Medicaid Provider Spending

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

ELITE OB-GYN SERVICES OF EL PASO, PLLC

NPI: 1780069138 · EL PASO, TX 79935 · Obstetrics & Gynecology Physician · NPI assigned 07/28/2015

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

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

$8.05M
Total Medicaid Paid
212,934
Total Claims
142,531
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT/AO)
NPI Enumeration Date07/28/2015

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
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
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 198 $3K
2019 548 $14K
2020 10,435 $365K
2021 48,106 $1.80M
2022 48,429 $1.89M
2023 54,061 $2.00M
2024 51,157 $1.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21,288 16,482 $1.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,580 35,267 $1.53M
76819 Fetal biophysical profile; without non-stress testing 18,172 10,090 $1.12M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 7,126 5,662 $634K
76820 15,644 8,506 $535K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,980 7,630 $464K
76821 6,038 2,363 $395K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,407 3,312 $248K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 600 450 $231K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,192 2,402 $201K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,657 4,282 $110K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,182 1,917 $98K
76818 1,209 791 $94K
81002 37,661 22,730 $82K
59025 Fetal non-stress test 2,640 1,651 $79K
99215 Prolong outpt/office vis 1,111 697 $75K
59430 828 747 $71K
76801 888 757 $70K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 752 658 $66K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 732 672 $45K
81025 8,443 6,986 $45K
76830 Ultrasound, transvaginal 440 399 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 471 418 $30K
59514 111 67 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 864 716 $26K
99205 Prolong outpt/office vis 210 181 $16K
76813 137 126 $12K
90715 579 490 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,299 1,102 $10K
76825 53 49 $10K
J1050 Injection, medroxyprogesterone acetate, 1 mg 336 241 $8K
99222 Initial hospital care, per day, moderate complexity 128 93 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 723 495 $7K
99417 Prolong home eval add 15m 424 270 $4K
99232 Subsequent hospital care, per day, moderate complexity 96 49 $4K
90686 368 315 $4K
76827 102 63 $3K
83036 Hemoglobin; glycosylated (A1C) 988 869 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 69 51 $2K
76857 48 40 $1K
96127 2,627 1,920 $572.82
90661 23 18 $327.61
81003 383 277 $239.96
90472 Immunization administration, each additional vaccine (list separately) 16 12 $80.59
90656 16 12 $70.75
36416 62 50 $0.00
99459 147 82 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 25 25 $0.00
H1000 Prenatal care, at-risk assessment 25 24 $0.00
0502F 34 25 $0.00