Medicaid Provider Spending

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

SOUTHWEST INTERNAL MEDICINE GROUP

NPI: 1821299462 · PHOENIX, AZ 85032 · Primary Care Clinic/Center · NPI assigned 05/30/2007

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

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

$179K
Total Medicaid Paid
3,943
Total Claims
3,458
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (REGIONAL MANAGER)
NPI Enumeration Date05/30/2007

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 708 $30K
2019 655 $40K
2020 979 $53K
2021 534 $26K
2022 1,053 $30K
2023 14 $632.06

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,602 2,253 $142K
99215 Prolong outpt/office vis 286 279 $22K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 69 67 $6K
93000 358 346 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 28 26 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56 43 $2K
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 21 19 $0.00
1160F 221 180 $0.00
G8482 Influenza immunization administered or previously received 65 50 $0.00
3008F 222 180 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 15 $0.00