Optum Medical Group II Rhodes P C
Optum Medical Group II Rhodes P C was paid $6.70M by Medicaid between Jun 2020 and Nov 2024, across 167 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 44% of everything it billed.
LAS VEGAS, NV 89128
Next to other Internal Medicine 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 | |
|---|---|---|---|
| 2020 | 55,424 | $530K | |
| 2021 | 162,413 | $1.42M | |
| 2022 | 113,347 | $1.02M | |
| 2023 | 137,495 | $1.14M | |
| 2024incomplete | 147,122 | $2.59M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 44% | 45,249 | 42,708 | $2.96M |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 15% | 4,244 | 4,175 | $1.02M |
| 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 | 13% | 61,116 | 57,461 | $893K |
| 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% | 157,904 | 146,375 | $720K |
| 01936 | 2.0% | 882 | 823 | $132K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 999 | 977 | $108K |
| 01992 | 1.4% | 568 | 544 | $96K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 2,440 | 2,339 | $83K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.1% | 1,285 | 716 | $73K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 581 | 577 | $55K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 677 | 641 | $50K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 241 | 241 | $42K |
155 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 611 | $42K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,052 | $32K |
| 0012A | <1% | 2,177 | $30K | |
| 0011A | <1% | 2,006 | $29K | |
| 00813 | <1% | 264 | $25K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,221 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,116 | $21K |
| 0031A | <1% | 772 | $21K | |
| 59025 | Fetal non-stress test | <1% | 1,082 | $19K |
| 93356 | <1% | 859 | $16K | |
| 81025 | <1% | 8,276 | $15K | |
| 99385 | <1% | 244 | $12K | |
| 00811 | <1% | 167 | $11K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 270 | $11K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,605 | $10K |
| 0071A | <1% | 270 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16,275 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 609 | $10K |
| 0064A | <1% | 583 | $10K | |
| 59425 | <1% | 2,333 | $10K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 69 | $9K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 12 | $7K |
| 76801 | <1% | 196 | $7K | |
| 99460 | <1% | 518 | $7K | |
| 93000 | <1% | 853 | $6K | |
| 0072A | <1% | 164 | $6K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 70 | $5K |
| 0124A | <1% | 135 | $4K | |
| 99152 | <1% | 146 | $4K | |
| 0134A | <1% | 118 | $4K | |
| 88142 | <1% | 1,004 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 620 | $3K |
| 00731 | <1% | 26 | $3K | |
| 98960 | <1% | 296 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 75 | $3K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 127 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,351 | $2K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 638 | $2K |
| 99459 | <1% | 636 | $2K | |
| 81003 | <1% | 19,532 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 30,958 | $2K |
| 01941 | <1% | 13 | $2K | |
| 01938 | <1% | 13 | $2K | |
| 95251 | <1% | 97 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 66 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 567 | $1K |
| 00812 | <1% | 17 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 557 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 10,571 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14,432 | $991.35 |
| 0034A | <1% | 39 | $970.56 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 176 | $867.81 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14,609 | $798.38 |
| H0049 | Alcohol and/or drug screening | <1% | 162 | $722.84 |
| 87430 | <1% | 140 | $662.11 | |
| 93224 | <1% | 25 | $610.75 | |
| 0013A | <1% | 64 | $606.60 | |
| 90461 | <1% | 7,967 | $582.56 | |
| 99381 | <1% | 92 | $398.25 | |
| 99386 | <1% | 35 | $296.98 | |
| 87110 | <1% | 461 | $289.11 | |
| 0002A | <1% | 260 | $242.64 | |
| 99463 | <1% | 20 | $209.68 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 14 | $207.48 |
| A4550 | Surgical trays | <1% | 45 | $166.08 |
| 92583 | <1% | 3,529 | $146.14 | |
| 99384 | <1% | 170 | $133.32 | |
| 90674 | <1% | 852 | $133.14 | |
| 0004A | <1% | 212 | $120.88 | |
| 90715 | <1% | 310 | $119.56 | |
| 90686 | <1% | 6,982 | $118.87 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 65 | $69.90 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $58.15 |
| 99406 | <1% | 15 | $56.07 | |
| 96160 | <1% | 28 | $49.12 | |
| 88720 | <1% | 539 | $48.05 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 143 | $43.23 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 3,127 | $35.91 |
| 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% | 554 | $33.02 |
| 99441 | <1% | 672 | $9.30 | |
| 59426 | <1% | 1,076 | $8.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 185 | $8.18 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 26 | $0.92 |
| 99070 | <1% | 91 | $0.25 | |
| 59430 | <1% | 115 | $0.22 | |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 15 | $0.13 |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | <1% | 15 | $0.07 |
| A4215 | Needle, sterile, any size, each | <1% | 15 | $0.07 |
| 91300 | <1% | 890 | $0.06 | |
| 91306 | <1% | 309 | $0.02 | |
| 91307 | <1% | 478 | $0.02 | |
| 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% | 15 | $0.02 |
| 91303 | <1% | 630 | $0.01 | |
| 1111F | 0% | 93,595 | $0.00 | |
| 88141 | 0% | 1,253 | $0.00 | |
| 90620 | 0% | 458 | $0.00 | |
| 90651 | 0% | 1,901 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,589 | $0.00 |
| 90723 | 0% | 2,349 | $0.00 | |
| 90680 | 0% | 1,632 | $0.00 | |
| 90647 | 0% | 2,254 | $0.00 | |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | 0% | 202 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 22 | $0.00 |
| 90677 | 0% | 1,423 | $0.00 | |
| 85018 | 0% | 168 | $0.00 | |
| 0501F | 0% | 283 | $0.00 | |
| 94760 | 0% | 682 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 436 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 264 | $0.00 |
| 0500F | 0% | 109 | $0.00 | |
| 99058 | 0% | 78 | $0.00 | |
| 99402 | 0% | 121 | $0.00 | |
| 99000 | 0% | 876 | $0.00 | |
| 99024 | 0% | 45 | $0.00 | |
| 0503F | 0% | 178 | $0.00 | |
| 91301 | 0% | 1,871 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 28 | $0.00 |
| 87070 | 0% | 860 | $0.00 | |
| 0001A | 0% | 346 | $0.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 288 | $0.00 |
| 92567 | 0% | 33 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 49 | $0.00 |
| 3008F | 0% | 15 | $0.00 | |
| 99383 | 0% | 51 | $0.00 | |
| 90696 | 0% | 121 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| 97802 | 0% | 38 | $0.00 | |
| 99173 | 0% | 20,702 | $0.00 | |
| 90633 | 0% | 1,039 | $0.00 | |
| 0502F | 0% | 16,101 | $0.00 | |
| 90670 | 0% | 2,082 | $0.00 | |
| 99001 | 0% | 5,810 | $0.00 | |
| 99401 | 0% | 1,898 | $0.00 | |
| 90756 | 0% | 577 | $0.00 | |
| 99442 | 0% | 548 | $0.00 | |
| 90710 | 0% | 609 | $0.00 | |
| 90734 | 0% | 1,206 | $0.00 | |
| A4649 | Surgical supply; miscellaneous | 0% | 30 | $0.00 |
| 91313 | 0% | 118 | $0.00 | |
| 0003A | 0% | 40 | $0.00 | |
| 99221 | 0% | 28 | $0.00 | |
| 90661 | 0% | 323 | $0.00 | |
| 91312 | 0% | 135 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 363 | $0.00 |
| 90653 | 0% | 209 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 70 | $0.00 |
| A6251 | Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 0% | 18 | $0.00 |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | 0% | 56 | $0.00 |
| 90700 | 0% | 58 | $0.00 | |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 0% | 25 | $0.00 |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | 0% | 37 | $0.00 |
| 99245 | 0% | 15 | $0.00 | |
| 94664 | 0% | 13 | $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 |
| 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 |
| 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.