Medicaid Provider Spending

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

PEDIATRICS OF GREATER HOUSTON, PLLC

NPI: 1790188027 · HOUSTON, TX 77054 · Pediatrics Physician · NPI assigned 10/01/2014

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

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

$3.12M
Total Medicaid Paid
111,605
Total Claims
100,999
Beneficiaries
54
Codes Billed
2019-10
First Month
2023-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date10/01/2014

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
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
2019 56 $431.21
2020 7,018 $173K
2021 38,803 $1.04M
2022 36,264 $1.05M
2023 29,464 $854K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,821 16,114 $649K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,526 7,383 $590K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,614 6,147 $519K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,595 3,046 $259K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,794 1,674 $158K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,875 2,710 $147K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,557 12,246 $126K
90472 Immunization administration, each additional vaccine (list separately) 13,377 9,101 $119K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,059 1,941 $104K
99238 Hospital discharge day management, 30 minutes or less 1,349 1,306 $80K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,750 2,606 $77K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 943 882 $71K
99460 638 610 $49K
90474 4,134 4,031 $37K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,935 3,567 $34K
99223 Prolong inpt eval add15 m 207 196 $26K
99381 243 190 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 549 510 $13K
99462 241 172 $9K
90670 4,640 4,548 $7K
99233 Prolong inpt eval add15 m 65 49 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 79 71 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 610 579 $4K
0071A 94 90 $4K
90651 652 627 $2K
90680 4,150 4,041 $2K
99239 Hospital discharge day management, more than 30 minutes 14 14 $1K
99383 14 12 $1K
17250 17 16 $959.58
0072A 25 25 $941.56
90734 126 126 $922.20
90671 937 902 $873.96
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 44 20 $579.52
90710 1,045 1,024 $482.08
81002 162 151 $470.50
90744 1,048 1,030 $467.19
90633 2,612 2,534 $421.25
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 27 24 $357.79
90619 344 331 $333.40
90686 1,783 1,730 $323.83
90716 657 631 $305.82
90677 338 315 $268.76
90698 3,632 3,527 $92.71
90707 639 616 $84.10
81000 18 15 $53.25
90696 444 437 $52.46
90715 208 197 $31.50
90697 2,080 2,025 $0.70
96127 667 648 $0.00
91307 166 152 $0.00
90620 14 14 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 15 14 $0.00
90648 16 16 $0.00
90700 16 16 $0.00