2023 2,879 $167K
2024 1,561 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,614 9,418 $476K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,027 5,461 $403K
99493 1,136 1,082 $147K
99494 367 338 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 95 93 $6K
96160 1,426 1,364 $4K
99492 36 31 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 122 110 $3K
0012A 89 83 $3K
99442 43 43 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 163 160 $3K
0011A 83 82 $2K
99336 35 32 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $1K
90688 71 68 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $797.42
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22 20 $650.06
99335 30 28 $634.92
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 50 50 $615.18
99337 12 12 $495.92
90686 25 17 $356.76
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 14 $256.65
99490 Ccm add 20min 14 12 $13.46
99499 104 80 $0.39
91301 99 86 $0.31
1160F 815 708 $0.00
1159F 432 362 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 243 186 $0.00
G8482 Influenza immunization administered or previously received 142 119 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 77 65 $0.00
4004F 16 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 15 13 $0.00
3078F 99 81 $0.00
3008F 972 855 $0.00
1036F 351 318 $0.00
3074F 121 97 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 17 15 $0.00