OPTUM MEDICAL GROUP RHODES P C
2010 WELLNESS WAY STE 200, LAS VEGAS, NV 89106
NPI Number
1063458594
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$4,434,520
+797% vs specialty average
Patients Seen
82,698
Total Claims
104,161
$ Per Patient
$54
Specialty avg: $67
Specialty Rank
#2 of 71
Specialist providers in Nevada
Peer Average
$494,632
Average total for Specialist
Claims per Patient
1.3
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $106,068 | |
| 2019 | $554,001 | |
| 2020 | $891,113 | |
| 2021 | $1,044,698 | |
| 2022 | $805,169 | |
| 2023 | $688,598 | |
| 2024 | $344,873 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 17,572 | $1,085,076 | 24.5% | $62 |
| 00170 | Anesthesia for a medical procedure | 4,236 | $867,338 | 19.6% | $205 |
| 99213 | Office visit for a simple problem (established patient) | 16,412 | $567,300 | 12.8% | $35 |
| 99203 | New patient office visit — moderate problem | 5,794 | $293,412 | 6.6% | $51 |
| J2505 | Injection, pegfilgrastim, 6 mg | 58 | $269,174 | 6.1% | $4,641 |
| 99232 | Hospital care — daily check by your doctor (moderate update) | 3,337 | $217,707 | 4.9% | $65 |
| 96413 | IV infusion or injection of medication | 1,703 | $128,039 | 2.9% | $75 |
| 95004 | Allergy testing or treatment | 778 | $120,398 | 2.7% | $155 |
| 99204 | New patient office visit — detailed visit for a serious problem | 1,577 | $101,698 | 2.3% | $64 |
| 01967 | Anesthesia for a medical procedure | 154 | $77,108 | 1.7% | $501 |
| 95165 | Allergy testing or treatment | 216 | $71,312 | 1.6% | $330 |
| 95117 | Allergy testing or treatment | 7,795 | $61,989 | 1.4% | $8 |
| 99222 | Hospital admission — first day, moderate to serious problem | 819 | $56,796 | 1.3% | $69 |
| 96372 | IV infusion or injection of medication | 3,510 | $52,147 | 1.2% | $15 |
| 96367 | IV infusion or injection of medication | 1,508 | $41,058 | 0.9% | $27 |
| G0101 | Cervical or vaginal cancer screening — pelvic and breast exam | 1,357 | $36,581 | 0.8% | $27 |
| 01936 | Anesthesia for a medical procedure | 488 | $33,983 | 0.8% | $70 |
| 99215 | Office visit for a complex or serious problem (established patient) | 889 | $31,713 | 0.7% | $36 |
| 00731 | Anesthesia for a medical procedure | 342 | $31,505 | 0.7% | $92 |
| 01992 | Anesthesia for a medical procedure | 364 | $31,350 | 0.7% | $86 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 62 | $21,605 | 0.5% | $348 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 5,545 | $20,679 | 0.5% | $4 |
| 96365 | IV infusion of medication — giving medicine through an IV (first hour) | 446 | $19,693 | 0.4% | $44 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1,148 | $18,951 | 0.4% | $17 |
| 00813 | Anesthesia for a medical procedure | 172 | $18,259 | 0.4% | $106 |
| 99254 | Medical service or procedure | 168 | $15,265 | 0.3% | $91 |
| 99221 | Hospital admission — first day, simple to moderate problem | 281 | $14,344 | 0.3% | $51 |
| J2469 | Injection, palonosetron hcl, 25 mcg | 146 | $13,131 | 0.3% | $90 |
| 94060 | Breathing test or lung function test | 287 | $10,562 | 0.2% | $37 |
| 99231 | Hospital care — daily check by your doctor (minor update) | 405 | $10,399 | 0.2% | $26 |
| 96523 | IV infusion or injection of medication | 566 | $10,214 | 0.2% | $18 |
| 99212 | Office visit for a minor problem (established patient) | 699 | $9,223 | 0.2% | $13 |
| 51798 | Bladder surgery | 2,161 | $8,757 | 0.2% | $4 |
| 99233 | Hospital care — daily check by your doctor (complex update) | 73 | $8,348 | 0.2% | $114 |
| 99202 | New patient office visit — simple problem | 379 | $6,492 | 0.1% | $17 |
| 00811 | Anesthesia for a medical procedure | 69 | $5,712 | 0.1% | $83 |
| 81002 | Urinalysis — quick dipstick test | 16,252 | $5,214 | 0.1% | $0 |
| 73030 | X-ray of the shoulder | 186 | $4,030 | 0.1% | $22 |
| 99201 | New patient office visit — minor problem | 109 | $3,511 | 0.1% | $32 |
| 94010 | Breathing test or lung function test | 128 | $3,285 | 0.1% | $26 |
| 96375 | IV push — additional medication through an IV | 224 | $3,139 | 0.1% | $14 |
| 20610 | Joint injection or draining fluid from a large joint (knee, shoulder, hip) | 71 | $2,761 | 0.1% | $39 |
| 01938 | Anesthesia for a medical procedure | 40 | $2,731 | 0.1% | $68 |
| 77427 | Radiation therapy for cancer | 38 | $2,562 | 0.1% | $67 |
| J1756 | Injection, iron sucrose, 1 mg | 41 | $2,230 | 0.1% | $54 |
| 81025 | Pregnancy test (urine) | 335 | $2,131 | 0.0% | $6 |
| J1100 | Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems) | 1,306 | $1,656 | 0.0% | $1 |
| 76942 | Ultrasound guidance for a needle procedure | 69 | $1,554 | 0.0% | $23 |
| 73564 | Lower extremity imaging (hip, knee, leg, foot) | 27 | $1,349 | 0.0% | $50 |
| 77336 | Radiation therapy for cancer | 38 | $1,348 | 0.0% | $35 |
| 59025 | Pregnancy, delivery, and maternity care | 51 | $1,070 | 0.0% | $21 |
| 99223 | Hospital admission — first day, complex or serious problem | 13 | $1,062 | 0.0% | $82 |
| 99395 | Wellness checkup — ages 18-39 | 56 | $1,041 | 0.0% | $19 |
| 64488 | Brain, spine, or nerve surgery | 12 | $933 | 0.0% | $78 |
| 73565 | Lower extremity imaging (hip, knee, leg, foot) | 30 | $891 | 0.0% | $30 |
| 73610 | X-ray of the ankle (complete) | 30 | $694 | 0.0% | $23 |
| 52000 | Cystoscopy — looking inside the bladder with a camera | 13 | $651 | 0.0% | $50 |
| 94729 | Breathing test or lung function test | 31 | $600 | 0.0% | $19 |
| 94726 | Breathing test or lung function test | 28 | $597 | 0.0% | $21 |
| 73560 | X-ray of the knee (1-2 views) | 17 | $408 | 0.0% | $24 |
| 99385 | Wellness checkup — new patient, ages 18-39 | 42 | $387 | 0.0% | $9 |
| 90471 | Giving a vaccine by injection (shot) | 21 | $358 | 0.0% | $17 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 31 | $188 | 0.0% | $6 |
| 96402 | IV infusion or injection of medication | 12 | $176 | 0.0% | $15 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 17 | $153 | 0.0% | $9 |
| J3301 | Injection of triamcinolone (steroid for inflammation or joint pain) | 14 | $151 | 0.0% | $11 |
| 90686 | Vaccine or immunization | 15 | $91 | 0.0% | $6 |
| 94375 | Breathing test or lung function test | 15 | $78 | 0.0% | $5 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 332 | $58 | 0.0% | $0 |
| 36415 | Drawing blood from a vein (routine blood draw) | 118 | $45 | 0.0% | $0 |
| 99443 | Medical service or procedure | 62 | $43 | 0.0% | $1 |
| G2012 | Brief communication technology-based service, for example. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services | 16 | $21 | 0.0% | $1 |
| A4217 | Sterile water/saline, 500 ml | 27 | $3 | 0.0% | $0 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 88 | $0 | 0.0% | $0 |
| 0502F | Medical service or procedure | 792 | $0 | 0.0% | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 317 | $0 | 0.0% | $0 |
| 99396 | Wellness checkup — ages 40-64 | 12 | $0 | 0.0% | $0 |
| G9644 | Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure | 20 | $0 | 0.0% | $0 |
| G9775 | Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively | 89 | $0 | 0.0% | $0 |
| 99441 | Medical service or procedure | 17 | $0 | 0.0% | $0 |
| 99386 | Wellness checkup — new patient, ages 40-64 | 14 | $0 | 0.0% | $0 |
| G9655 | A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used | 316 | $0 | 0.0% | $0 |
| 6030F | Medical service or procedure | 20 | $0 | 0.0% | $0 |
| 99024 | Special medical service | 810 | $0 | 0.0% | $0 |
| G9771 | At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after ... | 283 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.