Medicaid Provider Spending

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

OPTUMCARE COLORADO MEDICAL GROUP LLC

NPI: 1992562441 · GOLDEN, CO 80401 · Pulmonary Disease Physician · NPI assigned 03/01/2024

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

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

$124K
Total Medicaid Paid
2,665
Total Claims
2,113
Beneficiaries
20
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCASTILLO, EMILY (REGIONAL MEDICAL STAFF MANAGER)
NPI Enumeration Date03/01/2024

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
2024 2,665 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 542 441 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 657 539 $38K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 167 135 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 93 81 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 100 67 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 286 230 $5K
99215 Prolong outpt/office vis 34 30 $4K
90472 Immunization administration, each additional vaccine (list separately) 169 132 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 106 77 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 25 23 $777.00
87430 85 48 $706.02
90834 Psychotherapy, 45 minutes with patient 17 16 $546.54
92551 116 69 $531.77
90661 13 12 $36.85
85018 24 14 $23.70
90715 17 14 $0.00
90734 33 30 $0.00
90674 67 57 $0.00
90651 100 84 $0.00