Medicaid Provider Spending

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

HOUSTON PEDIATRIC SPECIALTY GROUP PLLC

NPI: 1609047687 · HOUSTON, TX 77054 · Pediatric Pulmonology Physician · NPI assigned 03/18/2008

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

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

$710K
Total Medicaid Paid
12,156
Total Claims
10,962
Beneficiaries
22
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date03/18/2008

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
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
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
2020 1,044 $64K
2021 4,137 $238K
2022 2,568 $161K
2023 2,544 $153K
2024 1,863 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,947 5,358 $282K
99244 Office or other outpatient consultation, moderate to high complexity 1,127 1,016 $133K
99215 Prolong outpt/office vis 1,094 1,026 $79K
99243 543 513 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 919 804 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 493 455 $24K
54150 402 348 $24K
54161 137 127 $19K
99221 385 332 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 195 186 $17K
99245 103 90 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 79 73 $10K
94375 354 299 $10K
99205 Prolong outpt/office vis 42 42 $5K
99254 12 12 $2K
94010 62 60 $1K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 12 12 $576.50
99251 12 12 $483.21
93320 12 12 $143.12
93325 12 12 $49.98
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 133 122 $0.00
99024 81 51 $0.00