Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › CLEVELAND › HEALTH CENTER OF SOUTHEAST TEXAS

HEALTH CENTER OF SOUTHEAST TEXAS

NPI: 1225059686 · CLEVELAND, TX 77327 · Federally Qualified Health Center (FQHC) · NPI assigned 07/21/2006

$12.07M
Total Medicaid Paid
188,929
Total Claims
167,962
Beneficiaries
95
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRACCIATO, STEVEN (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 410 $68K
2019 364 $58K
2020 10,331 $548K
2021 41,070 $2.18M
2022 47,494 $2.93M
2023 53,046 $3.37M
2024 36,214 $2.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 55,323 46,046 $9.94M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,400 19,862 $1.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,405 5,828 $416K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,110 2,920 $160K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,292 1,235 $97K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,434 1,400 $78K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,057 986 $77K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,450 1,413 $58K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,408 1,358 $51K
90837 Psychotherapy, 53 minutes with patient 763 544 $47K
90792 Psychiatric diagnostic evaluation with medical services 267 266 $16K
90834 Psychotherapy, 45 minutes with patient 281 230 $16K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 214 208 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 225 215 $12K
99384 201 198 $11K
90791 Psychiatric diagnostic evaluation 230 222 $11K
99383 184 181 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 155 149 $8K
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 228 210 $6K
97169 367 359 $5K
99382 64 63 $4K
CP002 179 160 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 947 889 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,637 1,534 $1K
90756 1,673 1,649 $1K
99381 25 25 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 54 51 $1K
87428 2,829 2,679 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,609 2,461 $548.35
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 40 40 $522.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,730 5,466 $474.46
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,493 1,330 $353.40
0001A 24 24 $330.82
0002A 15 15 $285.17
81025 485 452 $278.03
90460 Immunization administration through 18 years of age via any route, first or only component 491 473 $211.29
0011A 14 13 $203.28
83036 Hemoglobin; glycosylated (A1C) 1,304 1,251 $124.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 518 497 $97.30
90461 281 269 $81.86
90633 544 529 $72.22
81002 786 747 $52.56
90472 Immunization administration, each additional vaccine (list separately) 2,878 2,492 $20.27
86403 340 326 $19.38
82947 90 89 $3.30
J0696 Injection, ceftriaxone sodium, per 250 mg 28 27 $0.96
J1885 Injection, ketorolac tromethamine, per 15 mg 221 206 $0.65
J1050 Injection, medroxyprogesterone acetate, 1 mg 176 168 $0.19
1160F 9,924 8,768 $0.00
90715 423 413 $0.00
3078F 4,331 4,000 $0.00
90734 418 402 $0.00
2028F 270 248 $0.00
3288F 476 429 $0.00
90670 796 770 $0.00
90710 181 172 $0.00
90649 608 584 $0.00
99188 384 376 $0.00
90648 355 344 $0.00
1159F 9,538 8,451 $0.00
90707 32 28 $0.00
3077F 1,375 1,281 $0.00
90700 12 12 $0.00
4004F 2,850 2,562 $0.00
90785 65 62 $0.00
1158F 247 232 $0.00
1124F 47 43 $0.00
87420 31 30 $0.00
99072 28 27 $0.00
90680 473 457 $0.00
1000F 6,552 5,766 $0.00
3075F 1,376 1,295 $0.00
3074F 5,532 5,045 $0.00
3008F 3,538 3,175 $0.00
1125F 3,107 2,816 $0.00
90723 167 162 $0.00
3080F 824 766 $0.00
1126F 6,759 6,146 $0.00
90677 261 246 $0.00
96127 594 550 $0.00
90474 509 445 $0.00
3079F 2,960 2,745 $0.00
90697 115 111 $0.00
90619 27 27 $0.00
90696 88 84 $0.00
1111F 185 182 $0.00
36415 Collection of venous blood by venipuncture 541 507 $0.00
90686 175 169 $0.00
90698 56 56 $0.00
99406 65 64 $0.00
92551 57 57 $0.00
99000 34 34 $0.00
1170F 28 26 $0.00
90716 31 27 $0.00