Physician
Texas Health Care, P.L.L.C.
Texas Health Care, P.L.L.C. was paid $1.13M by Medicaid between Feb 2020 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoTEXAS HEALTH CARE, P.L.L.C.
FORT WORTH, TX 76107
FORT WORTH, TX 76107
33aNPI1245686617assigned 05/04/2016
33bProvider typeOphthalmic Plastic and Reconstructive Surgery Physician
28Total paid$1.13M
24GClaims57,410
24DCodes billed66
24AFirst – last monthFeb 2020 – Dec 2024
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 | |
|---|---|---|---|
| 2020 | 4,824 | $115K | |
| 2021 | 17,062 | $426K | |
| 2022 | 13,409 | $253K | |
| 2023 | 14,774 | $191K | |
| 2024incomplete | 7,341 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 8,934 | 6,064 | $270K |
| 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 | 15% | 3,844 | 3,158 | $172K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.3% | 889 | 687 | $72K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 7,735 | 2,833 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 1,258 | 1,173 | $63K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.4% | 844 | 523 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 1,079 | 991 | $47K |
| 59430 | 3.6% | 502 | 442 | $41K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 898 | 767 | $33K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 504 | 415 | $32K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.6% | 234 | 218 | $30K |
| 76820 | 2.3% | 780 | 486 | $26K |
54 more codes
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.1% | 45 | $23K |
| 92587 | 1.7% | 1,555 | $20K | |
| 76801 | 1.7% | 227 | $19K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 380 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 2,284 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,222 | $15K |
| 81002 | 1.3% | 5,809 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,175 | $14K |
| 99000 | 1.2% | 1,538 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 515 | $12K |
| 92567 | 1.0% | 1,250 | $12K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 178 | $9K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 148 | $9K |
| 69210 | <1% | 245 | $8K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 75 | $6K |
| 90461 | <1% | 1,833 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 61 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 87 | $4K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 60 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 98 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 118 | $2K |
| 81025 | <1% | 211 | $962.04 | |
| 99460 | <1% | 12 | $620.97 | |
| 90480 | <1% | 13 | $390.00 | |
| 96127 | <1% | 480 | $264.60 | |
| 90670 | <1% | 744 | $155.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $122.73 |
| 90686 | <1% | 1,593 | $89.16 | |
| 90680 | <1% | 606 | $72.80 | |
| 82950 | <1% | 13 | $31.92 | |
| 90700 | <1% | 356 | $22.75 | |
| 99173 | <1% | 1,188 | $22.05 | |
| 96161 | <1% | 387 | $5.75 | |
| 99072 | 0% | 182 | $0.00 | |
| 90707 | 0% | 116 | $0.00 | |
| 1159F | 0% | 459 | $0.00 | |
| 90713 | 0% | 187 | $0.00 | |
| 3725F | 0% | 271 | $0.00 | |
| 3078F | 0% | 459 | $0.00 | |
| 90633 | 0% | 120 | $0.00 | |
| 90648 | 0% | 185 | $0.00 | |
| 1160F | 0% | 454 | $0.00 | |
| 0502F | 0% | 63 | $0.00 | |
| 3074F | 0% | 441 | $0.00 | |
| 90744 | 0% | 39 | $0.00 | |
| 90677 | 0% | 261 | $0.00 | |
| 1036F | 0% | 393 | $0.00 | |
| 90716 | 0% | 125 | $0.00 | |
| 3008F | 0% | 524 | $0.00 | |
| 90697 | 0% | 487 | $0.00 | |
| 36416 | 0% | 134 | $0.00 | |
| 90656 | 0% | 218 | $0.00 | |
| 1126F | 0% | 251 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 14 | $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 officialLAWLEY, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Texas Health Care, P.L.L.C. | Fort Worth, TX | $9.23M |
| Texas Health Care, P.L.L.C. | Willow Park, TX | $1.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.