Medicaid Provider Spending

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

CONROE MONTGOMERY PHYSICIANS GROUP, PLLC

NPI: 1518220094 · CONROE, TX 77304 · Cardiovascular Disease Physician · NPI assigned 06/20/2012

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

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

$1.48M
Total Medicaid Paid
44,817
Total Claims
34,163
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date06/20/2012

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
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
SURGERY ASSOCIATES OF NTX, PLLC DENTON TX $379K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 239 $2K
2019 184 $1K
2020 2,470 $81K
2021 9,436 $346K
2022 11,067 $357K
2023 12,313 $410K
2024 9,108 $281K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,592 18,448 $741K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,184 2,480 $119K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 240 207 $109K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,515 1,427 $85K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 604 527 $52K
42820 Tonsillectomy and adenoidectomy; younger than age 12 206 194 $46K
92557 1,676 1,472 $43K
92550 2,783 2,457 $43K
59514 82 72 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 422 397 $30K
69210 902 821 $28K
92579 783 688 $25K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 299 261 $19K
59430 227 211 $17K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 366 324 $14K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 199 172 $11K
99243 127 119 $11K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 72 68 $9K
92587 577 521 $8K
81002 3,433 2,068 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 279 198 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 180 172 $5K
59025 Fetal non-stress test 134 78 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 32 27 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 78 72 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 467 422 $1K
93971 98 89 $1K
76830 Ultrasound, transvaginal 17 12 $902.28
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 92 67 $831.12
99232 Subsequent hospital care, per day, moderate complexity 78 24 $554.76
81025 41 38 $211.08
93970 13 12 $210.91
81003 19 18 $6.14