Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Capital Area Primary Care, PLLC

Capital Area Primary Care, PLLC was paid $7K by Medicaid between Jan 2021 and May 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.

33Billing provider infoCAPITAL AREA PRIMARY CARE, PLLC
AUSTIN, TX 78732
33aNPI1023287976assigned 02/25/2008
28Total paid$7K
24GClaims266
24DCodes billed2
24AFirst – last monthJan 2021 – May 2023
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#823 of 1,204
Median peer was paid$31K
This provider vs. median0.2×

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 WADLINGTON, NICHOLAS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
2021147$4K
202272$2K
202347$792.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 97% 236 192 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 3.4% 30 16 $235.20

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 officialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
Same official

Other billing entities under WADLINGTON, NICHOLAS

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.