Clinic
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $724K by Medicaid between Jan 2018 and Feb 2022, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
TEXARKANA, TX 75503
TEXARKANA, TX 75503
33aNPI1083006084assigned 02/27/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$724K
24GClaims58,660
24DCodes billed59
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#131 of 248
Median peer was paid$796K
This provider vs. median0.9×
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 | 3,536 | $69K | |
| 2019 | 4,263 | $70K | |
| 2020 | 23,899 | $214K | |
| 2021 | 26,763 | $362K | |
| 2022 | 199 | $9K |
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 | 54% | 3,458 | 2,361 | $390K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 7,349 | 4,763 | $224K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 1,110 | 821 | $30K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.9% | 307 | 279 | $21K |
| 59430 | 2.5% | 250 | 231 | $18K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.2% | 327 | 283 | $16K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.2% | 13 | 13 | $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% | 154 | 136 | $7K |
| 76801 | <1% | 84 | 76 | $4K | |
| 81003 | <1% | 7,682 | 4,768 | $3K | |
| 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% | 15 | 13 | $840.60 |
| 90715 | <1% | 46 | 44 | $504.04 |
47 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $428.81 |
| 90686 | <1% | 35 | $161.41 | |
| 81025 | <1% | 26 | $65.07 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | $48.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 115 | $31.38 |
| 3078F | 0% | 2,602 | $0.00 | |
| 0502F | 0% | 3,832 | $0.00 | |
| 3293F | 0% | 203 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,464 | $0.00 |
| 1159F | 0% | 667 | $0.00 | |
| 3028F | 0% | 3,517 | $0.00 | |
| 3085F | 0% | 72 | $0.00 | |
| 81422 | 0% | 14 | $0.00 | |
| 3015F | 0% | 136 | $0.00 | |
| 3077F | 0% | 65 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 36 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 111 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 26 | $0.00 |
| 82947 | 0% | 21 | $0.00 | |
| 81002 | 0% | 45 | $0.00 | |
| 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | 0% | 14 | $0.00 |
| 2010F | 0% | 4,009 | $0.00 | |
| 0501F | 0% | 2,049 | $0.00 | |
| 2000F | 0% | 4,220 | $0.00 | |
| 3044F | 0% | 337 | $0.00 | |
| 2001F | 0% | 1,292 | $0.00 | |
| 3008F | 0% | 4,136 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 613 | $0.00 |
| 3292F | 0% | 448 | $0.00 | |
| 1034F | 0% | 215 | $0.00 | |
| 81000 | 0% | 160 | $0.00 | |
| 3075F | 0% | 272 | $0.00 | |
| 3294F | 0% | 205 | $0.00 | |
| 3074F | 0% | 2,983 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 37 | $0.00 |
| 0503F | 0% | 266 | $0.00 | |
| 3353F | 0% | 76 | $0.00 | |
| 1125F | 0% | 26 | $0.00 | |
| 0500F | 0% | 239 | $0.00 | |
| 3351F | 0% | 49 | $0.00 | |
| 3352F | 0% | 117 | $0.00 | |
| 3079F | 0% | 694 | $0.00 | |
| 3080F | 0% | 45 | $0.00 | |
| 97802 | 0% | 42 | $0.00 | |
| 82950 | 0% | 50 | $0.00 | |
| 82962 | 0% | 15 | $0.00 | |
| 96127 | 0% | 228 | $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 | Marshall, TX | $8.24M |
| 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 | 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.