Medicaid Provider Spending

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

NORTH TEXAS PERINATAL ASSOCIATES, P.A.

NPI: 1265414932 · IRVING, TX 75039 · Maternal & Fetal Medicine Physician · NPI assigned 11/17/2005

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

Authorized official VAUGHN, KAREN controls 20+ related entities in our dataset. Read more

$5.53M
Total Medicaid Paid
144,325
Total Claims
78,423
Beneficiaries
21
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVAUGHN, KAREN (OFFICER)
NPI Enumeration Date11/17/2005

Related Entities

Other providers sharing the same authorized official: VAUGHN, KAREN

ProviderCityStateTotal Paid
RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC. AUSTIN TX $68.47M
OXBOW EMERGENCY PHYSICIANS PLLC LAKE JACKSON TX $14.88M
DESERT VIEW EMERGENCY PHYSICIANS, A MEDICAL CORPORATION PALMDALE CA $13.60M
MANNING EMERGENCY MEDICAL ASSOCIATES PLLC ALBANY NY $12.87M
AUGUSTINE EMERGENCY PHYSICIANS LLC PENSACOLA FL $9.58M
F&S RADIOLOGY, P.C. SEBRING FL $7.65M
MIDDLE CT EMERGENCY PHYSICIANS LLC WATERBURY CT $6.79M
SHERIDAN CHILDRENS HEALTHCARE SERVICES INC SUNRISE FL $6.64M
EMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC VALHALLA NY $5.69M
RAIL JUNCTION EMERGENCY PHYSICIANS LLC ALAMOGORDO NM $4.39M
MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC IDAHO FALLS ID $4.15M
STARLIGHT INPATIENT SERVICES, A MEDICAL CORPORATION PALMDALE CA $4.09M
PATRIOT EMERGENCY PHYSICIANS PLLC EL PASO TX $3.71M
KINGSTON EMERGENCY MEDICAL ASSOCIATES PLLC KINGSTON NY $3.31M
COCONUT CREEK EMERGENCY PHYSICIANS, LLC MARGATE FL $3.19M
AFFILION OF COBRE VALLEY PLLC GLOBE AZ $3.03M
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION LAKEWOOD CA $2.77M
TIGERTAIL EMERGENCY PHYSICIANS, LLC MIAMI FL $2.61M
NICHOLS PARK EMERGENCY PHYSICIANS LLC DYERSBURG TN $2.32M
SHERIDAN EMERGENCY PHYSICIAN SERVICES, INC OCALA FL $1.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,520 $2K
2020 22,490 $355K
2021 55,240 $1.66M
2022 28,841 $1.49M
2023 24,724 $1.43M
2024 10,510 $589K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 29,030 14,598 $1.31M
76825 6,007 4,274 $782K
76818 9,707 5,048 $565K
76819 Fetal biophysical profile; without non-stress testing 16,039 8,405 $560K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,916 4,377 $477K
76820 22,526 10,690 $418K
76821 9,234 4,696 $417K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,724 10,388 $341K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,694 4,118 $182K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,408 2,976 $121K
76827 2,518 1,791 $91K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,067 936 $87K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,322 798 $57K
93325 6,279 4,112 $52K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,089 784 $47K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 300 205 $11K
76826 48 25 $3K
99205 Prolong outpt/office vis 47 31 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 62 47 $1K
99232 Subsequent hospital care, per day, moderate complexity 41 24 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 267 100 $804.55