Medicaid Provider Spending

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

PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.

NPI: 1891175444 · SAN JOSE, CA 95132 · Family Medicine Physician · NPI assigned 06/08/2015

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

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

$22K
Total Medicaid Paid
16,514
Total Claims
15,250
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (ASSOCIATE DIRECTOR)
NPI Enumeration Date06/08/2015

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 2,002 $4K
2019 2,618 $4K
2020 1,986 $2K
2021 2,688 $3K
2022 3,335 $5K
2023 1,546 $3K
2024 2,339 $695.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,509 4,929 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,241 5,739 $6K
90686 236 235 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 889 881 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,720 1,619 $1K
90658 34 32 $565.10
90674 15 15 $492.35
90670 13 13 $336.34
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 163 155 $324.87
90700 30 30 $297.60
90715 13 13 $212.58
90713 18 18 $178.56
90648 12 12 $119.04
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 247 229 $107.14
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 148 142 $30.25
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 366 340 $20.38
93000 20 20 $18.35
1159F 39 39 $0.00
3078F 151 147 $0.00
1160F 39 39 $0.00
81002 39 39 $0.00
99215 Prolong outpt/office vis 105 103 $0.00
99442 63 62 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 119 119 $0.00
99497 18 18 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 84 83 $0.00
81005 13 12 $0.00
3074F 95 92 $0.00
3075F 41 41 $0.00
3079F 13 13 $0.00
82962 21 21 $0.00