DECATUR PHYSICIAN SERVICES PLLC

NPI: 1568240257 · DECATUR, TX 76234 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 09/15/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$11K

Total Medicaid Paid

2,460

Total Claims

1,611

Beneficiaries

Codes Billed

2023-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	WADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date	09/15/2023

Other providers sharing the same authorized official: WADLINGTON, NICHOLAS

Provider	City	State	Total 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
CHCA BAYSHORE LP	HOUSTON	TX	$515K
OB GYN OF BROWNSVILLE PLLC	BROWNSVILLE	TX	$395K
THE AUSTIN DIAGNOSTIC CLINIC, PLLC	AUSTIN	TX	$385K

Year	Claims	Total Paid
2023	243	$546.53
2024	2,217	$10K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,120	738	$9K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	50	39	$760.76
81002		571	344	$328.86
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	17	12	$291.76
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	12	12	$286.13
81003		540	345	$202.74
90460	Immunization administration through 18 years of age via any route, first or only component	47	33	$192.50
96110	Developmental screening, with scoring and documentation, per standardized instrument	56	47	$115.64
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	16	13	$58.66
90461		18	16	$0.00
90677		13	12	$0.00