Medicaid Provider Spending

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

WOMANS HEALTH GROUP PLLC

NPI: 1750532545 · HOUSTON, TX 77054 · Obstetrics & Gynecology Physician · NPI assigned 10/10/2008

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

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

$838K
Total Medicaid Paid
27,444
Total Claims
16,579
Beneficiaries
22
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date10/10/2008

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
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
2020 1,270 $46K
2021 7,268 $249K
2022 7,531 $197K
2023 6,913 $190K
2024 4,462 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,719 11,368 $627K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,358 1,065 $74K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 71 64 $39K
59514 76 74 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 177 165 $13K
81002 4,969 2,985 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 202 179 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 273 199 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 98 93 $9K
59430 97 95 $9K
76819 Fetal biophysical profile; without non-stress testing 131 67 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 55 39 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38 26 $1K
99220 16 12 $1K
99205 Prolong outpt/office vis 16 12 $1K
99234 14 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 25 $616.99
90715 12 12 $252.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 49 45 $252.56
90686 17 16 $200.19
81001 16 12 $41.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 13 $0.00