Medicaid Provider Spending

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

MAGELLA MEDICAL ASSOCIATES BILLING, INC.

NPI: 1083631071 · ROUND ROCK, TX 78681 · Maternal & Fetal Medicine Physician · NPI assigned 07/16/2006

$69.16M
Total Medicaid Paid
864,172
Total Claims
686,186
Beneficiaries
118
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDWYER, MICHAEL (ASSISTANT SECRETARY)
Parent OrganizationPEDIATRIX MEDICAL SERVICES
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: DWYER, MICHAEL

ProviderCityStateTotal Paid
PEDIATRIX MEDICAL GROUP OF TEXAS BILLING, INC. HOUSTON TX $85.33M
PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C. SUNRISE FL $50.58M
OBSTETRIX MEDICAL GROUP OF TEXAS BILLING, INC. RICHARDSON TX $25.71M
OBSTETRICS AND PEDIATRICS SUBSPECIALTY GROUP OF KANSAS AND MISSOURI PA PHOENIX AZ $107K
TEXAS NEWBORN SERVICES, INC. RICHARDSON TX $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,661 $319K
2019 5,337 $342K
2020 44,002 $3.31M
2021 222,380 $17.62M
2022 236,332 $18.82M
2023 208,309 $16.48M
2024 142,151 $12.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 34,833 12,338 $12.79M
99480 Subsequent intensive care, per day, low birth weight infant 71,846 26,516 $8.41M
99479 Subsequent intensive care, per day, very low birth weight infant 56,243 19,875 $7.05M
99460 69,560 64,893 $5.02M
99238 Hospital discharge day management, 30 minutes or less 72,582 69,467 $4.06M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 32,087 29,954 $3.57M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,343 50,538 $2.41M
99215 Prolong outpt/office vis 26,734 25,872 $1.92M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 23,693 20,789 $1.90M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 4,548 1,240 $1.69M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,912 11,619 $1.62M
99233 Prolong inpt eval add15 m 22,527 9,746 $1.42M
76818 15,725 9,503 $1.31M
96112 12,727 12,565 $1.28M
99462 33,352 29,940 $1.23M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8,680 8,479 $1.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,235 27,781 $1.01M
99244 Office or other outpatient consultation, moderate to high complexity 8,085 7,945 $921K
76819 Fetal biophysical profile; without non-stress testing 15,375 10,504 $908K
99243 10,540 10,386 $905K
93320 32,609 30,238 $871K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,227 12,034 $685K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 10,463 7,233 $585K
54150 6,375 5,844 $523K
99239 Hospital discharge day management, more than 30 minutes 6,564 6,405 $500K
93325 44,029 39,961 $479K
93000 41,063 39,821 $469K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,520 5,380 $436K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,625 5,007 $385K
99253 4,266 4,232 $385K
99223 Prolong inpt eval add15 m 2,704 2,608 $318K
99468 347 342 $302K
99254 1,972 1,945 $252K
76825 1,086 1,017 $199K
99464 2,083 2,063 $186K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,111 6,221 $174K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,661 1,614 $170K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,121 1,077 $165K
76820 5,068 3,011 $149K
92579 3,154 3,110 $109K
99232 Subsequent hospital care, per day, moderate complexity 2,312 1,555 $102K
93304 1,170 1,077 $91K
99477 212 210 $79K
99417 Prolong home eval add 15m 4,289 4,159 $78K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,039 2,316 $77K
96113 1,026 879 $76K
92567 6,014 5,934 $71K
99242 1,036 1,017 $65K
99205 Prolong outpt/office vis 793 770 $65K
76827 1,097 1,026 $54K
42820 Tonsillectomy and adenoidectomy; younger than age 12 247 242 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,254 5,972 $43K
93224 726 710 $43K
99222 Initial hospital care, per day, moderate complexity 425 409 $39K
92587 2,161 2,136 $36K
92201 2,773 1,734 $34K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 178 81 $34K
93321 1,732 1,595 $24K
99463 220 215 $23K
25600 59 58 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 465 458 $16K
92557 543 530 $14K
99245 126 122 $14K
54161 104 102 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,084 1,006 $12K
76821 273 205 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,463 1,449 $11K
99221 378 355 $11K
93244 550 528 $11K
93294 441 437 $10K
96111 96 95 $9K
92555 374 369 $8K
73100 286 264 $7K
76801 77 72 $6K
76813 72 70 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 172 122 $5K
93242 446 424 $5K
92552 141 136 $4K
92504 159 157 $4K
92588 120 119 $3K
93597 12 12 $3K
51798 384 364 $2K
72082 32 32 $2K
99255 13 13 $2K
92226 135 43 $2K
81002 575 559 $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 14 14 $2K
93296 87 84 $1K
93308 15 14 $1K
92511 13 13 $1K
99241 27 26 $992.82
99251 21 21 $943.52
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 39 37 $936.16
99217 16 16 $785.50
73630 25 24 $677.66
76998 12 12 $628.90
73070 29 25 $557.79
77073 12 12 $478.56
73560 15 12 $414.06
92556 12 12 $403.84
73140 14 12 $397.27
81000 139 129 $350.98
83037 60 57 $344.71
95970 27 26 $319.61
92228 65 12 $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 13 12 $210.00
97750 14 14 $173.81
95873 13 12 $169.80
93018 13 13 $147.50
99078 12 12 $84.62
92586 12 12 $71.01
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 25 24 $16.50
90378 1,583 934 $0.00
99024 4,528 4,053 $0.00
A4590 Special casting material (e.g., fiberglass) 524 495 $0.00
99459 34 31 $0.00
99072 559 542 $0.00
93356 241 223 $0.00