Medicaid Provider Spending

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

THE AUSTIN DIAGNOSTIC CLINIC, PLLC

NPI: 1235103136 · AUSTIN, TX 78758 · Obstetrics & Gynecology Physician · NPI assigned 02/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WADLINGTON, NICHOLAS controls 20+ related entities in our dataset. Read more

$173K
Total Medicaid Paid
17,148
Total Claims
10,749
Beneficiaries
27
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date02/15/2006

Related Entities

Other providers sharing the same authorized official: WADLINGTON, NICHOLAS

ProviderCityStateTotal Paid
ST. DAVID'S SPECIALIZED WOMEN'S SERVICES, PLLC AUSTIN TX $14.19M
ELITE OB-GYN SERVICES OF EL PASO, PLLC EL PASO TX $8.05M
PEDIATRICS OF GREATER HOUSTON, PLLC HOUSTON TX $3.12M
RAPIDES REGIONAL PHYSICIAN GROUP SPECIALTY CARE, LLC ALEXANDRIA LA $2.81M
METHODIST PHYSICIAN PRACTICES, PLLC SAN ANTONIO TX $1.88M
WOMEN SPECIALISTS OF BAYSHORE PLLC PASADENA TX $1.86M
MEDICAL CITY OB-GYN, PLLC DALLAS TX $1.80M
EMERGENCY PSYCHIATRIC MEDICINE, PLLC DALLAS TX $1.79M
SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC HOUSTON TX $1.50M
CONROE MONTGOMERY PHYSICIANS GROUP, PLLC CONROE TX $1.48M
DALLAS MEDICAL SPECIALISTS, PLLC DALLAS TX $1.42M
WOMEN SPECIALISTS OF CLEAR LAKE, PLLC WEBSTER TX $897K
WOMANS HEALTH GROUP PLLC HOUSTON TX $838K
RAPIDES REGIONAL PHYSICIAN GROUP PRIMARY CARE, LLC ALEXANDRIA LA $827K
CORPUS CHRISTI PSYCHIATRIC SPECIALISTS, PLLC CORPUS CHRISTI TX $717K
HOUSTON PEDIATRIC SPECIALTY GROUP PLLC HOUSTON TX $710K
ELITE ORTHOPAEDICS OF IRVING PLLC IRVING TX $621K
CHCA BAYSHORE LP HOUSTON TX $515K
OB GYN OF BROWNSVILLE PLLC BROWNSVILLE TX $395K
THE AUSTIN DIAGNOSTIC CLINIC, PLLC AUSTIN TX $385K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 823 $9K
2021 4,400 $41K
2022 4,028 $38K
2023 4,249 $42K
2024 3,648 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,603 3,728 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 719 512 $21K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 320 264 $15K
81002 6,082 3,621 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 92 67 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 215 181 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 421 368 $2K
86780 197 168 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 27 25 $592.55
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 27 25 $592.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 26 $391.49
81003 338 185 $387.64
86803 27 25 $287.76
81000 130 65 $270.40
86762 26 25 $265.98
86787 26 25 $248.86
87086 Culture, bacterial; quantitative colony count, urine 38 36 $238.00
87340 27 25 $208.32
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 12 12 $202.05
90686 12 12 $194.47
81025 31 27 $168.43
86850 14 12 $90.97
80053 Comprehensive metabolic panel 13 12 $89.24
82950 18 13 $32.16
86901 14 12 $27.61
86900 14 12 $27.61
36415 Collection of venous blood by venipuncture 1,674 1,266 $0.00