Dental
Special Health Resources for Texas, Incorporated
Special Health Resources for Texas, Incorporated was paid $19.54M by Medicaid between Aug 2019 and Dec 2024, across 86 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoSPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
PARIS, TX 75460
PARIS, TX 75460
33aNPI1346791258assigned 10/17/2016
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$19.54M
24GClaims242,743
24DCodes billed86
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Texas
Rank by total paid#1 of 102
Median peer was paid$338K
This provider vs. median58×
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 | |
|---|---|---|---|
| 2019 | 336 | $56K | |
| 2020 | 13,115 | $1.13M | |
| 2021 | 66,196 | $4.99M | |
| 2022 | 62,397 | $4.74M | |
| 2023 | 53,192 | $4.64M | |
| 2024incomplete | 47,507 | $3.98M |
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 | 80% | 75,843 | 64,173 | $15.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 40,027 | 34,999 | $1.41M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 6,780 | 6,658 | $572K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 5,795 | 5,776 | $439K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 4,099 | 4,085 | $329K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 2,997 | 2,966 | $248K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25,823 | 11,386 | $172K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,371 | 4,199 | $135K |
| 99381 | <1% | 1,074 | 1,066 | $112K | |
| 87428 | <1% | 3,218 | 3,050 | $99K | |
| 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% | 3,584 | 3,231 | $80K |
| 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% | 2,220 | 1,971 | $74K |
74 more codes
| 90619 | <1% | 873 | $70K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,042 | $53K |
| 90837 | Psychotherapy session, about an hour | <1% | 597 | $49K |
| 90461 | <1% | 5,947 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,377 | $21K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 556 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 943 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 170 | $8K |
| 87807 | <1% | 802 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 850 | $5K |
| 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 | <1% | 344 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $3K |
| 90620 | <1% | 33 | $3K | |
| 99460 | <1% | 36 | $3K | |
| 0001A | <1% | 57 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 89 | $2K |
| 0071A | <1% | 83 | $2K | |
| 0002A | <1% | 42 | $1K | |
| 81003 | <1% | 1,103 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 195 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,293 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $926.72 |
| 0072A | <1% | 63 | $760.00 | |
| CP002 | <1% | 67 | $655.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 79 | $552.92 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,976 | $384.62 |
| 90686 | <1% | 3,712 | $381.29 | |
| 81025 | <1% | 66 | $347.04 | |
| 90715 | <1% | 990 | $287.41 | |
| 90633 | <1% | 2,699 | $267.99 | |
| 90696 | <1% | 973 | $205.99 | |
| 90710 | <1% | 1,138 | $205.99 | |
| 90651 | <1% | 1,791 | $154.54 | |
| 99406 | <1% | 259 | $90.70 | |
| 90670 | <1% | 3,567 | $73.52 | |
| 90682 | <1% | 15 | $54.58 | |
| 99407 | <1% | 38 | $43.64 | |
| 90656 | <1% | 486 | $34.94 | |
| 88720 | <1% | 31 | $21.10 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $13.78 |
| 90474 | <1% | 919 | $10.38 | |
| 92551 | <1% | 204 | $10.10 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 615 | $0.01 |
| 90697 | 0% | 1,237 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 200 | $0.00 |
| 90680 | 0% | 3,282 | $0.00 | |
| 90723 | 0% | 1,212 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 128 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 43 | $0.00 |
| 90716 | 0% | 1,292 | $0.00 | |
| 90698 | 0% | 2,370 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,589 | $0.00 |
| 90744 | 0% | 433 | $0.00 | |
| 36416 | 0% | 528 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 256 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 667 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 299 | $0.00 |
| 90381 | 0% | 122 | $0.00 | |
| 90648 | 0% | 1,664 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 350 | $0.00 |
| 90734 | 0% | 715 | $0.00 | |
| 90707 | 0% | 1,285 | $0.00 | |
| 90671 | 0% | 1,811 | $0.00 | |
| 90714 | 0% | 45 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 619 | $0.00 |
| 90380 | 0% | 115 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 756 | $0.00 |
| 99173 | 0% | 204 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 432 | $0.00 |
| 90700 | 0% | 386 | $0.00 | |
| 90681 | 0% | 250 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 90 | $0.00 |
| 91300 | 0% | 78 | $0.00 | |
| 90672 | 0% | 262 | $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 officialNESVIG, KIM (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Special Health Resources for Texas, INC | Longview, TX | $15.07M |
| Special Health Resources for Texas, INC. | Texarkana, AR | $3.87M |
| Special Health Resources for Texas, INC. | Longview, TX | $519K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.