Medicaid Provider Spending

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

OPTUM MEDICAL GROUP II RHODES P C

NPI: 1770556037 · LAS VEGAS, NV 89102 · Anesthesiology Physician · NPI assigned 02/08/2006

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

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

$1.77M
Total Medicaid Paid
68,557
Total Claims
49,578
Beneficiaries
74
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (REGIONAL MANAGER)
NPI Enumeration Date02/08/2006

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,003 $99K
2019 54,482 $1.07M
2020 13,072 $603K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00170 Anesthesia for intraoral procedures, including biopsy 5,066 4,664 $1.04M
01936 1,811 1,695 $236K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 447 403 $209K
01992 612 582 $80K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,477 1,346 $69K
00731 757 670 $68K
00813 223 201 $23K
00811 281 250 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 71 70 $6K
01961 13 13 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,083 4,566 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 337 292 $3K
00142 44 40 $3K
76942 60 56 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 73 65 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 231 196 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 640 552 $474.66
90460 Immunization administration through 18 years of age via any route, first or only component 21,578 7,173 $177.76
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 20 $99.99
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,877 1,771 $97.81
81003 811 656 $11.53
90647 1,776 1,768 $0.00
90723 1,848 1,839 $0.00
90680 1,068 1,064 $0.00
90686 1,401 1,261 $0.00
94760 746 607 $0.00
85018 74 74 $0.00
90651 565 499 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 339 314 $0.00
36416 59 59 $0.00
90696 55 54 $0.00
99402 59 48 $0.00
92583 202 187 $0.00
99441 21 16 $0.00
99460 12 12 $0.00
0503F 24 24 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 18 18 $0.00
59430 24 24 $0.00
G9775 Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively 72 60 $0.00
90716 15 15 $0.00
99058 13 13 $0.00
99135 18 16 $0.00
90620 13 13 $0.00
99140 15 14 $0.00
0501F 13 13 $0.00
0502F 591 440 $0.00
99173 2,963 2,539 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,604 1,530 $0.00
90670 2,852 2,842 $0.00
59425 146 122 $0.00
90461 6,349 5,197 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 508 412 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 290 262 $0.00
90633 485 482 $0.00
90710 360 348 $0.00
90734 260 241 $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 132 120 $0.00
G9771 At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time 237 195 $0.00
G9655 A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used 238 195 $0.00
90473 72 72 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 57 56 $0.00
99238 Hospital discharge day management, 30 minutes or less 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 240 197 $0.00
99401 236 210 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 72 67 $0.00
90681 38 38 $0.00
59426 172 110 $0.00
99001 216 171 $0.00
90715 57 51 $0.00
81025 277 247 $0.00
90700 29 29 $0.00
83655 61 61 $0.00
90707 26 26 $0.00
G9644 Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure 15 13 $0.00