Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rio Grande Valley Cardiology, PLLC

Rio Grande Valley Cardiology, PLLC was paid $90K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoRIO GRANDE VALLEY CARDIOLOGY, PLLC
MCALLEN, TX 78503
33aNPI1245548759assigned 09/17/2010
28Total paid$90K
24GClaims12,452
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Texas

Rank by total paid#34 of 225
Median peer was paid$6K
This provider vs. median15×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20182,541$13K
20192,152$11K
20202,012$9K
20212,378$22K
20222,332$23K
2023510$6K
2024incomplete527$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 3,425 3,253 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 28% 2,001 1,970 $25K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 2,209 1,166 $14K
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 9.5% 666 625 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7.2% 2,646 2,370 $6K
93000 2.3% 782 711 $2K
99222 Initial hospital care, per day, moderate complexity 2.2% 353 353 $2K
93280 <1% 89 80 $773.11
99223 Prolong inpt eval add15 m <1% 15 14 $240.28
93970 <1% 13 13 $193.48
93284 <1% 12 12 $145.38
3288F 0% 200 165 $0.00
2 more codes
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 29 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 12 $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

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