Medicaid Provider Spending

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

SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC

NPI: 1699062349 · HOUSTON, TX 77004 · Interventional Cardiology Physician · NPI assigned 07/01/2011

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

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

$1.50M
Total Medicaid Paid
52,556
Total Claims
36,107
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date07/01/2011

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
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 26 $482.56
2019 75 $0.00
2020 4,540 $94K
2021 13,938 $405K
2022 13,322 $468K
2023 12,947 $273K
2024 7,708 $257K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,888 16,235 $830K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,508 2,530 $163K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,335 2,023 $146K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 181 173 $99K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 943 846 $79K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,783 1,781 $48K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 981 799 $42K
81003 13,334 8,598 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 234 214 $14K
59430 168 149 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 99 98 $8K
99385 150 123 $6K
99215 Prolong outpt/office vis 57 45 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,471 1,289 $4K
90715 191 167 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 541 474 $4K
99460 25 25 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 62 53 $2K
90686 131 114 $1K
76801 13 12 $1K
76819 Fetal biophysical profile; without non-stress testing 14 12 $922.93
69210 30 24 $907.89
99232 Subsequent hospital care, per day, moderate complexity 35 13 $864.12
99238 Hospital discharge day management, 30 minutes or less 12 12 $753.36
99441 29 27 $617.58
90661 30 28 $579.34
81025 112 96 $572.90
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $529.10
97597 24 15 $455.82
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35 24 $270.89
81002 98 72 $245.82
93000 17 12 $73.77
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12 12 $0.00