Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Plano › NPI 1053389502

Vanwagoner, John

Vanwagoner, John was paid $240K by Medicaid between Nov 2020 and Oct 2024, across 14 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 31% of everything it billed.

33Billing provider infoVANWAGONER, JOHN
PLANO, TX 75093
33aNPI1053389502assigned 03/10/2006
33bProvider typeSpecialist
28Total paid$240K
24GClaims7,143
24DCodes billed14
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers

Next to other Specialist providers in Texas

Rank by total paid#100 of 382
Median peer was paid$29K
This provider vs. median8.3×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
2020205$13K
20211,201$31K
20222,035$72K
20232,057$74K
2024incomplete1,645$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 31% 406 376 $74K
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 31% 1,758 1,649 $74K
95117 11% 3,036 1,520 $26K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 9.4% 82 37 $23K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.8% 231 225 $19K
94375 5.2% 448 435 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.8% 319 306 $9K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 15 15 $978.75
94060 <1% 27 27 $907.56
94760 <1% 657 613 $453.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $178.75
95115 <1% 21 13 $156.60
2 more codes
90688 <1% 13 $17.16
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% 117 $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.