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

ST. David's Specialized Women's Services, PLLC

ST. David's Specialized Women's Services, PLLC was paid $14.19M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 35% of everything it billed.

33Billing provider infoST. DAVID'S SPECIALIZED WOMEN'S SERVICES, PLLC
AUSTIN, TX 78758
33aNPI1821229568assigned 07/29/2009
28Total paid$14.19M
24GClaims295,838
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Texas

Rank by total paid#4 of 34
Median peer was paid$176K
This provider vs. median81×

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

$0$200K$400K2018201920202021202220232024
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
2018223$21K
201955$2K
202013,698$601K
202162,194$3.15M
202268,547$3.50M
202371,995$3.54M
2024incomplete79,126$3.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 35% 86,265 59,297 $5.03M
76819 Fetal biophysical profile; without non-stress testing 14% 46,432 27,893 $2.05M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8.4% 13,795 12,410 $1.19M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.9% 39,458 29,772 $1.12M
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 7.8% 29,233 21,287 $1.11M
76825 5.5% 5,906 5,268 $787K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4.9% 14,566 12,377 $699K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4.1% 8,939 8,240 $576K
76821 3.3% 11,263 6,100 $474K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 6,906 6,335 $304K
76820 1.9% 11,752 6,321 $274K
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 1.8% 4,068 3,723 $250K
11 more codes
76827 1.2% 4,520 $167K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,336 $64K
93325 <1% 5,249 $56K
76801 <1% 354 $16K
76813 <1% 220 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 331 $11K
81002 <1% 3,167 $4K
99215 Doctor's office visit, returning patient (complex) <1% 29 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 17 $808.51
99201 <1% 17 $490.49
96127 0% 15 $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)
Same official

Other billing entities under WADLINGTON, NICHOLAS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.