Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Denton › NPI 1134522691
Physician

Surgery Associates of NTX, PLLC

Surgery Associates of NTX, PLLC was paid $379K by Medicaid between Nov 2020 and Dec 2024, across 11 billing codes. Its largest line is 43775, — 65% of everything it billed.

33Billing provider infoSURGERY ASSOCIATES OF NTX, PLLC
DENTON, TX 76210
33aNPI1134522691assigned 09/29/2014
28Total paid$379K
24GClaims4,615
24DCodes billed11
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Vascular Surgery Physician providers in Texas

Rank by total paid#5 of 35
Median peer was paid$4K
This provider vs. median87×

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

$0$10K$20K$30K2018201920202021202220232024
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
202058$0.00
20211,157$73K
20221,834$192K
20231,029$92K
2024incomplete537$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43775 65% 302 287 $245K
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 23% 2,556 2,341 $88K
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 11% 740 675 $43K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 89 68 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 29 28 $1K
93971 <1% 26 25 $210.38
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 350 318 $0.00
G9197 Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis 0% 120 115 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 25 25 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 151 144 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 227 211 $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)
Same official

Other billing entities under WADLINGTON, NICHOLAS

Full network →

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