Physician
Conroe Montgomery Physicians Group, PLLC
Conroe Montgomery Physicians Group, PLLC was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCONROE MONTGOMERY PHYSICIANS GROUP, PLLC
CONROE, TX 77304
CONROE, TX 77304
33aNPI1518220094assigned 06/20/2012
33bProvider typeCardiovascular Disease Physician
28Total paid$1.48M
24GClaims44,817
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Texas
Rank by total paid#2 of 225
Median peer was paid$6K
This provider vs. median255×
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 | 239 | $2K | |
| 2019 | 184 | $1K | |
| 2020 | 2,470 | $81K | |
| 2021 | 9,436 | $346K | |
| 2022 | 11,067 | $357K | |
| 2023 | 12,313 | $410K | |
| 2024incomplete | 9,108 | $281K |
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 | 50% | 25,592 | 18,448 | $741K |
| 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 | 8.0% | 3,184 | 2,480 | $119K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 7.4% | 240 | 207 | $109K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 1,515 | 1,427 | $85K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.5% | 604 | 527 | $52K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.1% | 206 | 194 | $46K |
| 92557 | 2.9% | 1,676 | 1,472 | $43K | |
| 92550 | 2.9% | 2,783 | 2,457 | $43K | |
| 59514 | 2.6% | 82 | 72 | $38K | |
| 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 | 2.0% | 422 | 397 | $30K |
| 69210 | 1.9% | 902 | 821 | $28K | |
| 92579 | 1.7% | 783 | 688 | $25K |
21 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 299 | $19K |
| 59430 | 1.1% | 227 | $17K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 366 | $14K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 199 | $11K |
| 99243 | <1% | 127 | $11K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 72 | $9K |
| 92587 | <1% | 577 | $8K | |
| 81002 | <1% | 3,433 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 279 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 180 | $5K |
| 59025 | Fetal non-stress test | <1% | 134 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 467 | $1K |
| 93971 | <1% | 98 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 17 | $902.28 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 92 | $831.12 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 78 | $554.76 |
| 81025 | <1% | 41 | $211.08 | |
| 93970 | <1% | 13 | $210.91 | |
| 81003 | <1% | 19 | $6.14 |
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.