Medicaid Provider Spending

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

TEXAS SPECIALTY PHYSICIANS

NPI: 1558521179 · PALESTINE, TX 75801 · Internal Medicine Physician · NPI assigned 06/17/2008

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

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$1.26M
Total Medicaid Paid
55,325
Total Claims
41,535
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (ADMINISTRATOR)
NPI Enumeration Date06/17/2008

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
PHC-CLEVELAND LLC CLEVELAND MS $23.43M
HARTSVILLE, LLC HARTSVILLE SC $18.42M
LOGAN MEMORIAL HOSPITAL LLC RUSSELLVILLE KY $14.29M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
WATERTOWN MEDICAL CENTER LLC WATERTOWN WI $6.31M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
RIVERTON MEMORIAL HOSPITAL LLC RIVERTON WY $4.65M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.19M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91 $669.60
2019 78 $171.20
2020 3,369 $38K
2021 10,113 $194K
2022 12,831 $260K
2023 14,696 $368K
2024 14,147 $396K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,750 13,792 $555K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,602 1,458 $115K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,476 1,421 $114K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 140 137 $71K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 804 788 $63K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,009 930 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,493 1,325 $51K
90460 Immunization administration through 18 years of age via any route, first or only component 4,370 1,709 $51K
59430 477 447 $43K
81002 14,143 9,381 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 470 437 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 173 164 $10K
59514 28 26 $9K
99460 112 111 $8K
76801 114 108 $8K
81025 1,296 1,221 $8K
99000 1,008 867 $7K
99239 Hospital discharge day management, more than 30 minutes 57 56 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 442 419 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 163 138 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 48 48 $3K
90715 113 110 $3K
76819 Fetal biophysical profile; without non-stress testing 30 12 $2K
90461 1,577 1,351 $2K
99383 16 16 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 27 26 $1K
90472 Immunization administration, each additional vaccine (list separately) 213 140 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 421 377 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 58 57 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 124 112 $1K
92551 315 293 $1K
99238 Hospital discharge day management, 30 minutes or less 15 15 $894.75
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20 18 $828.23
90474 102 95 $756.88
76820 26 12 $729.02
90792 Psychiatric diagnostic evaluation with medical services 12 12 $511.62
90686 43 42 $498.15
93000 27 27 $171.26
90671 510 509 $137.30
87210 34 27 $88.02
99024 229 204 $0.00
90723 13 12 $0.00
90680 832 795 $0.00
96127 61 52 $0.00
90697 728 704 $0.00
90716 56 55 $0.00
86769 13 13 $0.00
90688 63 59 $0.00
90634 14 14 $0.00
90698 17 15 $0.00
90670 638 594 $0.00
90700 199 196 $0.00
99173 138 128 $0.00
90633 300 298 $0.00
90707 66 65 $0.00
90648 70 68 $0.00
90681 30 29 $0.00