Physician
East Texas Community Health Services, INC.
East Texas Community Health Services, INC. was paid $5.80M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
33Billing provider infoEAST TEXAS COMMUNITY HEALTH SERVICES, INC.
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
33aNPI1255367090assigned 06/23/2006
33bProvider typePediatrics Physician
28Total paid$5.80M
24GClaims75,224
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#70 of 1,136
Median peer was paid$329K
This provider vs. median18×
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.
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 | 157 | $24K | |
| 2019 | 168 | $27K | |
| 2020 | 4,273 | $339K | |
| 2021 | 18,683 | $1.25M | |
| 2022 | 18,254 | $1.31M | |
| 2023 | 14,862 | $1.18M | |
| 2024incomplete | 18,827 | $1.66M |
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 | 72% | 36,987 | 27,333 | $4.17M |
| 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 | 9.1% | 10,200 | 9,096 | $528K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 11,950 | 9,450 | $484K |
| D0999 | Unspecified diagnostic procedure, by report | 1.9% | 1,421 | 1,106 | $112K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 1,015 | 992 | $81K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 578 | 567 | $45K |
| 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% | 722 | 693 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 429 | 418 | $34K |
| 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% | 1,527 | 1,382 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 381 | 375 | $29K |
| 99382 | <1% | 346 | 318 | $28K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 453 | 413 | $28K |
31 more codes
| 99381 | <1% | 296 | $25K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 686 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 362 | $21K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 35 | $21K |
| 90837 | Psychotherapy session, about an hour | <1% | 263 | $19K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 282 | $17K |
| 99383 | <1% | 177 | $16K | |
| 59430 | <1% | 173 | $15K | |
| 99384 | <1% | 98 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 113 | $5K |
| 81000 | <1% | 3,329 | $4K | |
| 81025 | <1% | 1,027 | $4K | |
| 99201 | <1% | 22 | $862.66 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 427 | $779.02 |
| 69210 | <1% | 13 | $478.65 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $434.76 |
| 59025 | Fetal non-stress test | <1% | 13 | $394.90 |
| 82948 | <1% | 601 | $355.32 | |
| 87400 | <1% | 33 | $344.23 | |
| 96380 | <1% | 15 | $267.26 | |
| 90715 | <1% | 13 | $242.76 | |
| 83037 | <1% | 639 | $75.24 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 65 | $3.22 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 105 | $0.00 |
| 90648 | 0% | 18 | $0.00 | |
| 90700 | 0% | 17 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 211 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 13 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 119 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 14 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 24 | $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 officialHUMPHREYS, ANITA (CFO)