Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Plano › NPI 1386817823
Physician

Questcare Obstetrics PLLC

Questcare Obstetrics PLLC was paid $379K by Medicaid between Aug 2020 and Nov 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 69% of everything it billed.

33Billing provider infoQUESTCARE OBSTETRICS PLLC
PLANO, TX 75075
33aNPI1386817823assigned 04/04/2008
28Total paid$379K
24GClaims11,322
24DCodes billed5
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#132 of 432
Median peer was paid$103K
This provider vs. median3.7×

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 VAUGHN, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
2020301$3K
20212,064$67K
20224,654$172K
20232,517$77K
2024incomplete1,786$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 69% 4,721 4,136 $261K
59025 Fetal non-stress test 27% 6,170 5,261 $103K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.4% 243 220 $9K
99221 1.6% 169 120 $6K
99222 Initial hospital care, per day, moderate complexity <1% 19 12 $832.01

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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

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