Medicaid Provider Spending

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

EMERGENCY PSYCHIATRIC MEDICINE, PLLC

NPI: 1558538520 · DALLAS, TX 75251 · Psychiatry Physician · NPI assigned 05/09/2008

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

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

$1.79M
Total Medicaid Paid
38,949
Total Claims
19,935
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date05/09/2008

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
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
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 950 $8K
2019 40 $354.52
2020 2,328 $91K
2021 11,680 $503K
2022 9,980 $472K
2023 9,099 $474K
2024 4,872 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 24,772 8,562 $1.01M
99239 Hospital discharge day management, more than 30 minutes 4,986 4,367 $319K
99233 Prolong inpt eval add15 m 2,750 1,578 $142K
99223 Prolong inpt eval add15 m 1,002 905 $107K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,829 2,637 $85K
99222 Initial hospital care, per day, moderate complexity 750 692 $69K
99221 302 285 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 674 300 $17K
90792 Psychiatric diagnostic evaluation with medical services 160 146 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52 40 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 40 40 $990.86
96127 109 105 $23.46
G8732 No documentation of pain assessment, reason not given 12 12 $0.00
4004F 24 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 472 230 $0.00
99442 15 12 $0.00