Physician
Pediatrics of Greater Houston, PLLC
Pediatrics of Greater Houston, PLLC was paid $3.12M by Medicaid between Oct 2019 and Dec 2023, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoPEDIATRICS OF GREATER HOUSTON, PLLC
HOUSTON, TX 77054
HOUSTON, TX 77054
33aNPI1790188027assigned 10/01/2014
33bProvider typePediatrics Physician
28Total paid$3.12M
24GClaims111,605
24DCodes billed54
24AFirst – last monthOct 2019 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#152 of 1,136
Median peer was paid$329K
This provider vs. median9.5×
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 | |
|---|---|---|---|
| 2019 | 56 | $431.21 | |
| 2020 | 7,018 | $173K | |
| 2021 | 38,803 | $1.04M | |
| 2022 | 36,264 | $1.05M | |
| 2023 | 29,464 | $854K |
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 | 21% | 17,821 | 16,114 | $649K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 8,526 | 7,383 | $590K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 6,614 | 6,147 | $519K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 3,595 | 3,046 | $259K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 1,794 | 1,674 | $158K |
| 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 | 4.7% | 2,875 | 2,710 | $147K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 12,557 | 12,246 | $126K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 13,377 | 9,101 | $119K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.3% | 2,059 | 1,941 | $104K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.6% | 1,349 | 1,306 | $80K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.5% | 2,750 | 2,606 | $77K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.3% | 943 | 882 | $71K |
42 more codes
| 99460 | 1.6% | 638 | $49K | |
| 90474 | 1.2% | 4,134 | $37K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 3,935 | $34K |
| 99223 | Prolong inpt eval add15 m | <1% | 207 | $26K |
| 99381 | <1% | 243 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 549 | $13K |
| 99462 | <1% | 241 | $9K | |
| 90670 | <1% | 4,640 | $7K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 65 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 79 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 610 | $4K |
| 0071A | <1% | 94 | $4K | |
| 90651 | <1% | 652 | $2K | |
| 90680 | <1% | 4,150 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| 99383 | <1% | 14 | $1K | |
| 17250 | <1% | 17 | $959.58 | |
| 0072A | <1% | 25 | $941.56 | |
| 90734 | <1% | 126 | $922.20 | |
| 90671 | <1% | 937 | $873.96 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 44 | $579.52 |
| 90710 | <1% | 1,045 | $482.08 | |
| 81002 | <1% | 162 | $470.50 | |
| 90744 | <1% | 1,048 | $467.19 | |
| 90633 | <1% | 2,612 | $421.25 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $357.79 |
| 90619 | <1% | 344 | $333.40 | |
| 90686 | <1% | 1,783 | $323.83 | |
| 90716 | <1% | 657 | $305.82 | |
| 90677 | <1% | 338 | $268.76 | |
| 90698 | <1% | 3,632 | $92.71 | |
| 90707 | <1% | 639 | $84.10 | |
| 81000 | <1% | 18 | $53.25 | |
| 90696 | <1% | 444 | $52.46 | |
| 90715 | <1% | 208 | $31.50 | |
| 90697 | <1% | 2,080 | $0.70 | |
| 96127 | 0% | 667 | $0.00 | |
| 91307 | 0% | 166 | $0.00 | |
| 90620 | 0% | 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 | 0% | 15 | $0.00 |
| 90648 | 0% | 16 | $0.00 | |
| 90700 | 0% | 16 | $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.