Medicaid Provider Spending

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

MEDICAL CITY OB-GYN, PLLC

NPI: 1295275071 · DALLAS, TX 75246 · Obstetrics & Gynecology Physician · NPI assigned 02/28/2017

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

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

$1.80M
Total Medicaid Paid
57,157
Total Claims
40,042
Beneficiaries
22
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date02/28/2017

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
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
SURGERY ASSOCIATES OF NTX, PLLC DENTON TX $379K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,907 $72K
2021 9,763 $343K
2022 12,870 $418K
2023 16,933 $547K
2024 15,684 $417K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,074 15,697 $896K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,221 13,066 $580K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,135 1,949 $155K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 538 485 $43K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 60 57 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 388 363 $24K
81002 9,969 6,151 $17K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 234 212 $13K
59430 157 152 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 177 168 $11K
76819 Fetal biophysical profile; without non-stress testing 215 146 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 166 140 $3K
99205 Prolong outpt/office vis 26 25 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 39 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 235 174 $2K
99000 433 319 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 33 28 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 124 96 $677.73
81025 115 97 $369.19
90686 53 37 $189.36
99459 735 615 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 29 26 $0.00