Medicaid Provider Spending

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

CHCA BAYSHORE LP

NPI: 1518941236 · HOUSTON, TX 77015 · Advanced Practice Midwife · NPI assigned 12/06/2005

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

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

$515K
Total Medicaid Paid
41,014
Total Claims
30,595
Beneficiaries
13
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date12/06/2005

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
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
2019 28 $0.00
2020 2,442 $23K
2021 11,578 $163K
2022 8,870 $121K
2023 11,103 $95K
2024 6,993 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,155 9,774 $294K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 211 196 $101K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,849 1,346 $51K
81002 18,250 12,898 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,039 885 $16K
99238 Hospital discharge day management, 30 minutes or less 316 286 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 133 93 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 72 67 $3K
99215 Prolong outpt/office vis 32 27 $749.59
99232 Subsequent hospital care, per day, moderate complexity 13 12 $496.47
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 16 14 $128.84
81025 818 632 $62.17
36415 Collection of venous blood by venipuncture 5,110 4,365 $1.72