Clinic
East Texas Community Clinic, INC.
East Texas Community Clinic, INC. was paid $544K by Medicaid between Aug 2020 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoEAST TEXAS COMMUNITY CLINIC, INC.
GUN BARREL CITY, TX 75156
GUN BARREL CITY, TX 75156
33aNPI1033752456assigned 10/18/2019
33bProvider typeCommunity Health Clinic/Center
28Total paid$544K
24GClaims18,285
24DCodes billed31
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Texas
Rank by total paid#4 of 13
Median peer was paid$32K
This provider vs. median17×
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.
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 | |
|---|---|---|---|
| 2020 | 1,401 | $14K | |
| 2021 | 4,392 | $32K | |
| 2022 | 1,684 | $9K | |
| 2023 | 4,304 | $67K | |
| 2024incomplete | 6,504 | $421K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 62% | 2,996 | 2,718 | $337K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 4,972 | 4,520 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 419 | 397 | $21K |
| 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 | 3.1% | 623 | 565 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 204 | 195 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 883 | 520 | $8K |
| 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% | 48 | 46 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | 26 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 99 | 97 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 31 | 30 | $917.14 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | 40 | $881.34 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $799.70 |
19 more codes
| 90461 | <1% | 229 | $633.64 | |
| 0011A | <1% | 18 | $313.88 | |
| 0012A | <1% | 13 | $264.39 | |
| 3074F | 0% | 719 | $0.00 | |
| 3008F | 0% | 2,900 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 927 | $0.00 |
| 3079F | 0% | 82 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 222 | $0.00 |
| 1126F | 0% | 65 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90677 | 0% | 29 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 978 | $0.00 |
| 1159F | 0% | 275 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 633 | $0.00 |
| 1160F | 0% | 247 | $0.00 | |
| 90670 | 0% | 122 | $0.00 | |
| 3078F | 0% | 413 | $0.00 | |
| 90648 | 0% | 29 | $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 officialROBISON, GLEN (CEO)
| Provider | Location | Paid |
|---|---|---|
| East Texas Community Clinic, INC. | Athens, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.