Physician
Methodist Physician Practices, PLLC
Methodist Physician Practices, PLLC was paid $1.88M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoMETHODIST PHYSICIAN PRACTICES, PLLC
SAN ANTONIO, TX 78249
SAN ANTONIO, TX 78249
33aNPI1922252717assigned 11/06/2008
33bProvider typePediatric Gastroenterology Physician
28Total paid$1.88M
24GClaims63,984
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Texas
Rank by total paid#2 of 13
Median peer was paid$260K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2018 | 2,108 | $7K | |
| 2019 | 2,064 | $7K | |
| 2020 | 6,250 | $70K | |
| 2021 | 16,476 | $435K | |
| 2022 | 15,617 | $508K | |
| 2023 | 14,984 | $556K | |
| 2024incomplete | 6,485 | $293K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 22,027 | 19,581 | $839K |
| 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 | 9.7% | 2,392 | 2,267 | $182K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.2% | 1,899 | 1,407 | $134K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 4,126 | 3,442 | $105K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.4% | 2,090 | 680 | $101K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.4% | 950 | 926 | $82K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.5% | 16,455 | 14,175 | $66K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.3% | 1,126 | 793 | $63K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 1,212 | 927 | $60K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.0% | 329 | 322 | $37K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.9% | 243 | 235 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 870 | 728 | $35K |
29 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 1,048 | $30K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.3% | 486 | $25K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 239 | $18K |
| 93000 | <1% | 3,019 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 142 | $13K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 299 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 433 | $8K |
| 76825 | <1% | 38 | $5K | |
| 93296 | <1% | 965 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $3K |
| 93294 | <1% | 137 | $809.26 | |
| 96450 | <1% | 14 | $774.28 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $684.83 |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 37 | $682.66 |
| 93297 | <1% | 52 | $497.21 | |
| 93325 | <1% | 32 | $418.57 | |
| 95813 | <1% | 12 | $66.02 | |
| 76376 | <1% | 18 | $38.90 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 213 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,198 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 114 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 339 | $0.00 |
| 93356 | 0% | 41 | $0.00 | |
| 1036F | 0% | 79 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 110 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 24 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 12 | $0.00 |
| 3017F | 0% | 15 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 81 | $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.