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

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.

33Billing provider infoOPTUM MEDICAL GROUP II RHODES P C
LAS VEGAS, NV 89128
33aNPI1790329407assigned 11/05/2019
28Total paid$6.70M
24GClaims615,801
24DCodes billed167
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Nevada

Rank by total paid#5 of 465
Median peer was paid$35K
This provider vs. median191×

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
202055,424$530K
2021162,413$1.42M
2022113,347$1.02M
2023137,495$1.14M
2024incomplete147,122$2.59M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialCASTILLO, EMILY (MEDICAL STAFF SUPERVISOR)
Same official

Other billing entities under CASTILLO, EMILY

Full network →
ProviderLocationPaid
Optumcare New Mexico LLCAlbuquerque, NM$23.64M
Southwest Medical Associates, INCLas Vegas, NV$15.80M
Optumcare Colorado Medical Group LLCColorado Springs, CO$8.74M
The Corvallis Clinic P CCorvallis, OR$8.06M
Sierra Home Medical Products INCLas Vegas, NV$6.20M
Southwest Medical Associates INC.Las Vegas, NV$5.20M
Optum Medical Group Rhodes P CLas Vegas, NV$4.43M
Family Health Care Services, INCLas Vegas, NV$4.39M
4C Medical Group PLCScottsdale, AZ$4.28M
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
Optum Medical Group II Rhodes P CLas Vegas, NV$1.77M
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.