Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kevin R Waddell MD PA

Kevin R Waddell MD PA was paid $1.04M by Medicaid between Jan 2020 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoKEVIN R WADDELL MD PA
BEAUMONT, TX 77701
33aNPI1639251051assigned 10/19/2006
28Total paid$1.04M
24GClaims26,328
24DCodes billed21
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#59 of 432
Median peer was paid$103K
This provider vs. median10×

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.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20202,801$87K
20216,505$301K
20227,552$317K
20235,960$233K
2024incomplete3,510$99K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 6,402 4,161 $217K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 15% 289 270 $157K
76818 11% 1,330 669 $119K
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 11% 2,293 1,877 $110K
59514 8.2% 134 129 $85K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7.4% 913 826 $77K
59025 Fetal non-stress test 4.4% 1,313 586 $45K
99238 Hospital discharge day management, 30 minutes or less 3.7% 752 731 $39K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.2% 306 300 $33K
59430 3.0% 362 351 $31K
81002 2.2% 8,538 4,354 $22K
54150 2.2% 310 297 $22K
9 more codes
76813 1.7% 196 $18K
99203 Doctor's office visit, new patient (routine) 1.4% 263 $15K
81025 1.4% 2,173 $15K
99232 Hospital visit by a doctor, follow-up day 1.4% 356 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 292 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 56 $4K
99204 Doctor's office visit, new patient (more involved) <1% 25 $2K
76830 Ultrasound, transvaginal <1% 13 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 $858.91

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 officialWADDELL, KEVIN (PROVIDER)