Physician
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $7.38M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
ATLANTA, TX 75551
ATLANTA, TX 75551
33aNPI1366828303assigned 07/31/2015
33bProvider typeFamily Medicine Physician
28Total paid$7.38M
24GClaims185,352
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#11 of 1,204
Median peer was paid$31K
This provider vs. median240×
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 | 544 | $43K | |
| 2019 | 1,672 | $53K | |
| 2020 | 16,641 | $361K | |
| 2021 | 54,693 | $1.75M | |
| 2022 | 43,273 | $1.77M | |
| 2023 | 40,255 | $1.85M | |
| 2024incomplete | 28,274 | $1.56M |
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 | 64% | 42,917 | 34,787 | $4.71M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 26,913 | 23,603 | $1.06M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 9,409 | 8,792 | $225K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.0% | 4,907 | 4,641 | $222K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 2,912 | 1,888 | $154K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 1,997 | 1,964 | $147K |
| 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 | 1.7% | 3,305 | 3,092 | $124K |
| 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 | 1.7% | 3,792 | 3,233 | $122K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 1,538 | 1,497 | $115K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 1,582 | 1,535 | $114K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.3% | 5,516 | 5,218 | $95K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 1,187 | 1,135 | $90K |
104 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,660 | $59K |
| 87634 | <1% | 1,362 | $32K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,647 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 287 | $14K |
| 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% | 679 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,652 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 284 | $7K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,207 | $7K |
| 80053 | Comprehensive metabolic panel | <1% | 2,949 | $7K |
| 99381 | <1% | 92 | $7K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,178 | $6K |
| 97803 | <1% | 1,059 | $3K | |
| 81001 | <1% | 2,170 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,192 | $2K |
| 81025 | <1% | 686 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 53 | $2K |
| 80061 | Lipid panel | <1% | 1,054 | $2K |
| 97802 | <1% | 252 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 192 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $1K |
| 99406 | <1% | 397 | $1K | |
| 92552 | <1% | 1,471 | $1K | |
| 84439 | <1% | 320 | $936.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,885 | $840.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 54 | $763.03 |
| 80050 | General health panel | <1% | 38 | $735.09 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 80 | $533.34 |
| 86308 | <1% | 140 | $388.96 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 116 | $351.54 |
| 99000 | <1% | 49 | $313.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $261.22 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,947 | $195.35 |
| 87806 | <1% | 24 | $137.65 | |
| 90686 | <1% | 525 | $128.26 | |
| 96160 | <1% | 299 | $122.39 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 54 | $99.54 |
| 90619 | <1% | 13 | $93.47 | |
| 82607 | <1% | 20 | $63.35 | |
| 83540 | <1% | 34 | $48.87 | |
| 82043 | <1% | 33 | $44.28 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 69 | $34.21 |
| 87210 | <1% | 17 | $29.34 | |
| 90734 | <1% | 359 | $16.15 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $6.89 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 48 | $0.25 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,517 | $0.14 |
| 90474 | <1% | 191 | $0.04 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,588 | $0.01 |
| 3080F | <1% | 399 | $0.01 | |
| 90651 | <1% | 269 | $0.01 | |
| 99173 | 0% | 1,615 | $0.00 | |
| 99307 | 0% | 1,365 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 27 | $0.00 |
| 3028F | 0% | 3,704 | $0.00 | |
| 90670 | 0% | 1,111 | $0.00 | |
| 3078F | 0% | 791 | $0.00 | |
| 4120F | 0% | 5,614 | $0.00 | |
| 90681 | 0% | 262 | $0.00 | |
| 90648 | 0% | 511 | $0.00 | |
| 4124F | 0% | 206 | $0.00 | |
| 90633 | 0% | 664 | $0.00 | |
| 3077F | 0% | 701 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 26 | $0.00 |
| 90671 | 0% | 169 | $0.00 | |
| 90710 | 0% | 146 | $0.00 | |
| 90700 | 0% | 74 | $0.00 | |
| 90707 | 0% | 76 | $0.00 | |
| 4025F | 0% | 13 | $0.00 | |
| 90715 | 0% | 109 | $0.00 | |
| 4040F | 0% | 22 | $0.00 | |
| 3210F | 0% | 67 | $0.00 | |
| 1159F | 0% | 96 | $0.00 | |
| 4145F | 0% | 15 | $0.00 | |
| 90697 | 0% | 419 | $0.00 | |
| 2010F | 0% | 4,371 | $0.00 | |
| 96127 | 0% | 705 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,352 | $0.00 |
| 3008F | 0% | 4,136 | $0.00 | |
| 1034F | 0% | 461 | $0.00 | |
| 90696 | 0% | 122 | $0.00 | |
| 2001F | 0% | 386 | $0.00 | |
| 3074F | 0% | 897 | $0.00 | |
| 3079F | 0% | 746 | $0.00 | |
| 1000F | 0% | 83 | $0.00 | |
| 90723 | 0% | 473 | $0.00 | |
| 3075F | 0% | 269 | $0.00 | |
| 2000F | 0% | 2,747 | $0.00 | |
| 90647 | 0% | 124 | $0.00 | |
| 3351F | 0% | 439 | $0.00 | |
| 3011F | 0% | 31 | $0.00 | |
| 3353F | 0% | 123 | $0.00 | |
| 1036F | 0% | 14 | $0.00 | |
| 90716 | 0% | 37 | $0.00 | |
| 36416 | 0% | 33 | $0.00 | |
| 4130F | 0% | 20 | $0.00 | |
| 4010F | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 31 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 112 | $0.00 |
| 3044F | 0% | 49 | $0.00 | |
| 4037F | 0% | 32 | $0.00 | |
| 4056F | 0% | 13 | $0.00 | |
| 3352F | 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 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 | Texarkana, TX | $5.56M |
| East Texas Border Health Clinic | Marshall, TX | $2.59M |
| East Texas Border Health Clinic | Texarkana, AR | $2.44M |
| 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.