Medicaid Provider Spending

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

THE AUSTIN DIAGNOSTIC CLINIC, PLLC

NPI: 1467426205 · AUSTIN, TX 78758 · Nurse Practitioner · NPI assigned 02/16/2006

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

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

$385K
Total Medicaid Paid
19,671
Total Claims
14,027
Beneficiaries
27
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date02/16/2006

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
SURGERY ASSOCIATES OF NTX, PLLC DENTON TX $379K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,188 $9K
2021 5,996 $102K
2022 6,050 $129K
2023 5,303 $116K
2024 1,134 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,240 4,638 $154K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,903 1,659 $79K
90460 Immunization administration through 18 years of age via any route, first or only component 7,212 3,193 $52K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 535 410 $21K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 367 312 $21K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 240 197 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 200 163 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 290 248 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 116 108 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 194 172 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 334 316 $4K
90461 640 486 $3K
0071A 18 18 $720.00
0111A 15 15 $560.00
90472 Immunization administration, each additional vaccine (list separately) 38 21 $311.40
96110 Developmental screening, with scoring and documentation, per standardized instrument 33 26 $236.06
92551 84 75 $152.52
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18 12 $72.22
81002 15 12 $35.19
90686 1,512 1,401 $18.43
90723 42 29 $0.00
90670 231 185 $0.00
90661 85 83 $0.00
90648 159 119 $0.00
99173 117 103 $0.00
90681 20 13 $0.00
99051 13 13 $0.00