Physician
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $8.24M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
MARSHALL, TX 75670
MARSHALL, TX 75670
33aNPI1053845636assigned 04/20/2017
33bProvider typePediatrics Physician
28Total paid$8.24M
24GClaims185,001
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#35 of 1,136
Median peer was paid$329K
This provider vs. median25×
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 ROADCAP, CARLA controls 13+ 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 | 91 | $14K | |
| 2019 | 303 | $30K | |
| 2020 | 16,694 | $407K | |
| 2021 | 51,825 | $1.97M | |
| 2022 | 46,354 | $2.18M | |
| 2023 | 39,622 | $2.03M | |
| 2024incomplete | 30,112 | $1.62M |
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 | 68% | 46,882 | 40,069 | $5.62M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 26,536 | 23,789 | $1.11M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 5,424 | 5,361 | $403K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 4,199 | 4,136 | $325K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 3,056 | 2,991 | $230K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 2,185 | 2,111 | $165K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,793 | 2,655 | $92K |
| 99381 | <1% | 790 | 756 | $69K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,835 | 5,597 | $53K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,830 | 1,743 | $46K |
| 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 | <1% | 780 | 758 | $41K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,171 | 7,015 | $36K |
57 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,078 | $28K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 407 | $7K |
| 97803 | <1% | 641 | $6K | |
| 87807 | <1% | 609 | $4K | |
| 97802 | <1% | 325 | $2K | |
| 92552 | <1% | 3,474 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $704.75 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 75 | $607.07 |
| 90619 | <1% | 22 | $423.39 | |
| 99000 | <1% | 18 | $118.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 849 | $24.24 |
| 96160 | <1% | 119 | $18.24 | |
| 90461 | <1% | 366 | $1.78 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,795 | $1.69 |
| 90620 | <1% | 298 | $1.60 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,342 | $0.40 |
| 90474 | <1% | 2,250 | $0.09 | |
| 90686 | <1% | 2,144 | $0.01 | |
| 90696 | 0% | 660 | $0.00 | |
| 90680 | 0% | 2,513 | $0.00 | |
| 90723 | 0% | 2,496 | $0.00 | |
| 3351F | 0% | 75 | $0.00 | |
| 90677 | 0% | 957 | $0.00 | |
| 90647 | 0% | 2,531 | $0.00 | |
| 2010F | 0% | 5,713 | $0.00 | |
| 90688 | 0% | 40 | $0.00 | |
| 2001F | 0% | 749 | $0.00 | |
| 90651 | 0% | 717 | $0.00 | |
| 90698 | 0% | 43 | $0.00 | |
| 3008F | 0% | 3,949 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 183 | $0.00 |
| 90716 | 0% | 12 | $0.00 | |
| 4140F | 0% | 16 | $0.00 | |
| 96127 | 0% | 102 | $0.00 | |
| 2000F | 0% | 3,038 | $0.00 | |
| 3074F | 0% | 199 | $0.00 | |
| 36416 | 0% | 185 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 64 | $0.00 |
| 90697 | 0% | 30 | $0.00 | |
| 85018 | 0% | 37 | $0.00 | |
| 90710 | 0% | 1,856 | $0.00 | |
| 90715 | 0% | 482 | $0.00 | |
| 90734 | 0% | 859 | $0.00 | |
| 3210F | 0% | 469 | $0.00 | |
| 90633 | 0% | 2,034 | $0.00 | |
| 90670 | 0% | 2,818 | $0.00 | |
| 4120F | 0% | 6,633 | $0.00 | |
| 90700 | 0% | 863 | $0.00 | |
| 3078F | 0% | 183 | $0.00 | |
| 4124F | 0% | 2,491 | $0.00 | |
| 99173 | 0% | 3,777 | $0.00 | |
| 3028F | 0% | 554 | $0.00 | |
| 1039F | 0% | 13 | $0.00 | |
| 1159F | 0% | 286 | $0.00 | |
| 90648 | 0% | 36 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| 4025F | 0% | 19 | $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 officialROADCAP, CARLA (CEO)
| Provider | Location | Paid |
|---|---|---|
| East Texas Border Health Clinic | Texarkana, TX | $10.88M |
| East Texas Border Health Clinic | Texarkana, AR | $7.40M |
| East Texas Border Health Clinic | Atlanta, TX | $7.38M |
| East Texas Border Health Clinic | Texarkana, TX | $5.56M |
| East Texas Border Health Clinic | Marshall, TX | $2.59M |
| East Texas Border Health Clinic | Texarkana, AR | $2.44M |
| East Texas Border Health Clinic | Marshall, TX | $1.57M |
| East Texas Border Health Clinic | Marshall, TX | $840K |
| East Texas Border Health Clinic | Texarkana, TX | $724K |
| East Texas Border Health Clinic | Marshall, TX | $528K |
| East Texas Border Health Clinic | Texarkana, TX | $81K |
| East Texas Border Health Clinic | Atlanta, TX | $7K |
| East Texas Border Health Clinic | Longview, TX | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.