Physician
Specialty Associates of West Houston PLLC
Specialty Associates of West Houston PLLC was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoSPECIALTY ASSOCIATES OF WEST HOUSTON PLLC
HOUSTON, TX 77004
HOUSTON, TX 77004
33aNPI1699062349assigned 07/01/2011
33bProvider typeInterventional Cardiology Physician
28Total paid$1.50M
24GClaims52,556
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in Texas
Rank by total paid#1 of 45
Median peer was paid$8K
This provider vs. median198×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WADLINGTON, NICHOLAS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 7,708 | $257K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 24,888 | 16,235 | $830K |
| 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% | 3,508 | 2,530 | $163K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 9.8% | 2,335 | 2,023 | $146K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 6.6% | 181 | 173 | $99K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.3% | 943 | 846 | $79K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 2,783 | 1,781 | $48K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.8% | 981 | 799 | $42K |
| 81003 | 1.4% | 13,334 | 8,598 | $21K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 234 | 214 | $14K |
| 59430 | <1% | 168 | 149 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 99 | 98 | $8K |
| 99385 | <1% | 150 | 123 | $6K |
21 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,471 | $4K |
| 90715 | <1% | 191 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 541 | $4K |
| 99460 | <1% | 25 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 62 | $2K |
| 90686 | <1% | 131 | $1K | |
| 76801 | <1% | 13 | $1K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 14 | $922.93 |
| 69210 | <1% | 30 | $907.89 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 35 | $864.12 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $753.36 |
| 99441 | <1% | 29 | $617.58 | |
| 90661 | <1% | 30 | $579.34 | |
| 81025 | <1% | 112 | $572.90 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $529.10 |
| 97597 | <1% | 24 | $455.82 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $270.89 |
| 81002 | <1% | 98 | $245.82 | |
| 93000 | <1% | 17 | $73.77 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
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 officialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.