Physician
Tejas Health Care
Tejas Health Care was paid $4.51M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoTEJAS HEALTH CARE
LA GRANGE, TX 78945
LA GRANGE, TX 78945
33aNPI1073779500assigned 08/04/2008
33bProvider typeFamily Medicine Physician
28Total paid$4.51M
24GClaims69,836
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#21 of 1,204
Median peer was paid$31K
This provider vs. median146×
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 | |
|---|---|---|---|
| 2018 | 97 | $14K | |
| 2019 | 560 | $44K | |
| 2020 | 3,368 | $239K | |
| 2021 | 12,093 | $594K | |
| 2022 | 16,560 | $745K | |
| 2023 | 20,005 | $1.24M | |
| 2024incomplete | 17,153 | $1.63M |
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 | 77% | 21,736 | 17,050 | $3.48M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 9,143 | 7,883 | $284K |
| D0999 | Unspecified diagnostic procedure, by report | 5.7% | 2,010 | 1,812 | $258K |
| 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 | 3.9% | 3,896 | 3,345 | $176K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 966 | 518 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 546 | 537 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,470 | 2,836 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 507 | 488 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 696 | 543 | $38K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,416 | 1,082 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 155 | 153 | $15K |
| 99000 | <1% | 2,753 | 2,539 | $10K |
52 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 982 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,431 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 552 | $8K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 684 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 125 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 199 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 29 | $3K |
| 90461 | <1% | 1,523 | $3K | |
| 99384 | <1% | 26 | $2K | |
| Q3014 | Telehealth originating site facility fee | <1% | 90 | $836.98 |
| 92551 | <1% | 1,902 | $606.82 | |
| 87807 | <1% | 65 | $594.00 | |
| 81025 | <1% | 120 | $319.06 | |
| 90686 | <1% | 689 | $312.48 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 109 | $229.04 |
| 90651 | <1% | 227 | $200.00 | |
| 90620 | <1% | 19 | $168.05 | |
| D0120 | Dental checkup, returning patient | <1% | 731 | $115.40 |
| D1120 | Dental cleaning, child | <1% | 529 | $73.50 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 122 | $70.64 |
| 81002 | <1% | 35 | $70.08 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 678 | $64.24 |
| D1206 | Topical application of fluoride varnish | <1% | 580 | $44.10 |
| D0274 | Bitewings - four radiographic images | <1% | 332 | $34.61 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 632 | $34.53 |
| 90656 | <1% | 81 | $17.47 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 254 | $14.70 |
| 90785 | <1% | 238 | $0.24 | |
| D0603 | 0% | 385 | $0.00 | |
| 90696 | 0% | 33 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,650 | $0.00 |
| D0602 | 0% | 514 | $0.00 | |
| 90677 | 0% | 80 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 44 | $0.00 |
| 90680 | 0% | 13 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 19 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 16 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 14 | $0.00 |
| 99173 | 0% | 2,031 | $0.00 | |
| 90715 | 0% | 58 | $0.00 | |
| 90685 | 0% | 28 | $0.00 | |
| 90633 | 0% | 79 | $0.00 | |
| 90670 | 0% | 115 | $0.00 | |
| 90734 | 0% | 145 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 18 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 139 | $0.00 |
| 99080 | 0% | 13 | $0.00 | |
| 90710 | 0% | 32 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 26 | $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 officialWYANT, PAMELA (BILLING SUPERVISOR)