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

Kathy L Summers, MD, PLLC

Kathy L Summers, MD, PLLC was paid $30K by Medicaid between Jul 2020 and Aug 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoKATHY L SUMMERS, MD, PLLC
HOUSTON, TX 77054
33aNPI1851534945assigned 04/20/2009
28Total paid$30K
24GClaims1,551
24DCodes billed3
24AFirst – last monthJul 2020 – Aug 2021
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#295 of 432
Median peer was paid$103K
This provider vs. median0.3×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020324$6K
20211,227$24K
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 86% 791 447 $26K
99205 Prolong outpt/office vis 7.6% 28 26 $2K
81002 6.7% 732 411 $2K

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

Full network →

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