Medicaid Provider Spending

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

CONGENITAL HEART SURGERY CENTER PLLC

NPI: 1386700565 · DALLAS, TX 75230 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI assigned 12/29/2006

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

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

$341K
Total Medicaid Paid
12,335
Total Claims
9,827
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date12/29/2006

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 39 $2K
2021 374 $17K
2022 439 $11K
2023 4,542 $76K
2024 6,941 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,075 1,574 $150K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 613 531 $47K
93320 1,659 1,312 $30K
93325 2,897 2,140 $19K
99215 Prolong outpt/office vis 292 243 $18K
93000 2,101 1,813 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 576 484 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 226 201 $12K
99233 Prolong inpt eval add15 m 225 52 $11K
93304 232 148 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,268 1,182 $6K
99205 Prolong outpt/office vis 68 59 $5K
93321 103 88 $1K