Medicaid Provider Spending

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

DALLAS MEDICAL SPECIALISTS, PLLC

NPI: 1508217811 · DALLAS, TX 75230 · Family Medicine Physician · NPI assigned 06/28/2016

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

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

$1.42M
Total Medicaid Paid
52,878
Total Claims
42,421
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date06/28/2016

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
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
2018 476 $2K
2019 27 $0.00
2020 2,363 $53K
2021 13,581 $362K
2022 14,735 $380K
2023 12,626 $369K
2024 9,070 $257K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,351 11,355 $419K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,626 5,904 $304K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,146 2,092 $169K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,966 1,824 $144K
90460 Immunization administration through 18 years of age via any route, first or only component 9,799 4,212 $102K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,159 1,138 $99K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,498 4,015 $47K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 412 401 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,122 990 $25K
99215 Prolong outpt/office vis 247 227 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,350 828 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 168 161 $12K
90461 1,856 1,544 $11K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 93 81 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 434 407 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 330 320 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 28 25 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 57 50 $2K
81003 1,673 1,589 $2K
87807 199 167 $2K
59430 12 12 $1K
90472 Immunization administration, each additional vaccine (list separately) 102 80 $1K
99000 72 71 $709.02
90677 123 115 $267.09
90686 939 905 $200.78
90474 14 14 $115.22
81002 89 49 $84.82
90674 29 28 $34.43
90619 12 12 $0.07
90670 1,425 1,371 $0.03
90710 278 265 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 216 185 $0.00
90633 281 275 $0.00
90648 412 403 $0.00
90621 26 26 $0.00
90715 25 25 $0.00
90734 27 26 $0.00
90680 787 751 $0.00
90698 263 251 $0.00
90723 87 86 $0.00
90651 25 25 $0.00
90656 75 74 $0.00
90697 15 15 $0.00
90744 30 27 $0.00