OPTUM MEDICAL GROUP II RHODES P C
2704 N TENAYA WAY, LAS VEGAS, NV 89128
NPI Number
1790329407
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$6,701,276
+1381% vs specialty average
Patients Seen
565,989
Total Claims
615,801
$ Per Patient
$12
Specialty avg: $55
Specialty Rank
#6 of 446
Internal Medicine providers in Nevada
Peer Average
$452,600
Average total for Internal Medicine
Claims per Patient
1.1
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 |
|---|---|---|
| 2020 | $530,414 | |
| 2021 | $1,416,750 | |
| 2022 | $1,019,658 | |
| 2023 | $1,143,122 | |
| 2024 | $2,591,333 |
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 |
|---|---|---|---|---|---|
| 99212 | Office visit for a minor problem (established patient) | 45,249 | $2,958,195 | 44.1% | $65 |
| 00170 | Anesthesia for a medical procedure | 4,244 | $1,018,058 | 15.2% | $240 |
| 99214 | Office visit for a moderate problem (established patient) | 61,116 | $892,979 | 13.3% | $15 |
| 99213 | Office visit for a simple problem (established patient) | 157,904 | $719,706 | 10.7% | $5 |
| 01936 | Anesthesia for a medical procedure | 882 | $132,477 | 2.0% | $150 |
| 93306 | Heart ultrasound (echocardiogram) | 999 | $107,838 | 1.6% | $108 |
| 01992 | Anesthesia for a medical procedure | 568 | $96,004 | 1.4% | $169 |
| 99395 | Wellness checkup — ages 18-39 | 2,440 | $82,669 | 1.2% | $34 |
| 96365 | IV infusion of medication — giving medicine through an IV (first hour) | 1,285 | $72,870 | 1.1% | $57 |
| 99244 | Office consultation — serious problem | 581 | $54,607 | 0.8% | $94 |
| 99204 | New patient office visit — detailed visit for a serious problem | 677 | $50,463 | 0.8% | $75 |
| 45385 | Colonoscopy with removal of polyps (growths) | 241 | $41,989 | 0.6% | $174 |
| 99202 | New patient office visit — simple problem | 611 | $41,693 | 0.6% | $68 |
| 99215 | Office visit for a complex or serious problem (established patient) | 1,052 | $32,301 | 0.5% | $31 |
| 0012A | Medical service or procedure | 2,177 | $29,923 | 0.4% | $14 |
| 0011A | Medical service or procedure | 2,006 | $28,898 | 0.4% | $14 |
| 00813 | Anesthesia for a medical procedure | 264 | $24,538 | 0.4% | $93 |
| 99203 | New patient office visit — moderate problem | 1,221 | $23,078 | 0.3% | $19 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 4,116 | $21,254 | 0.3% | $5 |
| 0031A | Medical service or procedure | 772 | $21,005 | 0.3% | $27 |
| 59025 | Pregnancy, delivery, and maternity care | 1,082 | $19,290 | 0.3% | $18 |
| 93356 | Medical service or procedure | 859 | $15,843 | 0.2% | $18 |
| 81025 | Pregnancy test (urine) | 8,276 | $15,113 | 0.2% | $2 |
| 99385 | Wellness checkup — new patient, ages 18-39 | 244 | $12,385 | 0.2% | $51 |
| 00811 | Anesthesia for a medical procedure | 167 | $11,267 | 0.2% | $67 |
| 43239 | Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample) | 270 | $11,232 | 0.2% | $42 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1,605 | $10,314 | 0.2% | $6 |
| 0071A | Medical service or procedure | 270 | $9,690 | 0.1% | $36 |
| 99391 | Wellness checkup — infant (under 1 year) | 16,275 | $9,675 | 0.1% | $1 |
| 99396 | Wellness checkup — ages 40-64 | 609 | $9,666 | 0.1% | $16 |
| 0064A | Medical service or procedure | 583 | $9,623 | 0.1% | $17 |
| 59425 | Pregnancy, delivery, and maternity care | 2,333 | $9,595 | 0.1% | $4 |
| 45378 | Colonoscopy — camera exam of the large intestine (diagnostic) | 69 | $8,879 | 0.1% | $129 |
| 01967 | Anesthesia for a medical procedure | 12 | $6,954 | 0.1% | $580 |
| 76801 | Ultrasound of pregnancy (first trimester) | 196 | $6,941 | 0.1% | $35 |
| 99460 | Newborn baby care — first exam in the hospital | 518 | $6,629 | 0.1% | $13 |
| 93000 | Heart monitoring test (ECG/EKG) | 853 | $6,006 | 0.1% | $7 |
| 0072A | Medical service or procedure | 164 | $5,654 | 0.1% | $34 |
| 76811 | Detailed ultrasound of pregnancy (high-risk) | 70 | $5,300 | 0.1% | $76 |
| 0124A | Medical service or procedure | 135 | $4,412 | 0.1% | $33 |
| 99152 | Medical service or procedure | 146 | $4,257 | 0.1% | $29 |
| 0134A | Medical service or procedure | 118 | $3,810 | 0.1% | $32 |
| 88142 | Cell examination under a microscope | 1,004 | $3,805 | 0.1% | $4 |
| 99238 | Hospital discharge — doctor manages your release (30 minutes or less) | 620 | $3,469 | 0.1% | $6 |
| 00731 | Anesthesia for a medical procedure | 26 | $3,183 | 0.0% | $122 |
| 98960 | Medical service or procedure | 296 | $2,790 | 0.0% | $9 |
| 99205 | New patient office visit — comprehensive visit for a complex problem | 75 | $2,775 | 0.0% | $37 |
| 96366 | IV infusion or injection of medication | 127 | $2,352 | 0.0% | $19 |
| 90471 | Giving a vaccine by injection (shot) | 1,351 | $2,024 | 0.0% | $1 |
| J7040 | IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml) | 638 | $1,984 | 0.0% | $3 |
| 99459 | Medical service or procedure | 636 | $1,832 | 0.0% | $3 |
| 81003 | Urinalysis — automated test | 19,532 | $1,731 | 0.0% | $0 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 30,958 | $1,699 | 0.0% | $0 |
| 01941 | Anesthesia for a medical procedure | 13 | $1,643 | 0.0% | $126 |
| 01938 | Anesthesia for a medical procedure | 13 | $1,591 | 0.0% | $122 |
| 95251 | Medical service or procedure | 97 | $1,519 | 0.0% | $16 |
| 76815 | Limited ultrasound of pregnancy (quick check) | 66 | $1,457 | 0.0% | $22 |
| 80048 | Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes) | 567 | $1,175 | 0.0% | $2 |
| 00812 | Anesthesia for a medical procedure | 17 | $1,151 | 0.0% | $68 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 557 | $1,135 | 0.0% | $2 |
| 99394 | Wellness checkup — ages 12-17 | 10,571 | $1,060 | 0.0% | $0 |
| 99393 | Wellness checkup — ages 5-11 | 14,432 | $991 | 0.0% | $0 |
| 0034A | Medical service or procedure | 39 | $971 | 0.0% | $25 |
| 96372 | IV infusion or injection of medication | 176 | $868 | 0.0% | $5 |
| 99392 | Wellness checkup — ages 1-4 | 14,609 | $798 | 0.0% | $0 |
| H0049 | Alcohol and/or drug screening | 162 | $723 | 0.0% | $4 |
| 87430 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 140 | $662 | 0.0% | $5 |
| 93224 | Heart rhythm monitoring (Holter monitor or event recorder) | 25 | $611 | 0.0% | $24 |
| 0013A | Medical service or procedure | 64 | $607 | 0.0% | $9 |
| 90461 | Additional vaccine given to a child at the same visit | 7,967 | $583 | 0.0% | $0 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 92 | $398 | 0.0% | $4 |
| 99386 | Wellness checkup — new patient, ages 40-64 | 35 | $297 | 0.0% | $8 |
| 87110 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 461 | $289 | 0.0% | $1 |
| 0002A | Medical service or procedure | 260 | $243 | 0.0% | $1 |
| 99463 | Newborn baby care — admission and discharge on the same day | 20 | $210 | 0.0% | $10 |
| 96375 | IV push — additional medication through an IV | 14 | $207 | 0.0% | $15 |
| A4550 | Surgical trays | 45 | $166 | 0.0% | $4 |
| 92583 | Hearing or speech test or therapy | 3,529 | $146 | 0.0% | $0 |
| 99384 | Wellness checkup — new patient, ages 12-17 | 170 | $133 | 0.0% | $1 |
| 90674 | Flu vaccine — standard injection | 852 | $133 | 0.0% | $0 |
| 0004A | Medical service or procedure | 212 | $121 | 0.0% | $1 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 310 | $120 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 6,982 | $119 | 0.0% | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 65 | $70 | 0.0% | $1 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 12 | $58 | 0.0% | $5 |
| 99406 | Medical service or procedure | 15 | $56 | 0.0% | $4 |
| 96160 | Medical service or procedure | 28 | $49 | 0.0% | $2 |
| 88720 | Special lab analysis | 539 | $48 | 0.0% | $0 |
| 36415 | Drawing blood from a vein (routine blood draw) | 143 | $43 | 0.0% | $0 |
| 87591 | Gonorrhea test | 3,127 | $36 | 0.0% | $0 |
| 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 | 554 | $33 | 0.0% | $0 |
| 99441 | Medical service or procedure | 672 | $9 | 0.0% | $0 |
| 59426 | Pregnancy, delivery, and maternity care | 1,076 | $8 | 0.0% | $0 |
| 87880 | Strep throat test (rapid) | 185 | $8 | 0.0% | $0 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 26 | $1 | 0.0% | $0 |
| 99070 | Special medical service | 91 | $0 | 0.0% | $0 |
| 59430 | Pregnancy, delivery, and maternity care | 115 | $0 | 0.0% | $0 |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 15 | $0 | 0.0% | $0 |
| A4215 | Needle, sterile, any size, each | 15 | $0 | 0.0% | $0 |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | 15 | $0 | 0.0% | $0 |
| 91300 | Medical service or procedure | 890 | $0 | 0.0% | $0 |
| 91306 | Medical service or procedure | 309 | $0 | 0.0% | $0 |
| 91307 | Medical service or procedure | 478 | $0 | 0.0% | $0 |
| A6454 | Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard | 15 | $0 | 0.0% | $0 |
| 91303 | Medical service or procedure | 630 | $0 | 0.0% | $0 |
| 0003A | Medical service or procedure | 40 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 22 | $0 | 0.0% | $0 |
| 97802 | Medical service or procedure | 38 | $0 | 0.0% | $0 |
| 99402 | Medical service or procedure | 121 | $0 | 0.0% | $0 |
| 3044F | Medical service or procedure | 13 | $0 | 0.0% | $0 |
| 91313 | Medical service or procedure | 118 | $0 | 0.0% | $0 |
| 83036 | Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes) | 13 | $0 | 0.0% | $0 |
| 99000 | Special medical service | 876 | $0 | 0.0% | $0 |
| 90756 | Vaccine or immunization | 577 | $0 | 0.0% | $0 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 363 | $0 | 0.0% | $0 |
| 94640 | Breathing test or lung function test | 436 | $0 | 0.0% | $0 |
| 94760 | Breathing test or lung function test | 682 | $0 | 0.0% | $0 |
| 0500F | Medical service or procedure | 109 | $0 | 0.0% | $0 |
| 1111F | Medical service or procedure | 93,595 | $0 | 0.0% | $0 |
| 99024 | Special medical service | 45 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 1,039 | $0 | 0.0% | $0 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 51 | $0 | 0.0% | $0 |
| A6251 | Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 18 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 2,082 | $0 | 0.0% | $0 |
| 94664 | Breathing test or lung function test | 13 | $0 | 0.0% | $0 |
| 91312 | Medical service or procedure | 135 | $0 | 0.0% | $0 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 1,589 | $0 | 0.0% | $0 |
| 0501F | Medical service or procedure | 283 | $0 | 0.0% | $0 |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, up to 0.5 mg | 202 | $0 | 0.0% | $0 |
| 99401 | Medical service or procedure | 1,898 | $0 | 0.0% | $0 |
| 87070 | Culture test — checking a sample for bacteria | 860 | $0 | 0.0% | $0 |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | 56 | $0 | 0.0% | $0 |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 0.5 mg | 37 | $0 | 0.0% | $0 |
| G0439 | Annual wellness visit — follow-up | 13 | $0 | 0.0% | $0 |
| 90696 | DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio) | 121 | $0 | 0.0% | $0 |
| 99442 | Medical service or procedure | 548 | $0 | 0.0% | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 1 mg | 264 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 1,632 | $0 | 0.0% | $0 |
| 99245 | Office consultation — complex problem | 15 | $0 | 0.0% | $0 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 25 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 2,254 | $0 | 0.0% | $0 |
| 90661 | Vaccine or immunization | 323 | $0 | 0.0% | $0 |
| 90700 | Vaccine or immunization | 58 | $0 | 0.0% | $0 |
| A7015 | Aerosol mask, used with medical equipment nebulizer | 288 | $0 | 0.0% | $0 |
| 0502F | Medical service or procedure | 16,101 | $0 | 0.0% | $0 |
| 99001 | Special medical service | 5,810 | $0 | 0.0% | $0 |
| 99222 | Hospital admission — first day, moderate to serious problem | 70 | $0 | 0.0% | $0 |
| 0503F | Medical service or procedure | 178 | $0 | 0.0% | $0 |
| 99221 | Hospital admission — first day, simple to moderate problem | 28 | $0 | 0.0% | $0 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, per milligram | 49 | $0 | 0.0% | $0 |
| 90677 | Vaccine or immunization | 1,423 | $0 | 0.0% | $0 |
| 91301 | Medical service or procedure | 1,871 | $0 | 0.0% | $0 |
| 90710 | MMRV vaccine (measles, mumps, rubella, and chickenpox) | 609 | $0 | 0.0% | $0 |
| J3490 | Unclassified drug injection | 28 | $0 | 0.0% | $0 |
| 0001A | Medical service or procedure | 346 | $0 | 0.0% | $0 |
| 99173 | Other medical service | 20,702 | $0 | 0.0% | $0 |
| 85018 | Blood cell or clotting test | 168 | $0 | 0.0% | $0 |
| 99058 | Special medical service | 78 | $0 | 0.0% | $0 |
| 3008F | Medical service or procedure | 15 | $0 | 0.0% | $0 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 1,901 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 1,206 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 2,349 | $0 | 0.0% | $0 |
| 92567 | Hearing or speech test or therapy | 33 | $0 | 0.0% | $0 |
| 88141 | Cell examination under a microscope | 1,253 | $0 | 0.0% | $0 |
| 90653 | Vaccine or immunization | 209 | $0 | 0.0% | $0 |
| A4649 | Surgical supply; miscellaneous | 30 | $0 | 0.0% | $0 |
| 90620 | Vaccine or immunization | 458 | $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.