Medicaid Provider Spending

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

RAPIDES REGIONAL PHYSICIAN GROUP SPECIALTY CARE, LLC

NPI: 1043309016 · ALEXANDRIA, LA 71301 · Pulmonary Disease Physician · NPI assigned 10/11/2006

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

Authorized official WADLINGTON, NICHOLAS controls 20+ related entities in our dataset. Read more

$2.81M
Total Medicaid Paid
106,909
Total Claims
74,104
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date10/11/2006

Related Entities

Other providers sharing the same authorized official: WADLINGTON, NICHOLAS

ProviderCityStateTotal Paid
ST. DAVID'S SPECIALIZED WOMEN'S SERVICES, PLLC AUSTIN TX $14.19M
ELITE OB-GYN SERVICES OF EL PASO, PLLC EL PASO TX $8.05M
PEDIATRICS OF GREATER HOUSTON, PLLC HOUSTON TX $3.12M
METHODIST PHYSICIAN PRACTICES, PLLC SAN ANTONIO TX $1.88M
WOMEN SPECIALISTS OF BAYSHORE PLLC PASADENA TX $1.86M
MEDICAL CITY OB-GYN, PLLC DALLAS TX $1.80M
EMERGENCY PSYCHIATRIC MEDICINE, PLLC DALLAS TX $1.79M
SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC HOUSTON TX $1.50M
CONROE MONTGOMERY PHYSICIANS GROUP, PLLC CONROE TX $1.48M
DALLAS MEDICAL SPECIALISTS, PLLC DALLAS TX $1.42M
WOMEN SPECIALISTS OF CLEAR LAKE, PLLC WEBSTER TX $897K
WOMANS HEALTH GROUP PLLC HOUSTON TX $838K
RAPIDES REGIONAL PHYSICIAN GROUP PRIMARY CARE, LLC ALEXANDRIA LA $827K
CORPUS CHRISTI PSYCHIATRIC SPECIALISTS, PLLC CORPUS CHRISTI TX $717K
HOUSTON PEDIATRIC SPECIALTY GROUP PLLC HOUSTON TX $710K
ELITE ORTHOPAEDICS OF IRVING PLLC IRVING TX $621K
CHCA BAYSHORE LP HOUSTON TX $515K
OB GYN OF BROWNSVILLE PLLC BROWNSVILLE TX $395K
THE AUSTIN DIAGNOSTIC CLINIC, PLLC AUSTIN TX $385K
SURGERY ASSOCIATES OF NTX, PLLC DENTON TX $379K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,545 $696K
2019 19,682 $677K
2020 12,168 $281K
2021 9,818 $221K
2022 11,190 $254K
2023 20,916 $331K
2024 14,590 $349K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,792 14,947 $532K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,397 3,050 $453K
99223 Prolong inpt eval add15 m 6,338 4,597 $322K
99233 Prolong inpt eval add15 m 10,110 3,506 $275K
99232 Subsequent hospital care, per day, moderate complexity 9,732 3,788 $261K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,390 6,227 $248K
93320 3,390 3,046 $162K
93325 3,424 3,069 $110K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,100 1,752 $105K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,255 6,526 $102K
93000 5,533 4,816 $53K
99222 Initial hospital care, per day, moderate complexity 1,399 1,104 $51K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 298 288 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 295 244 $17K
59430 169 160 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,262 3,185 $13K
73610 809 579 $10K
99239 Hospital discharge day management, more than 30 minutes 151 145 $8K
93458 67 53 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 94 79 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 46 24 $5K
76801 154 58 $4K
81025 905 813 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 35 30 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 369 308 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 48 45 $2K
81002 2,873 1,570 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 109 100 $2K
99221 58 39 $2K
99205 Prolong outpt/office vis 99 77 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 30 26 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 68 16 $929.84
93307 43 39 $781.92
99283 Emergency department visit for the evaluation and management, moderate severity 25 25 $682.48
93295 29 27 $601.27
99238 Hospital discharge day management, 30 minutes or less 16 12 $488.29
73100 36 26 $458.98
73552 42 37 $455.18
93294 74 55 $338.87
73600 30 24 $319.53
73110 25 14 $188.60
93018 46 37 $159.76
81003 115 80 $139.21
93016 33 24 $121.30
93297 15 12 $72.01
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 14 $68.51
99152 15 14 $17.99
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,925 7,368 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 115 86 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 33 31 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 13 $0.00
4044F 458 374 $0.00
3008F 757 551 $0.00
1123F 612 498 $0.00
G9197 Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis 212 179 $0.00
99255 38 31 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 108 90 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 18 14 $0.00
99024 248 149 $0.00