Physician
Optumcare Colorado Medical Group LLC
Optumcare Colorado Medical Group LLC was paid $124K by Medicaid between Jul 2024 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoOPTUMCARE COLORADO MEDICAL GROUP LLC
GOLDEN, CO 80401
GOLDEN, CO 80401
33aNPI1992562441assigned 03/01/2024
33bProvider typePulmonary Disease Physician
28Total paid$124K
24GClaims2,665
24DCodes billed20
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Colorado
Rank by total paid#13 of 30
Median peer was paid$72K
This provider vs. median1.7×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 2,665 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 542 | 441 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 657 | 539 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 167 | 135 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 93 | 81 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 100 | 67 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 286 | 230 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 34 | 30 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 169 | 132 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 106 | 77 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 14 | 14 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | 23 | $777.00 |
| 87430 | <1% | 85 | 48 | $706.02 |
8 more codes
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 (REGIONAL MEDICAL STAFF MANAGER)
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.