Physician
Rapides Regional Physician Group Specialty Care, LLC
Rapides Regional Physician Group Specialty Care, LLC was paid $2.81M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoRAPIDES REGIONAL PHYSICIAN GROUP SPECIALTY CARE, LLC
ALEXANDRIA, LA 71301
ALEXANDRIA, LA 71301
33aNPI1043309016assigned 10/11/2006
33bProvider typePulmonary Disease Physician
28Total paid$2.81M
24GClaims106,909
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Louisiana
Rank by total paid#1 of 27
Median peer was paid$69K
This provider vs. median40×
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
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 | |
|---|---|---|---|
| 2018 | 18,545 | $696K | |
| 2019 | 19,682 | $677K | |
| 2020 | 12,168 | $281K | |
| 2021 | 9,818 | $221K | |
| 2022 | 11,190 | $254K | |
| 2023 | 20,916 | $331K | |
| 2024incomplete | 14,590 | $349K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 20,792 | 14,947 | $532K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 16% | 3,397 | 3,050 | $453K |
| 99223 | Prolong inpt eval add15 m | 11% | 6,338 | 4,597 | $322K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.8% | 10,110 | 3,506 | $275K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.3% | 9,732 | 3,788 | $261K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8.8% | 7,390 | 6,227 | $248K |
| 93320 | 5.8% | 3,390 | 3,046 | $162K | |
| 93325 | 3.9% | 3,424 | 3,069 | $110K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 2,100 | 1,752 | $105K |
| 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 | 3.6% | 8,255 | 6,526 | $102K |
| 93000 | 1.9% | 5,533 | 4,816 | $53K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 1,399 | 1,104 | $51K |
48 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 298 | $26K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 295 | $17K |
| 59430 | <1% | 169 | $14K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,262 | $13K |
| 73610 | <1% | 809 | $10K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 151 | $8K |
| 93458 | <1% | 67 | $6K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 94 | $5K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 46 | $5K |
| 76801 | <1% | 154 | $4K | |
| 81025 | <1% | 905 | $4K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 35 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 369 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 48 | $2K |
| 81002 | <1% | 2,873 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 109 | $2K |
| 99221 | <1% | 58 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 99 | $1K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 30 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 68 | $929.84 |
| 93307 | <1% | 43 | $781.92 | |
| 99283 | Emergency room visit (moderate) | <1% | 25 | $682.48 |
| 93295 | <1% | 29 | $601.27 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 16 | $488.29 |
| 73100 | <1% | 36 | $458.98 | |
| 73552 | <1% | 42 | $455.18 | |
| 93294 | <1% | 74 | $338.87 | |
| 73600 | <1% | 30 | $319.53 | |
| 73110 | <1% | 25 | $188.60 | |
| 93018 | <1% | 46 | $159.76 | |
| 81003 | <1% | 115 | $139.21 | |
| 93016 | <1% | 33 | $121.30 | |
| 93297 | <1% | 15 | $72.01 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 14 | $68.51 |
| 99152 | <1% | 15 | $17.99 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 10,925 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 115 | $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) | 0% | 33 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 15 | $0.00 |
| 4044F | 0% | 458 | $0.00 | |
| 3008F | 0% | 757 | $0.00 | |
| 1123F | 0% | 612 | $0.00 | |
| G9197 | Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis | 0% | 212 | $0.00 |
| 99255 | 0% | 38 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 108 | $0.00 |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | 0% | 18 | $0.00 |
| 99024 | 0% | 248 | $0.00 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.