Medicaid Provider Spending

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

EAST TEXAS BORDER HEALTH CLINIC

NPI: 1093186249 · TEXARKANA, AR 71854 · Counselor · NPI assigned 10/14/2015

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

Authorized official ROADCAP, CARLA controls 13+ related entities in our dataset. Read more

$2.44M
Total Medicaid Paid
27,232
Total Claims
22,478
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROADCAP, CARLA (CEO)
NPI Enumeration Date10/14/2015

Related Entities

Other providers sharing the same authorized official: ROADCAP, CARLA

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,604 $475K
2019 1,528 $239K
2020 2,102 $125K
2021 5,454 $343K
2022 7,212 $585K
2023 5,209 $403K
2024 3,123 $274K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,406 10,555 $2.31M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,955 5,246 $95K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 550 495 $11K
90792 Psychiatric diagnostic evaluation with medical services 341 328 $10K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 526 458 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 125 111 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 287 250 $2K
90832 Psychotherapy, 30 minutes with patient 140 93 $343.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 70 35 $305.80
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 31 $208.35
99406 202 170 $45.10
90834 Psychotherapy, 45 minutes with patient 114 78 $31.00
96160 60 56 $2.25
2010F 558 478 $0.09
2000F 576 496 $0.09
3028F 551 474 $0.09
3008F 555 475 $0.08
3353F 219 180 $0.01
96127 401 338 $0.01
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 344 315 $0.01
4064F 35 30 $0.01
2001F 178 146 $0.00
3074F 106 100 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 64 58 $0.00
97802 79 77 $0.00
3079F 30 25 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00
3080F 13 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 941 813 $0.00
97803 117 106 $0.00
90837 Psychotherapy, 53 minutes with patient 513 325 $0.00
4120F 27 26 $0.00
3078F 64 60 $0.00
3077F 14 13 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 13 $0.00