Behavioral
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $2.44M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
TEXARKANA, AR 71854
TEXARKANA, AR 71854
33aNPI1093186249assigned 10/14/2015
33bProvider typeCounselor
28Total paid$2.44M
24GClaims27,232
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Arkansas
Rank by total paid#4 of 17
Median peer was paid$37K
This provider vs. median66×
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 | 2,604 | $475K | |
| 2019 | 1,528 | $239K | |
| 2020 | 2,102 | $125K | |
| 2021 | 5,454 | $343K | |
| 2022 | 7,212 | $585K | |
| 2023 | 5,209 | $403K | |
| 2024incomplete | 3,123 | $274K |
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 | 95% | 13,406 | 10,555 | $2.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 5,955 | 5,246 | $95K |
| 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% | 550 | 495 | $11K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 341 | 328 | $10K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 526 | 458 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 125 | 111 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 287 | 250 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 140 | 93 | $343.76 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 70 | 35 | $305.80 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | 31 | $208.35 |
| 99406 | <1% | 202 | 170 | $45.10 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 114 | 78 | $31.00 |
23 more codes
| 96160 | <1% | 60 | $2.25 | |
| 2010F | <1% | 558 | $0.09 | |
| 2000F | <1% | 576 | $0.09 | |
| 3028F | <1% | 551 | $0.09 | |
| 3008F | <1% | 555 | $0.08 | |
| 3353F | <1% | 219 | $0.01 | |
| 96127 | <1% | 401 | $0.01 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 344 | $0.01 |
| 4064F | <1% | 35 | $0.01 | |
| 2001F | 0% | 178 | $0.00 | |
| 3074F | 0% | 106 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 64 | $0.00 |
| 97802 | 0% | 79 | $0.00 | |
| 3079F | 0% | 30 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 3080F | 0% | 13 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 941 | $0.00 |
| 97803 | 0% | 117 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 513 | $0.00 |
| 4120F | 0% | 27 | $0.00 | |
| 3078F | 0% | 64 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 20 | $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 | 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.