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

NWTX Physician Network, PLLC

NWTX Physician Network, PLLC was paid $475K by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoNWTX PHYSICIAN NETWORK, PLLC
AMARILLO, TX 79109
33aNPI1790109916assigned 02/07/2014
33bProvider typeHospitalist Physician
28Total paid$475K
24GClaims20,045
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Hospitalist Physician providers in Texas

Rank by total paid#5 of 71
Median peer was paid$6K
This provider vs. median78×

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 EVANS, TODD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
201812$603.18
201962$353.70
2020250$8K
20212,488$78K
20223,365$74K
20238,466$193K
2024incomplete5,402$121K
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 27% 5,169 4,255 $128K
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 22% 3,052 2,162 $104K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.3% 896 846 $39K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4.8% 494 193 $23K
87428 3.6% 390 337 $17K
99239 Hospital discharge day management, more than 30 minutes 3.0% 212 193 $14K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.9% 217 206 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.8% 596 568 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.8% 491 469 $13K
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 2.6% 242 222 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.9% 301 290 $9K
76775 1.6% 437 430 $7K
43 more codes
71045 Radiologic examination, chest; single view 1.4% 1,293 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 1.4% 756 $6K
99232 Hospital visit by a doctor, follow-up day 1.2% 136 $6K
20610 1.1% 289 $5K
71046 Radiologic examination, chest; 2 views 1.0% 688 $5K
73140 <1% 161 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 160 $4K
99205 Prolong outpt/office vis <1% 70 $4K
73110 <1% 200 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 160 $3K
76801 <1% 169 $3K
93000 <1% 345 $3K
70450 Computed tomography, head or brain; without contrast material <1% 168 $3K
73130 <1% 113 $3K
74018 <1% 472 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 232 $2K
93297 <1% 170 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 39 $2K
99223 Prolong inpt eval add15 m <1% 71 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 137 $2K
76376 <1% 312 $1K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 193 $998.05
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 45 $866.75
99000 <1% 93 $859.12
73610 <1% 128 $616.60
73630 <1% 78 $311.06
76536 <1% 20 $285.56
73562 <1% 18 $282.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 20 $244.64
73100 <1% 19 $226.74
73030 <1% 42 $178.46
87807 <1% 18 $157.30
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 15 $67.96
73560 <1% 12 $62.22
81002 <1% 18 $25.68
90461 <1% 13 $25.67
73090 <1% 15 $12.88
73502 <1% 14 $9.69
99024 0% 493 $0.00
90677 0% 65 $0.00
90680 0% 15 $0.00
36415 Collection of venous blood by venipuncture 0% 26 $0.00
99497 0% 47 $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

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Authorized officialEVANS, TODD (VP)
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