Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Dallas › NPI 1558538520
Physician

Emergency Psychiatric Medicine, PLLC

Emergency Psychiatric Medicine, PLLC was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.

33Billing provider infoEMERGENCY PSYCHIATRIC MEDICINE, PLLC
DALLAS, TX 75251
33aNPI1558538520assigned 05/09/2008
33bProvider typePsychiatry Physician
28Total paid$1.79M
24GClaims38,949
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in Texas

Rank by total paid#22 of 311
Median peer was paid$63K
This provider vs. median28×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018950$8K
201940$354.52
20202,328$91K
202111,680$503K
20229,980$472K
20239,099$474K
2024incomplete4,872$239K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 57% 24,772 8,562 $1.01M
99239 Hospital discharge day management, more than 30 minutes 18% 4,986 4,367 $319K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.9% 2,750 1,578 $142K
99223 Prolong inpt eval add15 m 6.0% 1,002 905 $107K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 2,829 2,637 $85K
99222 Initial hospital care, per day, moderate complexity 3.8% 750 692 $69K
99221 <1% 302 285 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 674 300 $17K
90792 Psychiatric diagnostic evaluation with medical services <1% 160 146 $15K
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 <1% 52 40 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 40 40 $990.86
96127 <1% 109 105 $23.46
4 more codes
G8732 No documentation of pain assessment, reason not given 0% 12 $0.00
4004F 0% 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 472 $0.00
99442 0% 15 $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)
Same official

Other billing entities under WADLINGTON, NICHOLAS

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.