Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Round Rock › NPI 1083631071
Physician

Magella Medical Associates Billing, INC.

Magella Medical Associates Billing, INC. was paid $69.16M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 18% of everything it billed.

33Billing provider infoMAGELLA MEDICAL ASSOCIATES BILLING, INC.
ROUND ROCK, TX 78681
33aNPI1083631071assigned 07/16/2006
28Total paid$69.16M
24GClaims864,172
24DCodes billed118
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Texas

Rank by total paid#1 of 34
Median peer was paid$176K
This provider vs. median393×

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$1.0M$2.0M2018201920202021202220232024
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
20185,661$319K
20195,337$342K
202044,002$3.31M
2021222,380$17.62M
2022236,332$18.82M
2023208,309$16.48M
2024incomplete142,151$12.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 18% 34,833 12,338 $12.79M
99480 Subsequent intensive care, per day, low birth weight infant 12% 71,846 26,516 $8.41M
99479 Subsequent intensive care, per day, very low birth weight infant 10% 56,243 19,875 $7.05M
99460 7.3% 69,560 64,893 $5.02M
99238 Hospital discharge day management, 30 minutes or less 5.9% 72,582 69,467 $4.06M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5.2% 32,087 29,954 $3.57M
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 3.5% 53,343 50,538 $2.41M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.8% 26,734 25,872 $1.92M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.8% 23,693 20,789 $1.90M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 2.4% 4,548 1,240 $1.69M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.3% 11,912 11,619 $1.62M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.1% 22,527 9,746 $1.42M
106 more codes
76818 1.9% 15,725 $1.31M
96112 1.8% 12,727 $1.28M
99462 1.8% 33,352 $1.23M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.6% 8,680 $1.11M
99213 Doctor's office visit, returning patient (routine) 1.5% 31,235 $1.01M
99244 Office or other outpatient consultation, moderate to high complexity 1.3% 8,085 $921K
76819 Fetal biophysical profile; without non-stress testing 1.3% 15,375 $908K
99243 1.3% 10,540 $905K
93320 1.3% 32,609 $871K
99203 Doctor's office visit, new patient (routine) <1% 12,227 $685K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 10,463 $585K
54150 <1% 6,375 $523K
99239 Hospital discharge day management, more than 30 minutes <1% 6,564 $500K
93325 <1% 44,029 $479K
93000 <1% 41,063 $469K
99204 Doctor's office visit, new patient (more involved) <1% 5,520 $436K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 5,625 $385K
99253 <1% 4,266 $385K
99223 Prolong inpt eval add15 m <1% 2,704 $318K
99468 <1% 347 $302K
99254 <1% 1,972 $252K
76825 <1% 1,086 $199K
99464 <1% 2,083 $186K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 8,111 $174K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,661 $170K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,121 $165K
76820 <1% 5,068 $149K
92579 <1% 3,154 $109K
99232 Hospital visit by a doctor, follow-up day <1% 2,312 $102K
93304 <1% 1,170 $91K
99477 <1% 212 $79K
99417 Prolong home eval add 15m <1% 4,289 $78K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,039 $77K
96113 <1% 1,026 $76K
92567 <1% 6,014 $71K
99242 <1% 1,036 $65K
99205 Prolong outpt/office vis <1% 793 $65K
76827 <1% 1,097 $54K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 247 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 6,254 $43K
93224 <1% 726 $43K
99222 Initial hospital care, per day, moderate complexity <1% 425 $39K
92587 <1% 2,161 $36K
92201 <1% 2,773 $34K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 178 $34K
93321 <1% 1,732 $24K
99463 <1% 220 $23K
25600 <1% 59 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 465 $16K
92557 <1% 543 $14K
99245 <1% 126 $14K
54161 <1% 104 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,084 $12K
76821 <1% 273 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,463 $11K
99221 <1% 378 $11K
93244 <1% 550 $11K
93294 <1% 441 $10K
96111 <1% 96 $9K
92555 <1% 374 $8K
73100 <1% 286 $7K
76801 <1% 77 $6K
76813 <1% 72 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 172 $5K
93242 <1% 446 $5K
92552 <1% 141 $4K
92504 <1% 159 $4K
92588 <1% 120 $3K
93597 <1% 12 $3K
51798 <1% 384 $2K
72082 <1% 32 $2K
99255 <1% 13 $2K
92226 <1% 135 $2K
81002 <1% 575 $2K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 14 $2K
93296 <1% 87 $1K
93308 <1% 15 $1K
92511 <1% 13 $1K
99241 <1% 27 $992.82
99251 <1% 21 $943.52
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 39 $936.16
99217 <1% 16 $785.50
73630 <1% 25 $677.66
76998 <1% 12 $628.90
73070 <1% 29 $557.79
77073 <1% 12 $478.56
73560 <1% 15 $414.06
92556 <1% 12 $403.84
73140 <1% 14 $397.27
81000 <1% 139 $350.98
83037 <1% 60 $344.71
95970 <1% 27 $319.61
92228 <1% 65 $270.37
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 13 $210.00
97750 <1% 14 $173.81
95873 <1% 13 $169.80
93018 <1% 13 $147.50
99078 <1% 12 $84.62
92586 <1% 12 $71.01
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass <1% 25 $16.50
90378 0% 1,583 $0.00
99024 0% 4,528 $0.00
A4590 Special casting material (e.g., fiberglass) 0% 524 $0.00
99459 0% 34 $0.00
99072 0% 559 $0.00
93356 0% 241 $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 officialDWYER, MICHAEL (ASSISTANT SECRETARY)
Parent organizationPEDIATRIX MEDICAL SERVICES
Same official

Other billing entities under DWYER, MICHAEL

Full network →

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