Medicaid Provider Spending

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

HEALOGICS SPECIALTY PHYSICIANS OF TEXAS, PLLC

NPI: 1285051094 · ALLEN, TX 75013 · Nurse Practitioner · NPI assigned 03/19/2014

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

Authorized official WILLIAMS, FRANK controls 20+ related entities in our dataset. Read more

$266K
Total Medicaid Paid
18,511
Total Claims
9,155
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, FRANK (CEO)
NPI Enumeration Date03/19/2014

Related Entities

Other providers sharing the same authorized official: WILLIAMS, FRANK

ProviderCityStateTotal Paid
WINDSOR PUBLIC SCHOOL WINDSOR CT $1.36M
FOCUS POINTE COUNSELING SOLUTIONS, INC. OKLAHOMA CITY OK $1.33M
BUTLER COUNTY CLERK EL DORADO KS $863K
HEALOGICS SPECIALTY PHYSICIANS OF OKLAHOMA, PLLC LAWTON OK $812K
HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC TROY OH $779K
HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI, LLC JOPLIN MO $775K
HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC SALEM OR $653K
NAUTILUS HEALTH CARE GROUP LLC MELBOURNE FL $649K
HEALOGICS SPECIALTY PHYSICIANS OF TENNESSEE, PLLC CLARKSVILLE TN $517K
HEALOGICS SPECIALTY PHYSICIANS OF MISSISSIPPI, LLC NATCHEZ MS $433K
HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA, LLC FREDERICKSBURG VA $397K
HEALOGICS SPECIALTY PHYSICIANS OF MASSACHUSETTS, PLLC HOLYOKE MA $356K
HEALOGICS SPECIALTY PHYSICIANS OF MARYLAND, LLC LEONARDTOWN MD $347K
HEALOGICS SPECIALTY PHYSICIANS OF ARKANSAS, PLLC FAYETTEVILLE AR $332K
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC MYRTLE BEACH SC $279K
HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC LAKE CHARLES LA $224K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC PARKER CO $208K
PONS PHYSICIAN SERVICES, PLLC CORTLAND NY $173K
HEALOGICS SPECIALTY PHYSICIANS OF WEST VIRGINIA, PLLC LOGAN WV $145K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC LAKEWOOD CO $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,392 $5K
2019 1,669 $7K
2020 1,606 $14K
2021 4,439 $66K
2022 4,151 $81K
2023 2,176 $49K
2024 2,078 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9,727 4,757 $205K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,048 1,218 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 547 412 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,666 679 $8K
99308 Subsequent nursing facility care, per day, straightforward 1,460 678 $7K
99310 Prolong nursin fac eval 15m 1,083 330 $5K
97597 821 456 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 62 $4K
11043 341 147 $3K
99307 608 300 $675.66
99221 44 43 $221.99
99306 Prolong nursin fac eval 15m 35 32 $94.35
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 68 41 $17.94