Physician
Dallas Medical Specialists, PLLC
Dallas Medical Specialists, PLLC was paid $1.42M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoDALLAS MEDICAL SPECIALISTS, PLLC
DALLAS, TX 75230
DALLAS, TX 75230
33aNPI1508217811assigned 06/28/2016
33bProvider typeFamily Medicine Physician
28Total paid$1.42M
24GClaims52,878
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#76 of 1,204
Median peer was paid$31K
This provider vs. median46×
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 WADLINGTON, NICHOLAS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 476 | $2K | |
| 2019 | 27 | $0.00 | |
| 2020 | 2,363 | $53K | |
| 2021 | 13,581 | $362K | |
| 2022 | 14,735 | $380K | |
| 2023 | 12,626 | $369K | |
| 2024incomplete | 9,070 | $257K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 13,351 | 11,355 | $419K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 21% | 6,626 | 5,904 | $304K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,146 | 2,092 | $169K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 1,966 | 1,824 | $144K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 9,799 | 4,212 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 1,159 | 1,138 | $99K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 4,498 | 4,015 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 412 | 401 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 1,122 | 990 | $25K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 247 | 227 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,350 | 828 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 168 | 161 | $12K |
32 more codes
| 90461 | <1% | 1,856 | $11K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 93 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 434 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 330 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 28 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 57 | $2K |
| 81003 | <1% | 1,673 | $2K | |
| 87807 | <1% | 199 | $2K | |
| 59430 | <1% | 12 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 102 | $1K |
| 99000 | <1% | 72 | $709.02 | |
| 90677 | <1% | 123 | $267.09 | |
| 90686 | <1% | 939 | $200.78 | |
| 90474 | <1% | 14 | $115.22 | |
| 81002 | <1% | 89 | $84.82 | |
| 90674 | <1% | 29 | $34.43 | |
| 90619 | <1% | 12 | $0.07 | |
| 90670 | <1% | 1,425 | $0.03 | |
| 90710 | 0% | 278 | $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) | 0% | 216 | $0.00 |
| 90633 | 0% | 281 | $0.00 | |
| 90648 | 0% | 412 | $0.00 | |
| 90621 | 0% | 26 | $0.00 | |
| 90715 | 0% | 25 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 90680 | 0% | 787 | $0.00 | |
| 90698 | 0% | 263 | $0.00 | |
| 90723 | 0% | 87 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 90656 | 0% | 75 | $0.00 | |
| 90697 | 0% | 15 | $0.00 | |
| 90744 | 0% | 30 | $0.00 |
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 officialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.