Medicaid Provider Spending

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

METHODIST PHYSICIAN PRACTICES, PLLC

NPI: 1922252717 · SAN ANTONIO, TX 78249 · Pediatric Gastroenterology Physician · NPI assigned 11/06/2008

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

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

$1.88M
Total Medicaid Paid
63,984
Total Claims
54,709
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWADLINGTON, NICHOLAS (GROUP VICE PRESIDENT)
NPI Enumeration Date11/06/2008

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
PEDIATRICS OF GREATER HOUSTON, PLLC HOUSTON TX $3.12M
RAPIDES REGIONAL PHYSICIAN GROUP SPECIALTY CARE, LLC ALEXANDRIA LA $2.81M
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
2018 2,108 $7K
2019 2,064 $7K
2020 6,250 $70K
2021 16,476 $435K
2022 15,617 $508K
2023 14,984 $556K
2024 6,485 $293K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,027 19,581 $839K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,392 2,267 $182K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,899 1,407 $134K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,126 3,442 $105K
99233 Prolong inpt eval add15 m 2,090 680 $101K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 950 926 $82K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 16,455 14,175 $66K
76819 Fetal biophysical profile; without non-stress testing 1,126 793 $63K
99215 Prolong outpt/office vis 1,212 927 $60K
99244 Office or other outpatient consultation, moderate to high complexity 329 322 $37K
45380 Colonoscopy, flexible; with biopsy, single or multiple 243 235 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 870 728 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,048 982 $30K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 486 393 $25K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 239 203 $18K
93000 3,019 2,784 $17K
99222 Initial hospital care, per day, moderate complexity 142 133 $13K
99232 Subsequent hospital care, per day, moderate complexity 299 113 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 433 370 $8K
76825 38 27 $5K
93296 965 954 $4K
99223 Prolong inpt eval add15 m 30 24 $3K
93294 137 137 $809.26
96450 14 12 $774.28
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 38 21 $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 37 37 $682.66
93297 52 51 $497.21
93325 32 24 $418.57
95813 12 12 $66.02
76376 18 17 $38.90
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 213 212 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,198 2,002 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 114 103 $0.00
G8482 Influenza immunization administered or previously received 339 289 $0.00
93356 41 40 $0.00
1036F 79 78 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 110 78 $0.00
G8432 Depression screening not documented, reason not given 24 24 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 12 12 $0.00
3017F 15 14 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 81 80 $0.00